摘要
目的探讨导尿管相关尿路感染（CAUTI）的易发因素,提出预防措施。方法随机选择留置导管的住院患者536例,观察留置导管后尿路感染率以及感染的相关因素分析。结果更换尿管的间隔时间以及留置导管的时间越长越容易发生尿路感染,如留置导管1-3 d,CAUTI发生率为10.3%,留置导管≥10 d,CAUTI发生率为97.6%;而抗菌药物使用引起菌群失调亦容易导致尿路感染。结论严格掌握导尿指征,缩短留置导管时间,采取有效措施,合理选择抗菌药物,可有效控制感染。
OBJECTIVE To discuss the liable episodes of the urinary tract infection with relation of catheter and propose the prevention measures.METHODS We radomly selected 536 patients with catheter.The urinary tract infection,as well as related factors were observed in patients with indwelling catheter.RESULTS The catheter replacement time interval as well as indwelling time were the risk factors,when the indwelling catheter time was 1-3 days,the CAUTI rate was 10.3%,if the time was ≥10 day,the CAUTI rate was 97.6%.Additionally the antibiotic use would cause dysbacteriosis which also easily caused the urinary tract road infection.CONCLUSIONS When taking care of the patients who had catheter,we should grasp the indications of catheterization,reduce the indwelling time,apply the effective nursing measures and correct choice of antibiotics,that can evidently control the infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第23期3204-3206,共3页
Chinese Journal of Nosocomiology
关键词
导尿管
尿路感染
原因分析
Catheter
Urinary tract infection
Causes analysis
