摘要
目的分析留置导尿管相关尿路感染的危险因素,探讨最佳护理防控措施。方法对200例留置导尿管患者进行回顾性调查分析。结果 200例患者发生尿路感染发生率为23.5%(47/200)。≥60岁者和<60岁者尿路感染发生率分别为32.54%(41/126)、8.10%(6/74),两者比较差异有统计学意义(P<0.01);留置尿管时间﹤5 d者、≥5 d者尿路感染发生率分别为5.33%(4/75)、34.40%(43/125),两者比较差异有统计学意义(P<0.01)。结论尿管留置时间长、年龄大是导尿管相关感染的主要因素;遵循无菌操作原则、尽可能缩短尿管留置时间、规范留置导尿管管理是预防控制导尿管相关感染的重要措施。
Objective To analyze the risk factors for indwelling catheter-associated urinary tract infection,and to investigate the best prevention and control measures.Methods Data of 200 patients with indwelling urinary catheter were analyzed retrospectively.Results The incidence of urinary tract infection was 23.5%(47/200).In addition,the incidence of urinary tract infection in patients aged 60 years or older(32.54%,41/126) was significantly higher than that in patients younger than 60 years(8.10%,6/74)(P0.01).Moreover,the incidence of urinary tract infection in patients who needed indwelling catheterization for shorter than 5 days(5.33%,4/75) was significantly lower than that in patients who needed indwelling catheterization for 5 days or longer(34.40%,43/125)(P0.01).Conclusion Long-term indwelling catheterization and old age are main factors for catheter-associated urinary tract infection.Following the principles of aseptic manipulation,shortening indwelling time as far as possible and specifying indwelling catheter management are important measure to prevent and control catheter-associated urinary tract infection.
出处
《实用临床医学(江西)》
CAS
2012年第5期83-84,103,共3页
Practical Clinical Medicine
关键词
留置尿管
尿路感染
危险因素
护理
indwelling urethral catheter
urinary tract infection
risk factor
nursing