摘要
目的探讨肿瘤患者留置尿管发生泌尿系感染的相关危险因素,并总结针对性的对策,进一步指导临床。方法回顾性分析2010年5月-2012年5月住院治疗留置尿管泌尿系感染的40例肿瘤患者临床资料,分析其相关危险因素与泌尿系感染的关系。结果留置尿管出现泌尿系感染肿瘤患者中男性占35.00%,女性占65.00%,女性泌尿系感染发病率高于男性(P<0.05),有基础疾病患者占70.00%,留置尿管时间>2周感染患者占87.50%,膀胱冲洗后泌尿系感染患者占32.50%;留置尿管1、2、7、14d出现泌尿系感染的比例分别占5.00%、7.50%、37.50%、50.00%。结论留置尿管是引起院内泌尿系感染肿瘤患者的最主要因素;掌握导尿指征,避免插管是有效减少泌尿系感染发生率的最佳方法;在留置尿管过程中,严格执行无菌操作、减少置管留置时间、保证引流内环境的密闭性,可有效降低肿瘤患者泌尿系感染发生率。
OBJECTIVE To explore the risk factors of urinary tract infections in tumor patients with indwelling catheter and summarize the targeted nursing countermeasures so as to guide the clinical treatment.METHODS A total of 40 cases of tumor patients with catheter indwelling,who were with urinary tract infections and treated in the hospital from May 2010 to May 2012,were enrolled in the study,the clinical data of the patents were analyzed,then the risk factors of the urinary tract infections were analyzed.RESULTS Of the tumor patients with urinary tract infections,the male accounted for 35.00%,the female 65.00%;the incidence of urinary tract infections of the female was higher than that of the male（P0.05）;the patients with underlying diseases accounted for 70.00%,the patients with the indwelling catheter time more than two weeks 87.50%,the patients after being treated with bladder irrigation 32.50%.The incidence rate of urinary tract infections at 1 day,2,7,or 14 days after the catheter indwelling were 5.00%,7.50%,37.50%,and 50.00%,respectively.CONCLUSIONIndwelling catheter is the most important factor resulting in the nosocomial urinary tract infections in the tumor patients.Mastering catheterization indications to avoid intubation is the best way to effectively reduce the incidence of urinary tract infections.During the indwelling intubation,strict implementation of aseptic reduce catheter indwelling time,while ensuring airtight environment within the drainage,can effectively reduce the incidence of urinary tract infections in the tumor patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第14期3385-3386,3389,共3页
Chinese Journal of Nosocomiology
关键词
肿瘤
留置尿管
泌尿系感染
危险因素
护理对策
Tumor
Indwelling catheter
Urinary tract infection
Risk factor
Nursing countermeasure
