摘要
目的留置导尿管的患者尿培养采集的成功率和合格率低,本研究旨在提高留置导尿管患者尿培养采集的成功率和合格率。方法选取邯郸市第一医院泌尿科2019年1月至12月665例留置导尿管的患者,按随机数字表法分为参考组和试验组,两组均取晨尿。参考组男176例、女156例,年龄(54.23±5.18)岁;试验组男189例、女144例,年龄(55.18±5.24)岁。参考组采取传统尿培养采集方法,夹闭导尿管1~2 h后分离导尿管和尿袋留取标本;试验组采取改良尿培养采集的方法,留取尿培养前延长导尿管夹闭时间、集尿袋增加采集胶塞、改变尿袋夹闭阀位置、严格无菌操作、于采集胶塞处采集标本。比较两组的尿培养一次采集成功率、标本污染率及患者满意度。结果参考组尿培养标本的成功率、合格率分别为64.7%(215/332)、73.8%(245/332),试验组分别为90.1%(300/333)、94.9%(316/333),两组比较差异均有统计学意义(均P<0.001)。参考组患者满意度为83.7%(278/332),试验组患者满意度为91.9%(306/333),两组比较差异有统计学意义(χ2=10.341,P=0.001)。污染标本菌谱分析,参考组46例污染标本中大肠埃希菌21例、白假丝酵母菌8例、热带假丝酵母菌9例、肺炎克雷伯菌4例、粪肠球菌3例、铜绿假单胞菌1例,试验组3例污染标本中肺炎克雷伯菌2例、铜绿假单胞菌菌1例。结论改良留置导尿管患者尿培养采集方法后,提高了标本采集的成功率和合格率,不仅降低了医疗资源浪费,同时也给临床治疗带来及时准确的科学依据。
Objective The success rate and qualified rate of urine culture collection in patients indwelled with catheters are low.The purpose of this study is to improve the success rate and qualified rate of urine culture collection of patients indwelled with catheters.Methods A total of 665 patients indwelled with catheters in Department of Urological Surgery of Handan First Hospital from January to December,2019 were selected and divided into a reference group and an experimental group by the random number table method.In the reference group,there were 176 males and 156 females,who were(54.23±5.18)years old.There were 189 males and 144 females in the experimental group,who were(55.18±5.24)years old.Morning urine was collected from both groups.In the reference group,the traditional urine culture method was used;after the catheters were clamped for 1-2 hours,the catheters and urine bags were separated and the specimens were collected.In the experimental group,the method of urine culture collection was improved;before urine culture,the clamping time of urinary catheters was prolonged,collecting rubber plugs were added to the urine collection bags,the positions of the urine bags'clamping valves were changed,and the aseptic operation was strictly carried out to collect the specimens.The success rates collecting urine culture at one time,specimen pollution rates,and patients'satisfaction were compared between these two groups.Results The success rate,qualified rate,and patients'satisfaction were 64.7%(215/332),73.8%(245/332),and 83.7%(278/332)in the reference group,and were 90.1%(300/333),94.9%(316/333),and 91.9%(306/333)in the experimental group,with statistical differences(all P<0.05).In the reference group,46 specimens were polluted;among which,21 were polluted by Escherichia coli,8 by Canidia albicans,9 by Candida tropicalis,4 by Klebsiella pneumoniae,3 by Enterococcus faecalis,and 1 by Pseudomonas aeruginosa.In the experimental group,3 specimens were polluted;among which,2 were polluted by Klebsiella pneumoniae and 1 by Pseudomonas aeruginosa.Conclusion After improving the urine culture collection method of patients indwelled with catheters,the success rate and qualified rate of specimen collection are improved,and not only reduces the medical resources,but also brings timely standard scientific basis for clinical treatment.
作者
祁晓芳
杜相珠
耿炜
王微
马悦
Qi Xiaofang;Du Xiangzhu;Geng Wei;Wang Wei;Ma Yue(Accompany Center,Handan First Hospital,Handan 056001,China;Department of General Internal Medicine,Handan First Hospital,Handan 056001,China;Third Department of Neurological Surgery,Handan First Hospital,Handan 056001,China;Department of Obstetrics,Handan First Hospital,Handan 056001,China)
出处
《国际医药卫生导报》
2021年第15期2298-2301,共4页
International Medicine and Health Guidance News
基金
河北省重点研发计划自筹项目(182777169)。
关键词
留置导尿管
尿培养
改良
采集方法
成功率
合格率
Indwelled with catheters
Urine culture
Improvement
Collection method
Success rate
Qualified rate
