留置尿管致尿路感染的相关因素分析  

Related Factors of Urinary Tract Infection due to Indwelling Catheter

作　　者：吴俊霞[1] 潘淑琴[1] 王健斌[1] 王斐[1] 

机构地区：[1]清华大学玉泉医院,北京100049

出　　处：《中华医院感染学杂志》2006年第11期1252-1253,共2页Chinese Journal of Nosocomiology

摘　　要：目的 探讨留置尿管致尿路感染的相关因素。方法 对19例患者留置尿管后致尿路感染进行回顾性分析。结果49例留置尿管患者中有19例发生尿路感染，感染率为38．78％；留置尿管时间在1-10d、11-20d、21-30 d、〉30d的感染率分别为20．00％、30．77％、37．50％、69．23％；尿培养中病原菌以大肠埃希菌最为常见，其他依次为粪肠球菌、白色念珠菌、阴沟肠杆菌等。结论 导尿术、留置尿管持续的时间、抗菌药物的不合理应用是导致尿路感染的重要危险因素；针对各种相关因素，采取有效地预防措施，可降低感染率的发生。OBJECTIVE To investigate related factors of urinary tract infection due to indwelling catheter. METHODS A total of 19 cases of urinary tract infection due to indwelling catheter were retrospectively analyzed. RESULTS Among 49 patients with indwelling catheter 19 patients got urinary tract infection, the infection rate was 38.78%. The incidence of urinary tract infection of patients at 1-10 d, 11-20 d, 21-30 d and over 30 d catheter was 20.00%, 30. 77%, 37. 50%, and 69. 23%, respectively. Escherichia coli was the most common pathogen isolated, the others were Enterococcus faecalis, Candida albicans, Enterobacter cloacae, et al. CONCLUSIONS The operation of indwelling catheter, continued times of indwelling catheter, improper application of antibiotics are the important risk factors of urinary tract infection. The infection rate could he decreased after taking prevention measures according to various related factors.

关 键 词：留置尿管 尿路感染 相关因素 

分 类 号：R472.9[医药卫生—护理学]