重症监护病房院内尿路感染临床分析  

Urinary Nosocomial Infection in Intensive Care Unit:A Clinical Analysis

作　　者：杨爱祥[1] 吴慧娟[1] 郑贞苍[1] 杨静[1] 滕玲[1] 

机构地区：[1]台州医院路桥院区ICU,浙江台州318050

出　　处：《中华医院感染学杂志》2009年第11期1353-1355,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨重症监护病房(ICU)院内尿路感染特点,以降低其发病率。方法对ICU 2005年1月-2006年6月收治的661例患者进行统计,对其进行回顾性分析。结果ICU院内尿路感染63例,发病率9.53%;ICU院内尿路感染的发生与性别无关;与年龄、抗菌药物、激素应用、留置导尿时间、APACHEⅡ评分有关;病原菌以真菌为主(40.66%),革兰阴性菌31.87%,革兰阳性菌27.46%;ICU尿路感染临床表现不典型。结论ICU院内尿路感染有其自身特点,值得关注,避免盲目应用抗菌药物、激素,尽量缩短导尿管留置时间,以降低其发病率。OBJECTIVE To investigate the characters of urinary noscomial infection in intensive care unit（ICU）of our hospital in order to reduce its incidence. METHODS The 661 patients in ICU of our hospital from Jan 2005 to Jun 2006 were analyzed, and in which 63 nosocomial urinary infection patients（9.53%） were found. We analyzed the 63 patients retrospectively. RESULTS Nosocomial urinary infection occurred in 9.53% patients admitted to the ICU. Nosocomial urinary infection in ICU was correlated with ages, using of antibiotics and hormones, duration of catheterization and APACHE Ⅱ score, but not with gender. The most prevalent pathogens of nosocomial urinary infection in ICU were fungi （40. 66%）, gram-negative bacteria （31.87%） and Gram-positive bacteria （27.46%）, The clinical manifestation of nosocomial urinary infection in ICU was atypical. CONCLUSIONS Nosocomial urinary infection in ICU has its own characters which clinicians should pay more attention to. To reduce its incidence, we should avoid abusing of antibiotics and hormones, and make the duration of catheterization as short as possible.

关 键 词：尿路感染 重症监护病房 留置导尿 

分 类 号：R181.32[医药卫生—流行病学]