留置导尿相关尿路感染分析  

Catheter Associated Urinary Tract Infection

作　　者：翟景梅[1] 周云[1] 严向明[1] 张婷[1] 付明翠[1] 张旦红[1] 

机构地区：[1]江苏省苏州大学附属儿童医院泌尿外科,215003

出　　处：《中华全科医学》2010年第4期426-427,共2页Chinese Journal of General Practice

摘　　要：目的分析探讨留置导尿相关尿路感染(CAUTI)问题的主要影响因素,寻找有效的预防措施。方法收集我院小儿泌尿外科于住院期间留置导尿患儿112例,监测疾病种类、留置管道类型、留置管道时间、术后应用抗生素种类、时间、拔除导尿管前尿常规中白细胞数、白细胞酶及尿培养结果8项指标,用logistics回归分析方法分析尿路感染的主要影响因素。结果术后插管时间越长,则尿培养结果为阳性的可能性越大(χ2=4.90,P<0.05)。疾病种类对CAUTI的影响也有差异性(χ2=6.09,P<0.05),余无显著差异性。结论在所监测的指标中,术后留置管道时间是可以控制的CAUTI的主要影响因素,要尽量缩短留置导尿时间,去除管道才能从根本上控制感染。Objective To study the main risk factors of catheter associated urinary tract infection（CAUTI）,and find the preventive measures of urinary tract infection.Methods The clinical data of 112 inpatients with indwelling urinary catheter were reviewed retrospectively.The disease type,type and the duration of indwelling catheter,the postoperative antibiotic usage and duration time,wbc count and leukocyte enzymes,and urine culture were monitored and analyzed with logistics regression analysis.Results A significant correlation was noted between the duration for indwelling urinary and urine culture（χ^2=4.90,P0.05）,the primary urinary tract condition was also a risk factor for CAUTI（χ^2=6.09,P〈0.05）.Conclusion The prolonged indwelling catheter carries a high risk factor to CAUTI,and prompt its removal is essential in the prevention of CAUTI.

关 键 词：留置导尿 尿路感染 

分 类 号：R691.3[医药卫生—泌尿科学] R472.92[医药卫生—外科学]