综合性医院获得性尿路感染危险因素的多元分析  

MULTIPLE ANALYSIS ON RISK FACTORS OF URINARY TRACT NOSOCOMIAL INFECTION IN GENERAL HOSPITAL

作　　者：蒋景华[1] 

机构地区：[1]绍兴市人民医院,浙江绍兴312000

出　　处：《中国消毒学杂志》2011年第6期714-716,共3页Chinese Journal of Disinfection

摘　　要：目的了解留置导尿相关尿路感染的易感因素,调查尿路感染的病原菌检出及其耐药现状。方法采用回顾性调查和多元分析方法,对2009年度本医院住院确诊的269例医院内获得性尿路感染患者进行调查。结果 269例医院内获得性尿路感染患者均属高龄病人,≥76岁的病人占28.62%;患者多有基础疾病,其中以脑出血为基础疾病者占34.20%;接受泌尿道插管的患者中,发生医院内获得性尿路感染者占81.15%。医院内获得性尿路感染标本中,检出的致病菌居前三位的依次为大肠埃希菌、屎肠球菌和真菌。结论医院内获得尿路感染高发因素主要为高龄、基础疾病严重和泌尿道插管,应据此有针对性地采取防控措施。Objective To know the risk factors of urinary tract infection with indwelling urinary catheter,detection of pathogen and status of drug-resistant.Methods Retrospective investigation and multiple analysis were used to survey 269 inpatients with urinary tract nosocomial infection in 2009.Results The 269 inpatients were all elderly patients,and patients who were over 76 years of age accounted for 28.62%.Most patients had basic diseases,in which cerebral hemorrhage was 34.20%.Nosocomial infection rate with urinary tract was 81.15% in the patients with indwelling urinary catheter.The top three pathogenic bacteria detected were Escherichia coli,Entercoccus faecium and Fungi.Conclusion The main risk factors were elderly age,severe basic diseases and indwelling urinary catheter.Measurements taken to prevent and control urinary tract nosocomial infection should target to those aspects.

关 键 词：获得性尿路感染 危险因素 病原菌 防控措施 

分 类 号：R181.32[医药卫生—流行病学]