医院获得性尿路感染与危险因素的研究  

INVESTIGATION OF RISK FACTORS OF URINARY TRACT INFECTION

作　　者：陈芳[1] 陶映[1] 王米兰[1] 于美芳[1] 

机构地区：[1]浙江省绍兴市人民医院,浙江绍兴312000

出　　处：《中国消毒学杂志》2012年第9期796-798,共3页Chinese Journal of Disinfection

基　　金：绍兴市科技计划项目"五类手术部位感染目标性监测与控制研究"

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2011年度某医院住院确诊的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老年患者居多,≥76岁的患者占28.6%;患者多有基础疾病,其中脑出血占34.2%;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81.2%。医院内获得性尿路感染标本中,检出的致病菌居前3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 because of urinary catheter indwelling,and find the pathogen and the status of drug-resistantance.Methods Retrospective investigation and multiple analysis were used to investigate 269 inpatients with urinary tract infection in 2011.Results Most of the inpatients were elderly,and 77 patients（28.6%）were over 76 ages.Most patients had basic diseases,in which cerebral hemorrhage was 34.2%.In the patients with urinary catheter indwelling,81.2% had urinary tract infection.In the samples of the patients with urinary tract infection,the top three pathogenic bacteria detected were Escherichia coli,Entercoccus faecium and fungi.Conclusion The main risk factors were elderly,serious basic diseases and urinary catheter indwelling.We should take targeted measures to prevent and control urinary tract infection.

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]