经尿道持续输注低浓度聚维酮碘预防导尿管相关性尿路感染效果评价  

Effectiveness of transurethral sustained controlled release infusion of low concentration iodophor in prevention of catheter-associated urinary tract infections

作　　者：顾小红[1] 张玲芳[1] 孙建良[2] 

机构地区：[1]嘉兴学院医学院附属第一医院ICU,浙江嘉兴314000 [2]嘉兴学院医学院附属第一医院麻醉科,浙江嘉兴314000

出　　处：《中华医院感染学杂志》2013年第4期765-766,共2页Chinese Journal of Nosocomiology

基　　金：浙江省科学技术厅计划项目(2006C33037)

摘　　要：目的探讨经尿道持续控释输注0.3%聚维酮碘预防导尿管相关性尿路感染的有效性,以降低尿路感染的发生率。方法将140例留置导尿的危重患者随机分为观察组和对照组,观察组采用新型导尿管经尿道持续控释输注0.3%聚维酮碘;对照组采用普通气囊导尿管,比较两组患者留置导尿后第3、7、10天的菌尿阳性率,观察不良反应。结果导尿后第3、7、10天的菌尿阳性率,观察组分别为2.86%、8.57%、11.43%,对照组为18.57%、35.71%、51.43%,观察组尿培养阳性率明显低于对照组(P<0.01),无明显不良反应。结论采用新型一次性导尿管经尿道持续控释输注低浓度聚维酮碘,并实施相应的护理能降低留置导尿管相关尿路感染的发生率,值得临床推广。OBJECTIVE To explore the effectiveness of transurethral sustained controlled release infusion of 0.3% iodophor in the prevention of the catheter-associated urinary tract infections and propose the nursing measures so as to reduce the incidence of the urinary tract infections.METHODS A total of 140 critical patients with indwelling catheter were randomly divided into the observation group and the control group.The observation group was treated with new type of catheter transurethral sustained controlled release infusion of 0.3% iodophor,while the control group was treated with traditional bag catheter,the positive rates of urine culture on the third,seventh,and the tenth day after the indwelling catheterization were compared between the two groups,and the adverse reactios were observed.RESULTS Of the positive rates of the urine culture on the third,seventh,and the tenth day after the indwelling bladder catheterization,the observation group were 2.86%,8.57% and 11.43%,respectively,while the control group were 18.57%,35.71% and 51.43%,respectively,the positive rate of urine culture of the observation group was significantly lower than that of the control group（P0.01）,there were no adverse reactions.CONCLUSION To adopt the new disposable transurethral sustained controlled release infusion of low concentration iodophor combined with the corresponding nursing measures can reduce the incidence of the catheter-associated urinary tract infections,it is worthy of the clinical promotion.

关 键 词：导尿管 尿路感染 护理 

分 类 号：R181.32[医药卫生—流行病学]