前列腺电切术后泌尿生殖系感染的危险因素及预防措施  

Risk factors for genitourinary tract infections after transurethral resection of prostate and prevention countermeasures

作　　者：董波[1] 刘涛[1] 王立鹤[1] 

机构地区：[1]齐齐哈尔医学院第二附属医院泌尿外科,黑龙江齐齐哈尔161006

出　　处：《中华医院感染学杂志》2014年第5期1227-1229,共3页Chinese Journal of Nosocomiology

基　　金：齐齐哈尔市卫生厅科研基金项目(9232012Y0707-02)

摘　　要：目的调查前列腺电切术后泌尿生殖系感染的发病率,研究前列腺电切术后泌尿生殖系感染发生的因素,及控制前列腺电切术后泌尿生殖系感染的预防措施。方法选取医院2010年8月-2012年12月行前列腺电切术的患者236例,记录发生感染情况;对比感染与未感染患者的相关因素,探讨前列腺电切术后泌尿生殖系感染发生的因素及预防措施,计数资料比较采用χ2检验,采用SPSS 13.0进行数据处理。结果 236例行前列腺电切术的患者中发生术后泌尿生殖系感染42例,感染率17.8%;感染类型包括:8例睾丸附睾炎占19.0%、6例肾脓肿合并附睾炎占14.3%、28例膀胱尿路感染占66.7%;前列腺电切术后泌尿生殖系感染的主要因素有患者的年龄>52岁、住院时间长、合并其他疾病、尿管留置时间>7d、手术操作不规范、术前行导尿术以及未应用抗菌药物预防等。结论前列腺电切术后泌尿生殖系感染的发生率高,医护工作人员应结合感染发生的危险因素,控制前列腺电切术后泌尿生殖系感染的发生。OBJECTIVE To investigate the incidence of genitourinary tract infections after transurethral resection of prostate and analyze the risk factors for postoperative genitourinary tract infections so as to put forward the prevention countermeasures. METHODS A total of 236 patients, who underwent the transurethral resection of prostate in the hospital from Aug 2010 to Dec 2012, were enrolled in the study, then the incidence of infections was recorded, the related factors for the infections were analyzed, the prevention countermeasures were put forward, the chi-square test was conducted for the count data, and the statistical analysis was performed with the use of SPSS13. 0 software. RESULTS Of totally 236 patients undergoing the transurethral resection of prostate, the postoperative genitourinary tract infections occurred in 42 cases with the infection rate of 17. 8 %, among which there were 8 （19.0%） cases of testicular epididymitis, 6 （14.3%） cases of renal abscess complicated with epididymitis, and 28 （66. 7 %） cases of bladder urinary tract infections. The major risk factors for the postoperative genitourinary tract infections included the more than 52 yeas of age, long length of hospital stay, complication of other diseases, catheter indwelling time more than 7 days, non-standard surgical procedures, preoperative catheterization, and without antibiotics prophylaxis. CONCLUSION The incidence of genitourinary tract infections is high after the transurethral resection of prostate; it is necessary for the medical staff to control the postoperative genitourinary tract infections by considering the risk factors.

关 键 词：前列腺电切术 泌尿生殖系感染 危险因素 预防措施 

分 类 号：R619.3[医药卫生—外科学]