妇科术后留置导尿管尿路感染的危险因素及干预措施  

Risk factors for urinary tract infections induced by postoperative catheter indwelling in department of gynecology and intervention measures

作　　者：王秀云[1] 肖文辉[1] 姜晶 

机构地区：[1]聊城市人民医院妇科一病房,山东聊城252000 [2]青岛市城阳区人民医院妇产科,山东青岛266109

出　　处：《中华医院感染学杂志》2014年第9期2297-2298,2314,共3页Chinese Journal of Nosocomiology

基　　金：青岛市卫生局中医科研计划基金资助项目(2011-ZYW051)

摘　　要：目的探讨妇科手术后由留置导尿管引发尿路感染的危险因素及预防和控制感染的干预措施。方法选取2011年2月-2013年1月医院收治的198例各类妇科手术患者为研究对象,其中尿路感染组89例,非尿路感染组109例,采用logistic回归法对术后留置导尿管尿路感染的相关因素进行统计分析,观察各因素与感染的相关性。结果尿路感染的发生与年龄、基础疾病、留置导尿管时间、抗菌药物的应用、集尿袋更换时间、尿道口清洁有关（P〈0.05）,与膀胱冲洗无明显相关性,采用非条件logistic回归分析法结果发现留置导尿管时间（OR=5.773,95%CI=2.093 ～15.923）、患者年龄（OR=2.947,95%CI=1.101～7.888）、抗菌药物的应用（OR=2.331,95%CI=1.212 ～4.483）是术后留置导尿管尿路感染的主要危险因素（P〈0.05）。结论提高医务人员的预防意识和操作技术水平,严格无菌技术操作,合理应用抗菌药物,加强基础护理,可预防和降低术后留置导尿管尿路感染。OBJECTIVE To explore the risk factors for urinary tract infections induced by postoperative catheter indwelling in department of gynecology and put forward intervention measures for prevention and control of infections.METHODS A total of 198patients who underwent the gynecological surgeries in the hospital from Feb 2011 to Jan 2013were enrolled in the study,and the subjects were divided into the urinary tract infection group with 89 cases and the non-urinary tract infection group with 109cases,then the related factors for the postoperative catheter-related urinary tract infections were statistically analyzed by means of logistic regression method,and the correlation between the factors and the infections was observed.RESULTS The incidence of the urinary tract infections was related to the age,underlying disease,catheter indwelling time,use of antibiotics,replacement time of urine collection bag,and cleaning of urethral mouth（P＆lt;0.05）but was not related to the bladder irrigation.The result of the non-conditional logistic regression analysis showed that the catheter indwelling time（OR=5.773,95%CI= 2.093~15.923）,age（OR= 2.947,95%CI=1.101~7.888）,and use of antibiotics（OR= 2.331,95%CI= 1.212~4.483）were the main risk factors for the postoperative indwelling catheter-related urinary tract infections（P＆lt;0.05）.CONCLUSIONIt is an effective way to improve the awareness of prevention and operation skills, strictly implement the aseptic operation,reasonably use antibiotics,and strengthen the basic nursing so as to reduce the incidence of postoperative urinary tract infections induced by catheter indwelling.

关 键 词：妇科术后 留置导尿管 感染 影响因素 

分 类 号：R691.3[医药卫生—泌尿科学]