尿动力检查感染原因分析及预防控制措施  

Analysis of causes and prevention control measures for infections caused in urinary dynamic examination

作　　者：刘泽涛[1] 于莉[2] 程少云[3] 

机构地区：[1]青岛市第三人民医院外科,山东青岛266041 [2]青岛市第三人民医院院感科,山东青岛266041 [3]青岛市第三人民医院检验科,山东青岛266041

出　　处：《中华医院感染学杂志》2014年第10期2510-2511,2597,共3页Chinese Journal of Nosocomiology

基　　金：青岛市科技发展计划基金资助项目(07-2-1-4)

摘　　要：目的了解尿动力检查医院感染病原学特点及感染相关危险因素,探讨尿动力检查中医院感染原因及预防控制措施,降低医院感染率。方法对2007年1月-2011年12月456例行尿动力检查患者通过设定调查表、进行跟踪调查和电话回访,以卫生部颁发的《医院感染诊断标准》和《导尿管相关尿路感染预防与控制技术指南》为依据,进行分析、汇总并提出预防控制措施。结果 456例行尿动力检查者发生泌尿道感染3例,感染率为0.66%,中段尿培养出病原菌3株,其中大肠埃希菌2株、表皮葡萄球菌1株;泌尿道刺激症状57例,发生率为12.5%;患者泌尿道置管感染及泌尿道刺激症状的发生与年龄、置管顺利程度、基础疾病等因素有关(P<0.05)。结论尿动力检查感染、泌尿道刺激症状与患者年龄、性别、基础疾病、置管顺利程度有关,严格掌握适应证、做好术前宣教和环境消毒、规范操作流程,对感染的预防控制具有重要意义。OBJECTIVE To learn the etiologic features and related risk factors of nosocomial infections caused in uri- nary dynamic examination, and investigate the causes for nosocomial infection as well as prevention and control measures in order to reduce the nosocomial infection rates. METHODS Totally 456 patients performing the urinary dynamic examination from Jan 2007 to Dec 2011 were given questionnaires, tracking surveys and return visits to analyze, summarize the results and put forward prevention and control measures on the basis of Diagnostic Crite- ria of Nosocomial Infection and Prevention and Control Guidelines for Catheter Associated Urinary Tract In fectlon issued by the Ministry of Health. RESULTS Among the 456 patients performing the urinary dynamic exam- ination, the urinary tract infection occurred in 3 cases （0.66%）, and 3 strains of pathogens were cultured from the midstream urine, including 2 strains of Escherichia coli and a strain of Staphylococcus epidermidis; the urinary tract irritative symptoms occurred in 57 cases （12.5 %）;the occurrence of the urinary tract cathetering infections as well as irritative symptoms in patients were correlated with age, the degree of smooth cathetering and underly- ing diseases （P〈0.05）. CONCLUSION The infections caused in the urinary dynamic examination and urinary tract irritative symptoms are correlated with age, gender, underlying diseases and the degree of smooth cathetering. It＇ s of great significance for preventive control of infections by strictly grasping the indications, conducting preopera- tive education, environmental disinfection and standard operation procedures.

关 键 词：尿动力检查 医院感染控制 侵入性操作 

分 类 号：R181.32[医药卫生—流行病学]