ICU大便失禁患者导尿管相关尿路感染监测分析  

Analysis of the fecal incontinence with catheter associated urinary tract infections in ICU

作　　者：王日香[1] 李艳艳[1] 

机构地区：[1]山东省东营市胜利油田中心医院,山东东营257034

出　　处：《西北国防医学杂志》2014年第3期248-250,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：探讨ICU大便失禁患者导尿管相关尿路感染（CAUTIs）发生状况及病原菌分布,为有效预防和控制感染提供科学依据。方法：对2012-01~2013-06留置尿管患者进行调查,对比大便失禁患者与未失禁患者CAUTIs情况。结果：526例留置尿管患者,大便失禁发生率55.3%,发生尿路感染47例,其中44例为大便失禁患者,感染率为15.12%,CAUTIs发生率为7.69/千导管日。病原菌以革兰阴性菌为主,占58%;其次是真菌。结论：大便失禁成为导致ICU中CAUTIs的又一重要因素。应规范操作规程,合理应用抗菌药物,避免导尿管污染,缩短导尿管留置时间,降低其发生率。Objective： To investigate the catheter associated urinary tract infetions（CAUTIs） condition and distribution of pathogenic bacteria in patients with fecal incontinence in intensive care unit （ICU） , to provide scientific basis for effective prevention and control of infection. Methods： The patients with CAU- TIs and no--incontinence in ICU were investigated from January 2012 to June 2013. Results： The incidence rate of fecal incontinence with CAUTIs was 55.3%, 47 cases had catheter--related infection and 44 cases were fecal incontinence, the infection rate was 15. 12%. The incidence of CAUTIs was 7. 69/thous and vessel everyday. The Gram--negative bacteria were the main pathogens of infection （58%）, followed by was fungi. Conclusion： The fecal incontinence is one of the important factors for CAUTIs,in order to re- duce its incidence, the standardized operation procedures, rational use of antibiotics, prevention catheter contamination, reduced catheter indwelling time are necessary.

关 键 词：尿路感染 大便失禁 监测分析 

分 类 号：R472[医药卫生—护理学]