糖尿病肾病尿毒症患者尿路感染危险因素分析与临床预防策略研究  

Risk factors and clinical prevention strategies for urinary tract infection in patients with diabetic nephropathy uremia

作　　者：谢海萍[1] 暨利军 徐丽丽[1] 余海峰[1] 张玉琴[3] 

机构地区：[1]台州市中心医院肾内科,浙江台州318000 [2]仙居人民医院肾脏科,浙江台州317300 [3]台州市中心医院院感科,浙江台州318000

出　　处：《中华医院感染学杂志》2016年第24期5610-5612,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生厅科技计划基金资助项目(2014ZHA014)

摘　　要：目的探讨导致糖尿病肾病尿毒症患者发生尿路感染的危险因素,有针对性的制定和实施临床预防尿路感染的相关措施。方法选取医院2010年1月-2016年1月临床收治的糖尿病肾病尿毒症患者107例为研究对象,调查分析患者的尿路感染发生率、病原菌分布情况及临床危险因素。结果 107例患者中发生尿路感染患者32例,感染率29.91%;共检出病原菌40株,以革兰阴性菌为主,共25株占62.50%;年龄、住院时间、血糖、血红蛋白、血清白蛋白、合并症种类、留置导尿管和应用抗菌药物是导致患者尿路感染的危险因素(P<0.05)。结论在临床实践过程中针对上述危险因素实施针对性的预防干预措施和策略可以降低感染发生率。OBJECTIVE To investigate the risk factors for urinary tract infection in patients with diabetic nephropathy uremia,and formulate and implement relevant measures to prevent urinary tract infection.METHODS A total of 107 cases of patients with diabetic nephropathy uremia in our hospital from Jan.2010 to Jan.2016 were chosen as research objects.The urinary tract infection incidence,distribution of pathogens and clinical risk factors were investigated and analyzed.RESULTS Totally 32 cases of patients occurred urinary tract infection in the 107 patients,and the infection rate was 29.91%.Totally 40 strains of pathogens were detected,and mainly were 26 strains of gram-negative bacteria,accounting for 62.50%.Age,hospitalization time,blood glucose,hemoglobin,serum albumin,complications species,indwelling catheter and antimicrobial drugs were the risk factors for patients with urinary tract infection（P〈0.05）.CONCLUSIONThe implementation of targeted prevention interventions and strategies in clinical practice according to these risk factors can reduce the incidence of infection.

关 键 词：糖尿病肾病 尿毒症 尿路感染 危险因素 

分 类 号：R691.3[医药卫生—泌尿科学]