导管专项管理对住院骨科留置导尿患者预防相关尿路感染的效果研究  

Effect of catheter specific management on the prevention of urinary tract infections in hospitalized orthopedics patients with indwelling catheter

作　　者：张静[1] 石教阳 陈元珍[1] 廖春阳[1] 王玉[1] 段运峥[1] ZHANG Jing SHI Jiao-yang CHEN Yuan-zhen LIAO Chun-yang WANG Yu DUAN Yun-zheng(Nanyang City Center Hospital, Nanyang, Henan 473000, Chin)

机构地区：[1]南阳市中心医院骨科,河南南阳473000

出　　处：《中华医院感染学杂志》2017年第7期1663-1665,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨导管专项管理对住院骨科留置导尿患者预防相关尿路感染的效果,以更好地预防患者医院感染。方法选取2014年1月-2014年12月在医院骨科住院治疗的278例患者为对照组,采用常规留置导管预防尿路感染措施;选取2015年3月-2016年2月在我院骨科住院治疗的308例患者为观察组,采用导管专项管理预防留置导管尿路感染。比较两组患者导尿管相关尿路感染率、留置导尿管维护合格率、住院时间和导尿管留置平均时间。结果对照组感染率为5.04%,显著高于观察组0.97%;观察组患者住院总时间和留置导管时间均低于对照组;对照组留置导尿管维护合格率为62.95%~70.50%,观察组合格率为87.34%~94.49%,与对照组比较各项合格率均有显著提升,差异均有统计学意义(P<0.05)。结论通过实施导管专项管理,可提高患者留置导尿管维护合格率,缩短患者住院时间和留置导管时间,有效降低骨科患者相关尿路感染发生率。OBJECTIVE To explore the effect of catheter specific management on the prevention of urinary tract in- fections in hospitalized orthopedics patients with indwelling catheter, so as to prevent nosocomial infections in pa- tients better. METHODS A total of 278 patients who were hospitalized in the department of orthopedics of our hospital from Jan. 2014 to Dec. 2014 were selected as control group, and the routine indwelling catheter was used to prevent urinary tract infections in patients, and 308 cases of hospitalized patients from Mar. 2015 to Feb. 2016 in our hospital were selected as observation group. The incidence of urinary tract infection, qualified rate of main- tenance of indwelling catheters, length of hospital stay, and mean catheter indwelling time were compared between the two groups of patients. RESULTS The infection rate of control group was 5.04 %, which was significantly higher than 0.97% of observation group. The total length of hospitalization and indwelling catheter time in obser- vation group was significantly shorter than those in control group. The indwelling catheter maintenance qualified rate of control group was 62.95%~70.50%, the qualified rate of observation group was 87.34%~94.49%, and compared with control group, the qualified rate were improved obviously significantly （P〈0.05）. CONCLUSION By the catheter specific management, it can improve indwelling catheter maintenance pass rate in patients, shorten the hospital stay and indwelling catheter time, and effectively reduce the incidence of urinary tract infections in pa- tients of department of orthopedics.

关 键 词：导管专项管理 骨科 留置导尿 相关尿路感染 

分 类 号：R691.3[医药卫生—泌尿科学]