呋喃西林溶液和生理盐水清洗预防ICU导尿管相关尿路感染效果比较  

A comparative study of effect of cleaning with furacilin solution and normal saline in prevention of catheter-associated urinary tract infection in ICU patients

作　　者：赵乔珍[1] 李欣 ZHAO Qiaozhen;LI Xin(Department of Nosocomial Infection Management, Jiangsu Province Hospital of Integration of Chinese and Western Medicine, Nanjing, Jiangsu, 210028;ICU, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215006)

机构地区：[1]江苏省中西医结合医院医院感染管理科,江苏南京210028 [2]苏州大学附属第一医院ICU,江苏苏州215006

出　　处：《中西医结合护理（中英文）》2019年第6期84-85,共2页Journal of Clinical Nursing in Practice

摘　　要：目的对比生理盐水和呋喃西林会阴护理液在预防ICU患者导尿管相关尿路感染(CAUTI)的效果。方法 2017年1月—12月苏州大学附属第一医院ICU收治的留置尿管患者468例设为呋喃西林组,尿管插管总日数4 105 d,采用呋喃西林消毒液清洗会阴部预防CAUTI。2018年1月—12月ICU收治留置尿管患者457例设为生理盐水组,尿管插管总日数4 109 d,采用生理盐水清洗会阴部预防CAUTI。观察2组CAUTI发生率。结果呋喃西林组CAUTI发生率为2.43‰,低于生理盐水组的5.97‰,差异具有统计学意义(P<0.05)。结论采用呋喃西林溶液清洗会阴部能够有效预防ICU留置尿管患者CAUTI发生风险。Objective To compare the effect of cleaning of perineal areas with furacilin solution and normal saline in prevention of catheter-associated urinary tract infection(CAUTI)in ICU patients. Methods Totally 468 ICU patients with indwelling catheter placement(a total of 4150 catheter days )were included as the furacilin group, received cleaning of perineal areas with furacilin solution. Another 457 ICU patients with indwelling catheter placement(a total of 4109 catheter days)were included as the normal saline group, received cleaning of perineal areas with normal saline solution. The incidence of CAUTI was compared between two groups. Results The CAUTI in the furacilin group was 2.43‰, which was lower than 5.97‰ in the normal saline group(P<0.05). Conclusion The cleaning with furacilin solution is effective to reduce the risk of CAUTI in ICU patients with indwelling catheter placement.

关 键 词：呋喃西林 导尿管相关尿路感染 生理盐水 会阴 消毒 

分 类 号：R473.5[医药卫生—护理学]