老年患者泌尿道感染再发情况及危险因素分析  

Analysis of Recurrence and Risk Factors of Urinary Tract Infection in Elderly Patients

作　　者：涂建平[1] 梁福律 林剑峰[1] 胡力仁 叶振阳 范先明[1] 郭昭建[1] TU Jianping;LIANG Fulyu;LIN Jianfeng;HU Liren;YE Zhenyang;FAN Xianming;GUO Zhaojian(Department of Urology Surgery,Xiamen Third Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Xiamen Fujian 361000,China)

机构地区：[1]福建中医药大学附属厦门第三医院泌尿外科,福建厦门361000

出　　处：《中国卫生标准管理》2022年第1期82-86,共5页China Health Standard Management

摘　　要：目的探讨老年患者泌尿道感染再发情况及影响其发生的危险因素分析。方法选择医院2016年1月-2019年12月泌尿道感染的老年患者90例,根据患者是否再发生泌尿道感染将其分为再发组和未再发组,记录两组患者的性别、年龄、体质量指数、住院时间、侵入性操作、抗生素使用、抗生素种类、留置导尿管时间、糖尿病史、冠心病史,分析影响老年患者泌尿道感染再发情况及其影响因素。结果老年泌尿道感染患者治愈后随访6个月,其中泌尿道感染再发者为23例,再发感染率为25.56%。经单因素分析结果发现再发组和未再发组老年人的性别、年龄、侵入性操作、糖尿病史、住院时间、抗生素使用、抗生素种类、留置导尿管时间比较,差异有统计学意义(P <0.05)。以是否泌尿道感染再发生为因变量,将单因素分析中有统计学意义的各项因素作为自变量,经Logistic回归分析结果显示:性别、年龄、糖尿病史、侵入性操作、住院时间、抗生素种类、留置导尿管时间均是影响老年患者泌尿道感染再发的危险因素。结论影响老年患者泌尿道感染再发的危险因素主要为性别、年龄、糖尿病史、侵入性操作、住院时间、抗生素种类、留置导尿管时间,明确影响其发生的危险因素,针对上述因素进行干预,可有效降低老年患者泌尿道感染再发的发生率,促进患者预后。Objective To investigate the recurrence and risk factors of urinary tract infection in elderly patients.Methods A total of 90 elderly patients with urinary tract infection in from January 2016 to December 2019 were selected and divided into recurrent group and non-recurrent group according to whether the patients had recurrence of urinary tract infection.The gender,age,body mass index,length of stay,invasive operation,antibiotic usage,antibiotic quantity,indwelling catheter time,diabetes history and coronary heart disease history were recorded and compared between the two groups.Results To follow up for 6 months 23 elderly patients with urinary tract infection had recurrent urinary tract infection,and the recurrent infection rate was 25.56%.The univariate analysis showed that the difference of the gender,age,invasive operation,diabetes history,length of stay,antibiotic usage,antibiotic quantity and indwelling catheter time of the elderly in the recurrent group and the non-recurrent group was statistically significant(P<0.05).Taking the recurrence of urinary tract infection as the dependent variable,the factors which were statistically significant in the univariate analysis were taken as independent variables.The results of Logistic regression analysis showed that gender,age,diabetes history,invasive operation,hospital stay,the number of antibiotics,and the time of indwelling catheter were all risk factors for the recurrence of urinary tract infection in elderly patients.Conclusion The risk factors for recurrence of urinary tract infections in elderly patients are mainly gender,age,diabetes history,invasive operation,hospitalization time,antibiotic quantity,and indwelling catheter time.The risk factors for the occurrence of urinary tract infection are clearly identified.Intervention for these factors can effectively reduce the incidence of recurrent urinary tract infections in elderly patients and promote the prognosis of patients.

关 键 词：老年 泌尿道感染 再发 危险因素分析 预后 LOGISTIC回归 

分 类 号：R691[医药卫生—泌尿科学]