CAJ | 학술논문

目的应用具有长效物理抗菌功能的洁悠神喷洒在导尿管表面和尿道口,观察其是否能降低患者留置导尿管伴随性尿路感染(CAUTI)的发生.方法本组70例留置导尿管的患者,年龄14～90岁,随机分为对照组35例和实验组35例.对照组,按常规行尿道口护理,每日2次;实验组,按常规行尿道口护理后,加用洁悠神长效抗菌材料喷洒于尿道口、导尿管及集尿袋接口,每日2次.结果实验组留置尿管期间尿路感染病例数低于对照组,差异有统计学意义(χ2=24.587,P＜0.05).结论对留置导尿管的患者使用洁悠神长效抗菌材料进行导尿管壁和尿道口喷洒,可形成一层物理抗菌分子膜,阻止细菌生物膜的形成,能有效降低尿路感染的发生.
목적 응용구유장효물리항균공능적길유신분쇄재도뇨관표면화뇨도구,관찰기시부능강저환자류치도뇨관반수성뇨로감염(CAUTI)적발생.방법 본조70례류치도뇨관적환자,년령14～90세,수궤분위대조조35례화실험조35례.대조조,안상규행뇨도구호리,매일2차;실험조,안상규행뇨도구호리후,가용길유신장효항균재료분쇄우뇨도구、도뇨관급집뇨대접구,매일2차.결과 실험조류치뇨관기간뇨로감염병례수저우대조조,차이유통계학의의(χ2=24.587,P＜0.05).결론 대류치도뇨관적환자사용길유신장효항균재료진행도뇨관벽화뇨도구분쇄,가형성일층물리항균분자막,조지세균생물막적형성,능유효강저뇨로감염적발생.
Objective To observe the effect of reducing the incidence of CAUTI (catheter associated urinary tract infection) by spraying the long-acting physical antibacterial material JUS on the surface of catheter and urethral orifice.Methods 70 patients, aged from 14~90, with indwelling catheter, were divided randomly into two groups (control group and treated group), each consisting of 35 patients. For the control group, their urethral orifice was treated conventionally twice a day; while for the treated group, in addition to the conventional treatment of their urethral orifice, the catheter and urine bag connection were sprayed with the long-acting antibacterial material JUS twice a day.Results The number of cases of urinary tract infection in the treated group during catheterization was evidently less than those of the control group (χ2=24.587,P<0.05), so the difference was significance.Conclusions The long-acting antibacterial material, after spraying on the wall of catheter and urethral orifice of the patients with indwelling catheter, may form a layer of physically antibacterial molecular film to prevent the formation of a bacterial biological film and effectively reduce the incidence of urinary tract infection.