CAJ | 학술논문

目的探讨留置尿管致尿路感染的相关因素,以便在临床上采取相应的预防措施.方法对44例患者留置尿管后致尿路感染进行回顾性分析.结果 120例留置尿管患者中有44例发生尿路感染,感染率为36.7%;留置尿管时间在≤7 d、8～14 d、15～21 d、＞21 d的感染率分别为23.3%、29.4%、36.4%、55.9%;尿培养中病原菌以大肠埃希菌最为常见(占60.1%),其他依次为粪肠球菌、白色念珠菌、阴沟肠杆菌等.结论导尿术、留置尿管持续的时间、抗菌药物的不合理应用是导致尿路感染的重要危险因素;针对各种相关因素,采取有效地预防措施,可降低感染率的发生.
목적 탐토류치뇨관치뇨로감염적상관인소,이편재림상상채취상응적예방조시.방법 대44례환자류치뇨관후치뇨로감염진행회고성분석.결과 120례류치뇨관환자중유44례발생뇨로감염,감염솔위36.7%;류치뇨관시간재≤7 d、8～14 d、15～21 d、＞21 d적감염솔분별위23.3%、29.4%、36.4%、55.9%;뇨배양중병원균이대장애희균최위상견(점60.1%),기타의차위분장구균、백색념주균、음구장간균등.결론 도뇨술、류치뇨관지속적시간、항균약물적불합리응용시도치뇨로감염적중요위험인소;침대각충상관인소,채취유효지예방조시,가강저감염솔적발생.
Objective To explore the related factors of urinary tract infection that dues to indwelling catheter, then take some corresponding preventive measures in clinic. Methods 44 cases of urinary tract infection that dued to indwelling catheter were retrospectively analyzed. Results Among 120 patients with indwelling catheter,44 patients got urinary tract infection; the infection rate was36.7%. The incidences of urinary tract infection of patients that had ≤7d, 8～14 d, 15～21 d, and over ＞ 21 d catheter were 23.3%, 29.4%, 36.4%, and 55.9% respectively.Escherichia coli was the most common pathogen which counted for 60.1%; the others were Enterococcus facials,Candida alb cans, Enterobacter cloacae, etc. Conclusion The operation of indwelling catheter, continued times of indwelling catheter, improper application of antibiotics are the important risk factors of urinary tract infection. The infection rate will decrease after taking prevention measures according to various related factors.