中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
19期
26-27
,共2页
重症监护病房%导尿管相关性尿路感染%危险因素
重癥鑑護病房%導尿管相關性尿路感染%危險因素
중증감호병방%도뇨관상관성뇨로감염%위험인소
Intensive care unit%Catheter-associated urinary tract infections%Risk factors
目的：探讨ICU导尿管相关性尿路感染（ CAUTI）的感染率及危险因素。方法采用前瞻性监测，对2011年1月至2011年12月入住ICU﹥48 h、年龄﹥1岁的置管患者进行监测，并对发生CAUTI的患者进行危险因素分析。结果监测患者共1096例，其中接受置导尿管的患者872例，导尿管使用率为79.6%，置管日为9010 d，发生CAUTI 21例，CAUTI感染率为2.4%，平均日感染率为2.3/千日。CAUTI感染率与置管时间、置尿管次数均呈正相关（χ2=39.76，P﹤0.01；χ2=28.2，P﹤0.01），留置天数与置管次数是ICU的CAUTI的独立危险因素。结论严格执行手卫生、无菌操作、合理维护、尽早拔除导尿管是预防CAUTI发生的关键。
目的：探討ICU導尿管相關性尿路感染（ CAUTI）的感染率及危險因素。方法採用前瞻性鑑測，對2011年1月至2011年12月入住ICU﹥48 h、年齡﹥1歲的置管患者進行鑑測，併對髮生CAUTI的患者進行危險因素分析。結果鑑測患者共1096例，其中接受置導尿管的患者872例，導尿管使用率為79.6%，置管日為9010 d，髮生CAUTI 21例，CAUTI感染率為2.4%，平均日感染率為2.3/韆日。CAUTI感染率與置管時間、置尿管次數均呈正相關（χ2=39.76，P﹤0.01；χ2=28.2，P﹤0.01），留置天數與置管次數是ICU的CAUTI的獨立危險因素。結論嚴格執行手衛生、無菌操作、閤理維護、儘早拔除導尿管是預防CAUTI髮生的關鍵。
목적：탐토ICU도뇨관상관성뇨로감염（ CAUTI）적감염솔급위험인소。방법채용전첨성감측，대2011년1월지2011년12월입주ICU﹥48 h、년령﹥1세적치관환자진행감측，병대발생CAUTI적환자진행위험인소분석。결과감측환자공1096례，기중접수치도뇨관적환자872례，도뇨관사용솔위79.6%，치관일위9010 d，발생CAUTI 21례，CAUTI감염솔위2.4%，평균일감염솔위2.3/천일。CAUTI감염솔여치관시간、치뇨관차수균정정상관（χ2=39.76，P﹤0.01；χ2=28.2，P﹤0.01），류치천수여치관차수시ICU적CAUTI적독립위험인소。결론엄격집행수위생、무균조작、합리유호、진조발제도뇨관시예방CAUTI발생적관건。
Objective To investigate the infection rate and risk factors of catheter-associated uri-nary tract infections(CAUTI). Methods From January 2011 to December 2011,the patients admitted in ICU longer than 24 hours and older than 1 year old were prospective monitored,and the risk factors of catheter-related urinary tract infections were analyzed. Results One thousand and ninety-six cases were monitored,in which 872 patients received catheters. The utilization rate of catheter was 79. 6%,and the days of catheter were 9010 d. Twenty-one patients had catheter-related urinary tract infections,and the infection rate was 2. 4%. The average daily infection rate was 2. 3/one thousand days. The CAUTI infec-tion rate was positively correlated with the days of catheter and the times of catheter(χ2 =39 . 76 ,P﹤0. 01;χ2 =28 . 2 ,P﹤0 . 01 ). The days of catheter and the times of catheter were the independent risk factors of catheter-associated urinary tract infections in ICU. Conclusions Strictly enforcing hand hy-giene,aseptic technique,proper maintenance,removal of the catheter as soon as possible is the key to preventing CAUTI occurred.
