CAJ | 학술논문

目的：探讨泌尿外科患者尿路感染危险因素，以预防患者发生尿路感染。方法选取2009年1月－2013年12月收治的500例泌尿外科患者，回顾性分析患者的感染率及感染危险因素，采取相应的措施预防，采用SPSS17．0进行统计分析。结果500例泌尿外科患者中发生37例感染，感染率为7．40％；分离出74株病原菌，以革兰阴性菌为主，共31株占41．89％；单因素分析显示，年龄≥60岁、有侵入性操作、留置尿管时间≥5 d、住院＞20 d、使用抗菌药物等与患者发生尿路感染显著相关；多因素分析显示，年龄≥60岁、有侵入性操作、留置尿管时间≥5d及抗菌药物使用是造成泌尿外科患者发生尿路感染的独立危险因素。结论高龄、留置导尿时间较长、抗菌药物的使用是泌尿外科患者发生尿路感染的主要原因，应加强医护人员洗手的观念、建立消毒制度、严格进行无菌操作、合理使用抗菌药物。
목적：탐토비뇨외과환자뇨로감염위험인소，이예방환자발생뇨로감염。방법선취2009년1월－2013년12월수치적500례비뇨외과환자，회고성분석환자적감염솔급감염위험인소，채취상응적조시예방，채용SPSS17．0진행통계분석。결과500례비뇨외과환자중발생37례감염，감염솔위7．40％；분리출74주병원균，이혁란음성균위주，공31주점41．89％；단인소분석현시，년령≥60세、유침입성조작、류치뇨관시간≥5 d、주원＞20 d、사용항균약물등여환자발생뇨로감염현저상관；다인소분석현시，년령≥60세、유침입성조작、류치뇨관시간≥5d급항균약물사용시조성비뇨외과환자발생뇨로감염적독립위험인소。결론고령、류치도뇨시간교장、항균약물적사용시비뇨외과환자발생뇨로감염적주요원인，응가강의호인원세수적관념、건립소독제도、엄격진행무균조작、합리사용항균약물。
OBJECTIVE To explore the risk factors for urinary tract infections in the patients of urology department so as to prevent the urinary tract infections .METHODS A total of 500 patients who were treated in the urology de‐partment from Jan 2009 to Dec 2013 were enrolled in the study ,then the incidence of infections and risk factors for infections were retrospectively analyzed ,the corresponding prevention measures were put forward ,and the statis‐tical analysis was performed with the use of SPSS17 .0 software .RESULTS The infections occurred in 37 of 500 patients of urology department ,with the infection rate of 7 .40% .Totally 74 strains of pathogens have been isola‐ted ,among which the gram‐negative bacteria were dominant ,accounting for 41 .89% (31 strains) .The univariate analysis indicated that the incidence of urinary tract infections was significantly correlated with no less than 60 years of age ,invasive operation ,catheter indwelling time no less than 5 days ,length of hospital stay more than 20 days ,and use of antibiotics ;the multivariate analysis revealed that no less than 60 years of age ,invasive opera‐tion ,catheter indwelling time no less than 5 days ,and use of antibiotics were the independent risk factors for the urinary tract infections in the patients of urology department .CONCLUSION The advanced age ,prolonged cathe‐ter indwelling time ,and use of antibiotics are the leading causes of the urinary tract infections in the patients of u‐rology department .It is necessary to intensify the awareness of hand washing of health care workers ,establish the disinfection system ,strictly perform the aseptic operation ,and reasonably use antibiotics .