留置导尿管相关性感染的临床特征与危险因素分析

Clinical characteristics and risk factors for indwelling urinary catheter-related infections

  • 摘要: 目的 探讨留置尿管相关性感染患者的临床特征及危险因素分析,为临床控制尿路感染提供参考。方法 回顾性分析2013年3月-2015年8月医院收治的留置导尿管患者548例,对其中38例发生尿路感染患者的危险因素进行研究,分别记录患者的年龄、性别、不同留置导管时间的尿路感染发生情况,明确留置尿管患者尿路感染的危险因素,并制定相应的预防措施。结果 548例留置尿管的患者中,有38例患者发生尿路感染,感染率为6.93%; 单因素分析结果显示,患者年龄、住院时间、导管留置时间、侵入性操作、抗菌药物种类、恶性肿瘤、激素使用以及白细胞数目和基础疾病与留置尿管患者的尿路感染具有显著的相关性(P<0.05); 多因素logistic回归分析结果显示,患者年龄、导管留置时间、侵入性操作以及白细胞数目是尿路感染的独立危险因素。结论 患者年龄、导管留置时间、侵入性操作以及白细胞数目是导致留置导管患者尿路受到感染的主要危险因素,临床应针对上述危险因素进行有效干预,以控制和降低尿路感染的发生。

     

    Abstract: OBJECTIVE To explore the clinical characteristics of indwelling urinary catheter-related infections and analyze the risk factors so as to provide guidance for clinical control of urinary tract infections.METHODS A total of 548 patients who were treated with urinary catheter indwelling in the hospital from Mar 2013 to Aug 2015 were retrospectively analyzed, the risk factors for urinary tract infections in 38 patients were studied, the incidence of urinary tract infections in the patients of different age, genders, and catheter indwelling time was recorded, the risk factors for the urinary tract infections in the urinary catheter indwelling patients were defined, and the targeted prevention measures were put forward.RESULTS Of the 548 patients who were treated with urinary catheter indwelling, 38 had the urinary tract infections, with the infection rate 6.93%.The result of univariate analysis indicated that the incidence of the urinary tract infections in the urinary catheter indwelling patients was significantly associated with age, length of hospital stay, catheter indwelling time, invasive operation, type of antibiotic, malignant tumor, use of hormone, white blood cells counts, and underlying disease (P<0.05).The result of multivariate logistic regression analysis showed that age, catheter indwelling time, invasive operation, and white blood cells counts were the independent risk factors for the urinary tract infections.CONCLUSIONThe major risk factors for the urinary tract infections in the urinary catheter indwelling patients include the age, catheter indwelling time, invasive operation, and white blood cells counts.It is necessary for the hospital to take effective interventions aiming at the above risk factors so as to control and reduce the incidence of the urinary tract infections.

     

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