本文選題：留置導(dǎo)尿管　切入點：導(dǎo)尿管相關(guān)泌尿道感染　出處：《中國感染控制雜志》2016年08期 　論文類型：期刊論文

【摘要】：目的探討重癥監(jiān)護病房(ICU)留置導(dǎo)尿管患者發(fā)生導(dǎo)尿管相關(guān)泌尿道感染(CAUTI)的危險因素及感染病原體分布。方法回顧性調(diào)查2014年1—12月某院綜合ICU收治的留置導(dǎo)尿管患者,調(diào)查患者基本情況、導(dǎo)尿管使用情況及CAUTI發(fā)病情況,分析CAUTI發(fā)生的危險因素及病原體分布。結(jié)果共調(diào)查留置導(dǎo)尿管患者778例,52例患者發(fā)生CAUTI,發(fā)病率為6.68%。單因素分析結(jié)果顯示女性、年齡≥60歲、入住ICU時間≥7 d、留置導(dǎo)尿管時間≥3 d、有慢性基礎(chǔ)疾病、使用抗菌藥物兩種及以上是CAUTI發(fā)生的危險因素。多因素分析結(jié)果顯示入住ICU時間≥7 d和留置導(dǎo)尿管時間≥3 d是發(fā)生CAUTI的獨立危險因素,OR及95%CI分別為30.64(19.71~64.97)、38.69(21.38~74.03)。CAUTI患者感染病原菌以革蘭陰性(G-)菌為主(59.04%),其中大腸埃希菌占26.51%。結(jié)論留置導(dǎo)尿管患者發(fā)生CAUTI與多種因素有關(guān),應(yīng)結(jié)合患者病情盡量減少患者入住ICU時間及其留置導(dǎo)尿管時間,結(jié)合病原學(xué)檢查結(jié)果合理使用抗菌藥物。
[Abstract]:Objective to investigate the risk factors of urethral catheter associated with urinary tract infection (CAUTI) and the distribution of pathogens in patients with indwelling urethral catheter in intensive care unit (ICU). Methods retrospective investigation was made on the patients with indwelling urethral catheter treated in a hospital with ICU from January to December, 2014. To investigate the basic condition of the patients, the use of catheter and the incidence of CAUTI, The risk factors and pathogen distribution of CAUTI were analyzed. Results A total of 778 patients with indwelling catheter developed CAUTI.The incidence rate was 6.68.The univariate analysis showed that female, age 鈮，

本文編號：1620600