本文選題：導(dǎo)尿管相關(guān)性尿路感染　切入點(diǎn)：危險(xiǎn)因素　出處：《中華醫(yī)院感染學(xué)雜志》2016年03期 　論文類型：期刊論文

【摘要】：目的探討兒科心臟重癥監(jiān)護(hù)病房(CICU)患兒發(fā)生導(dǎo)尿管相關(guān)性尿路感染(CAUTI)的感染特點(diǎn)及相關(guān)危險(xiǎn)因素,為預(yù)防CAUTI發(fā)生提供有力依據(jù)。方法采用前瞻性研究,對(duì)2013年1月-2014年12月收入CICU的2 457例患兒發(fā)生CAUTI進(jìn)行監(jiān)測(cè),并采用多因素logistic分析發(fā)生CAUTI的危險(xiǎn)因素,數(shù)據(jù)采用SPSS 17.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 2 457例患兒發(fā)生CAUTI 56例,感染率為2.28%,留置尿管總?cè)諗?shù)為9 021d,CAUTI千日感染率6.21/‰;從56例CAUTI患兒中共分離出62株病原菌,其中革蘭陰性菌33株占53.23%,檢出第1位的病原菌為大腸埃希菌;單因素方差分析顯示,患兒體質(zhì)量6kg、年齡6月齡、使用抗菌藥物、留置尿管天數(shù)≥15d和住院天數(shù)14d等為發(fā)生CAUTI的危險(xiǎn)因素;多因素logistic分析顯示,體質(zhì)量6kg和住院天數(shù)14d為CICU患兒發(fā)生CAUTI的獨(dú)立危險(xiǎn)因素。結(jié)論 CICU患兒CAUTI感染率較高,特別是體質(zhì)量6kg患兒發(fā)生CAUTI的風(fēng)險(xiǎn)可增高3.58倍(P0.001),應(yīng)針對(duì)該類患兒制定相應(yīng)措施,以有效降低CAUTI感染。
[Abstract]:Objective to investigate the infection characteristics and risk factors of urethral catheter associated urinary tract infection in children in pediatric cardiac intensive care unit (CICU), and to provide a basis for the prevention of CAUTI. The incidence of CAUTI was monitored in 2 457 children who were admitted to CICU from January 2013 to December 2014, and the risk factors of CAUTI were analyzed by multivariate logistic. The data were statistically analyzed by SPSS 17.0 software. Results there were 56 cases of CAUTI in 2 457 cases. The infection rate was 2.28, the total number of days of indwelling urethral catheter was 6.21 / 鈥，

本文編號(hào)：1637269