本文關(guān)鍵詞： 膀胱鏡檢查 尿路感染 危險(xiǎn)因素　出處：《中華醫(yī)院感染學(xué)雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的探討膀胱鏡檢查后患者發(fā)生尿路感染的危險(xiǎn)因素,為有效控制患者發(fā)生尿路感染提供依據(jù)。方法選取2014年7月-2015年6月在醫(yī)院接受膀胱鏡檢查的患者96例,采用回顧性的分析方法分別統(tǒng)計(jì)患者的年齡、性別、有無合并癥等,分析患者發(fā)生尿路感染的危險(xiǎn)因素。結(jié)果 96例患者中有30例患者確診為尿路感染,感染率為31.25%;檢測出病原菌48株,其中以革蘭陰性菌為主,共30株占62.50%,其次為革蘭陽性菌16株占33.33%,真菌2株占4.17%;選取主要的革蘭陰性菌、革蘭陽性菌以及真菌進(jìn)行藥敏試驗(yàn),結(jié)果顯示其對(duì)大多數(shù)抗菌藥物均產(chǎn)生一定耐藥性;灌注次數(shù)≥6次、年齡≥65歲、有前列腺增生、留置導(dǎo)尿管以及糖尿病等基礎(chǔ)疾病是膀胱鏡檢查后患者發(fā)生尿路感染的危險(xiǎn)因素;在單因素分析的基礎(chǔ)上,將有統(tǒng)計(jì)學(xué)意義的灌注次數(shù)、年齡、性別、糖尿病、前列腺增生以及留置導(dǎo)尿管等變量因素,采用logisctic進(jìn)行回歸分析,篩選出獨(dú)立危險(xiǎn)因素,按照OR值的大小,依次為年齡大、糖尿病、前列腺增生以及留置導(dǎo)尿管。結(jié)論術(shù)前對(duì)前列腺增生及糖尿病等基礎(chǔ)疾病患者進(jìn)行治療,嚴(yán)格控制留置導(dǎo)尿管的適用指征和無菌操作,有效減少患者尿路感染。
[Abstract]:Objective to investigate the risk factors of urinary tract infection after cystoscopy, and to provide evidence for effective control of urinary tract infection. Methods 96 patients who underwent cystoscopy from July 2014 to June 2015 were selected. The age, sex, complication and risk factors of urinary tract infection were analyzed by retrospective analysis. Results 30 out of 96 patients were diagnosed with urinary tract infection. The infection rate was 31.25. 48 strains of pathogenic bacteria were detected, of which 30 were Gram-negative bacteria (62.50), 16 Gram-positive bacteria (33.3333), and two fungi (4.17). The main gram-negative bacteria, Gram-positive bacteria and fungi were selected for drug sensitivity test. The results showed that the drug resistance to most antimicrobial agents was more than 6 times, the age 鈮，

本文編號(hào)：1546607