老年患者腔內(nèi)介入治療圍術(shù)期留置尿管泌尿道感染的臨床研究
發(fā)布時(shí)間:2018-07-02 11:07
本文選題:血管外科 + 介入治療; 參考:《中華醫(yī)院感染學(xué)雜志》2015年05期
【摘要】:目的探討血管外科老年患者腔內(nèi)介入治療圍術(shù)期留置尿管導(dǎo)致泌尿道感染的危險(xiǎn)因素并提出預(yù)防措施,以降低泌尿道感染發(fā)生率。方法對(duì)2010年1月-2013年12月血管外科行腔內(nèi)介入治療98例老年患者隨機(jī)分為24、48、72h組,分別為32、33、33例,對(duì)留置尿管致泌尿道感染的危險(xiǎn)因素進(jìn)行統(tǒng)計(jì)分析。結(jié)果術(shù)后24h組有1例發(fā)生泌尿道感染,感染率為3.1%,術(shù)后48h組有3例發(fā)生泌尿道感染,感染率為9.1%,術(shù)后≥72h組有5例發(fā)生,感染率為15.2%,3組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);最常見的病原菌是大腸埃希菌、糞腸球菌和真菌等。結(jié)論縮短尿管留置時(shí)間可有效降低圍術(shù)期老年患者泌尿道感染的發(fā)生。
[Abstract]:Objective to investigate the risk factors of urinary tract infection caused by indwelling urethral catheter during perioperative interventional therapy in elderly patients in vascular surgery and to put forward preventive measures to reduce the incidence of urinary tract infection. Methods from January 2010 to December 2013, 98 elderly patients undergoing endovascular interventional therapy were randomly divided into two hundred and forty-eight consecutive 72 hours group (n = 33). The risk factors of urinary tract infection caused by indwelling urethral catheter were statistically analyzed. Results urinary tract infection occurred in 1 case (3.1%) in 24 h group, 3 cases (9.1%) in 48 h group and 5 cases in 鈮,
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