长期留置尿管预防伴随性尿路感染的循证护理进展

留置尿管并发性尿路感染（catheter—associatedurinarytractinfection，CAUTI）是最常见的院内感染，既增加病死率又加重疾病负担。长期留置尿管患者并发CAUTI的风险显著高于短期留置尿管患者。本文综述了近年来预防长期留置尿管并发CAUTI的干预措施，表明减少留置尿管使用、护理时注重手清洁、留置尿管期间适当护理干预均有重要意义。

A REVIEW OF EVIDENCE - BASED NURSING ON PREVENTION OF LONG - TERM PLACING A URINARY CATHETER CONCOMITANT URINARY TRACT INFECTION

Objective Catheter- associated urinary tract infection （CAUTI） is the common nosocomial infection, which increased morbidity and raised burden of disease. Compared with short- time in- dwelling urinary catheters, long- time indwelling urinary catheters were associated with significantly higher risk of CAUTI. Recent researches on the prophylactic intervention for preventing CAUTI were reviewed, indicated that the reduction of indwelling catheter use, the hand hygiene and the proper nursing intervention during catheterization were important.