肾移植术后60例女性尿路感染的临床分析

目的:探讨肾移植术后女性尿路感染(UTI)的相关影响因素。方法:调查2012年1月~2012年12月在上海长征医院肾移植康复病房收治的肾移植术后UTI女性患者60例,依据年龄段分为低年组和高年组,比较两组患者UTI的临床资料,分析其临床特点,并探讨相关影响因素。结果:78.33%(47/60)患者至少出现UTI1例次;51.67%(31/60)患者UTI临床症状不典型;38.33%(23/60)患者尿标本以大肠埃希菌感染为主,但36.67%(22/60)患者却难以找到致病菌。其中高年组(占78.33%,47/60)比低年组(占21.67%,13/60)UTI发生率高,差异有统计学意义(P0.05)。进一步分析发现,在高年组UTI中,糖尿病和移植肾失功发生率均高于低年组患者(P0.05)。结论:年龄、糖尿病是肾移植术后女性UTI的重要影响因素,高年组UTI患者易增加移植肾失功的风险。

Clinical analysis of urinary tract infection after renal transplantation in 60 female cases

Objective： To explore the related influencing factors of female urinary tract infection （UTI） after renal transplantation. Method： Sixty female patients with UTI after renal transplantation in Shanghai Changzheng hospital rehabilitation wards from January 2012 to December 2012 were investigated. They were divided into youn- ger age group and older age group according to their age. We compared the clinical data of two groups, analyzed their clinical features and discussed related influencing factors. Result.. UTI happened at least one time in 78.33 （47/60） patients. Clinical symptoms were not typical in 51.67 % （31/60） patients. The infection of Escherichia coli was found in 38.33% （23/60） patients urine specimens. However, it was difficult to find the pathogenic bac- teria in 36.67% （22/60） patients. The incidence of UTI in older age group （78.33%, 47/60） was higher than younger age group （21.67%, 13/60） （P〈0.05）. Further analysis found that the incidence of diabetes and kidney allograft loss in UTI older age group was higher than younger age group （P〈0.05）. Conclusion： The patiets＇ age and diabetes are the important factors affecting women UTI after renal transplantation. UTI patients of older age group are prone to increasing the risk of kidney allograft loss.