急诊与神经内科重症监护病房医院泌尿系感染的危险因素

目的 探讨急诊重症监护病房(EICU)与神经内科重症监护病房(NICU)医院泌尿系感染的危险因素.方法 对502例入住EICU和NICU的患者进行前瞻性研究,记录观察期内病例的一般情况、APACHE Ⅱ评分和留置导尿的时间,分析年龄、性别、APACHE Ⅱ评分及其留置导尿时间与医院泌尿系感染的相关性.结果 留置导尿明显增加医院泌尿系感染的发生危险,留置导尿>7 d者医院泌尿系感染的发生危险明显增加,并随时间延长呈数倍增长.结论 严格掌握留置导尿的适应证并尽早拔除导尿管可有效降低医院泌尿系感染的发生率.

Risk Factors of Hospital Acquired Urinary System Infection in Neurology ICU and Emergency ICU

OBJECTIVE To study the risk factors of hospital acquired urinary system infection in neurology ICU (NICU) and emergency ICU (EICU). METHODS The general character, score of APACHE Ⅱ and the time length of urethral catheterization of the 502 NICU and EICU patients were enrolled in our study. Then the relativity of the risk factors and hospital acquired urinary system infection were investigated. RESULTS Urethral catheterization increased the chances of hospital acquired urinary system infection and there were more chances with the long time. CONCLUSIONS In order to decrease the rate of hospital acquired urinary system infection we must strictly grasp the indication of urethral catheterization and pull out the urethral catheter as early as possible.