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基层医院导尿相关尿路感染的危险因素分析
引用本文:曾拥亚,潘林英.基层医院导尿相关尿路感染的危险因素分析[J].医疗保健器具,2009,16(9):19-20.
作者姓名:曾拥亚  潘林英
作者单位:广州市白云区龙归华侨医院,广东,广州,510445
基金项目:广州市白云区科学技术局科研课胚"基层医院留置导尿相关性尿路感染的监测与分析研究"结题论文 
摘    要:目的 分析基层医院导尿相关尿路感染的相关危险因素。方法218例接受导尿的患者中,并发尿路感染者79例,为试验组;未发生感染者139例,为对照组。记录年龄、性别、住院诊断、尿管留置时间、是否预防性使用抗生素、卧床时间、是否膀胱冲洗等因素。结果Logistic多因素统计分析显示尿管留置时间≥7天(OR值5.59;95%CI1.94~16.16)、卧床时间≥15天(OR值4.23;95%CI1.85~9.67)、膀胱冲洗(OR值3.63;95%CI1.83~7.23)与导尿并发尿路感染明显相关。结论尿管留置时间≥7天、卧床时间≥15天、膀胱冲洗是导尿并发尿路感染的独立危险因素。

关 键 词:导尿  尿路感染  危险因素

Analysis of the Risk Factors for Catheter-related Urinary Tract Infection in the Primary Hospital
ZENG Yong-ya,PAN Lin-ying.Analysis of the Risk Factors for Catheter-related Urinary Tract Infection in the Primary Hospital[J].Medicine Healthcare Apparatus,2009,16(9):19-20.
Authors:ZENG Yong-ya  PAN Lin-ying
Institution:(Longgui Overseas Chinese Hospital of Baiyun District, Guangzhou 510445, China)
Abstract:Objective To analyze the risk factors of catheter-related urinary tract infection in the primary hospital. Methods 218 cases who have undergone urethral catheterization were included in our study: the experimental group included 79 cases with complicated urinary tract infections; the control group included 139 cases with no urinary tract infection. Results The multivariate logistic regression model showed that indwelling catheter time ≥7 days (OR=5.59; 95% CI = 1.94 - 16.16), bed time 〉 15 days (OR = 4.23; 95% CI = 1.85 - 9.67) , bladder irrigation (OR = 3.63; 95% CI = 1.83 - 7.23) were associated significantly with catheter-related urinary tract infection. Conclusion Indwelling catheter time≥ 7 days, bed time ≥ 15 days, bladder irrigation are independent risk factors for catheter-related urinary tract infection.
Keywords:urethral catheterization  urinary tract infection  risk factors
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