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老年男性卒中患者留置尿管引起尿路感染的临床分析

Urinary Tract Infection due to Indwelling Catheter among Stroke Elderly Patients

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【作者】 孟宜良金扬潘旭初童旭音

【Author】 MENG Yi-liang,JIN Yang,PAN Xu-chu,TONG Xu-yin(Xiaoshan First People′s Hospital Affiliated to Medical School of Hangzhou Normal University,Xiaoshan,Zhejiang 311201,China)

【机构】 杭州师范大学医学院附属萧山第一人民医院神经内科

【摘要】 目的探讨老年男性卒中患者留置尿管致尿路感染的相关因素。方法对200例老年男性卒中患者留置尿管后致尿路感染情况进行观察。结果200例留置尿管患者中有65例发生尿路感染,感染率为32.5%;留置尿管时间在3、7、10、15 d的感染率分别为3.0%、5.1%、10.3%、18.1%;有糖尿病、尿路结石、前列腺肥大、意识不清等患者容易发生尿路感染,尿培养中病原菌以大肠埃希菌最为常见。结论留置尿管持续的时间、糖尿病、尿路结石、前列腺肥大、意识不清是导致尿路感染的重要危险因素;针对各种相关因素,采取有效地预防措施,可降低感染率的发生。

【Abstract】 OBJECTIVE To investigate the related factors of urinary tract infection due to indwelling catheter.METHODS A total of 65 cases with urinary tract infection due to indwelling catheter were retrospectively analyzed.RESULTS Among 200 patients with indwelling catheter,65 patients got urinary tract infection and the infection rate was 32.5%.The incidence of urinary tract infection of patients at 3d,7 d,10 d and 15d of catheterization were 3.0%,5.1%,10.3%and 18.1%,respectively.Escherichia coli was the most commonly encountered pathogen.CONCLUSIONS The length of indwelling catheterization,and the underlying diseases such as diabetes,severe stroke,prostatic hypertrophy and urolithiasis are the important risk factors of urinary tract infection.The infection rate could be decreased after taking prevention measures according to various related factors.

  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2010年06期
  • 【分类号】R743.3;R691.3
  • 【被引频次】28
  • 【下载频次】183
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