Cetre J C, Andonian A, Nicolle M C, Tissot Guerraz F, Sepetjan M
Laboratoire d'hygiène hospitalière et santé publique, Hôpital Edouard Herriot, Lyon.
Agressologie. 1990;31(8 Spec No):509-12.
Some recommendations for the prevention of nosocomial urinary tract infections are irrefutable, thoroughly admitted. They concern before all the aseptic conditions of setting and care of catheter, to avoid the bacterial penetration in the closed system. They concern the merits of catheter indications, the diminution of catheter conservation period, the applying of a strict asepsis during setting and manipulation of the catheter, the use of a sterile and closed drainage system with a continuous flow. Several improvements concerning the catheter and the drainage system have been proposed. Some of these recommendations have been proved serious and can be applied. On the contrary, the efficiency of others remain to be proved by control assays. Finally, measures with uncertain or unproved values should not be considered.
一些预防医院获得性尿路感染的建议是无可辩驳的，已被充分认可。首先，这些建议涉及导尿管放置和护理的无菌条件，以避免细菌侵入封闭系统。它们还涉及导尿管适应症的优点、缩短导尿管保留时间、在导尿管放置和操作过程中实施严格的无菌操作、使用具有持续引流的无菌封闭引流系统。针对导尿管和引流系统已提出了一些改进措施。其中一些建议已被证明是可行的，可以应用。相反，其他一些建议的有效性仍有待对照试验来证明。最后，不应考虑那些价值不确定或未经证实的措施。
