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[重症患者的尿路定植与感染]

[Urinary tract colonization and infection in critically ill patients].

作者信息

López M J, Cortés J A

机构信息

Departamento de Medicina, Facultad de Medicina, Universidad Nacional de Colombia y Grupo de Investigación en Enfermedades Infecciosas, Bogotá, Colombia.

出版信息

Med Intensiva. 2012 Mar;36(2):143-51. doi: 10.1016/j.medin.2011.06.007. Epub 2011 Aug 11.

Abstract

Urinary tract infections (UTIs) account for 20-50% of all hospital-acquired infections occurring in the intensive care unit (ICU). In some reports UTI was found to be more frequent than hospital-acquired pneumonia and intravascular device bacteremia, with a greater incidence in developing countries. The risk factors associated with the appearance of UTI include the severity of illness at the time of admission to the ICU, female status, prolonged urinary catheterization or a longer ICU stay and poor urinary catheter management - mainly disconnection of the closed system. about the present study offers data on the epidemiology of UTI in the ICU, the identified risk factors, etiology, diagnosis, impact upon morbidity and mortality, and the measures to prevent its appearance.

摘要

尿路感染(UTIs)占重症监护病房(ICU)所有医院获得性感染的20%-50%。在一些报告中,发现UTI比医院获得性肺炎和血管内装置菌血症更常见,在发展中国家发病率更高。与UTI出现相关的危险因素包括入住ICU时的疾病严重程度、女性身份、长期导尿或在ICU停留时间较长以及导尿管管理不善——主要是封闭系统的断开。本研究提供了关于ICU中UTI的流行病学、已确定的危险因素、病因、诊断、对发病率和死亡率的影响以及预防其出现的措施的数据。

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