Davoodian Parivash, Nematee Maryam, Sheikhvatan Mehrdad
Department of Infectious Disease, Hormozgan University of Medical Sciences, Hormozgan, Iran.
Saudi J Kidney Dis Transpl. 2012 Jan;23(1):63-7.
Inappropriate use of indwelling urinary catheters (IUCs) and their related complications is one of the most important problems in hospital wards. The aim of this study was to evaluate inappropriate use of IUCs and their complications among patients in Tehran, Iran. Two hundred and six consecutive patients hospitalized in the intensive care unit (ICU) as well as medical and surgical wards at the Shahid Mohammadi Hospital in Bandarabbas from September 1 to 30, 2005 and in whom IUCs were used, were studied. Data collected included age of the patients, diagnoses, reason for use of IUC and the complications related to it. Overall, 164 patients (79.6%) had IUCs used appropriately while 42 of them (20.6%) were catheterized unjustifiably. Inappropriate use of IUCs in the ICU, medical and surgical wards was reported in 12 (18.5%), 16 (19.0%) and 14 patients (24.6%), respectively. The most common complication of IUCs was urinary tract infection, which occurred in 91 patients (44.2%) and hematuria, which was seen in 3.9% of the patients. Our study suggests that inappropriate use of IUCs is prevalent, particularly in the surgical wards, and the most common complication observed was catheter-associated urinary tract infection.
留置导尿管（IUCs）的不当使用及其相关并发症是医院病房中最重要的问题之一。本研究的目的是评估伊朗德黑兰患者中IUCs的不当使用情况及其并发症。对2005年9月1日至30日在班达拉巴斯沙希德·穆罕默迪医院重症监护病房（ICU）以及内科和外科病房连续住院且使用了IUCs的206例患者进行了研究。收集的数据包括患者年龄、诊断、使用IUCs的原因及其相关并发症。总体而言，164例患者（79.6%）IUCs使用得当，而其中42例（20.6%）插管不合理。ICU、内科和外科病房IUCs的不当使用分别报告了12例（18.5%）、16例（19.0%）和14例（24.6%）。IUCs最常见的并发症是尿路感染，91例患者（44.2%）发生该并发症，血尿见于3.9%的患者。我们的研究表明，IUCs的不当使用很普遍，尤其是在外科病房，观察到的最常见并发症是导尿管相关尿路感染。
