Janzen Jolien, Geerlings Suzanne E
Academisch Medisch Centrum, afd. Interne Geneeskunde, onderafd. Infectieziekten, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(37):A5052.
Many hospitalized patients receive a urinary catheter during their stay. In 21-54% of patients, however, there is no appropriate indication for this. The most significant complication caused by the use of urinary catheters is the development of a urinary tract infection (UTI), one of the most common nosocomial infections. In 71-80% of hospital acquired UTIs a urinary catheter is present. The duration of the presence of a catheter is the major risk factor for catheter-associated UTI. Reducing the number of inappropriate catheterisations is an effective way of preventing catheter-related UTIs. Inappropriate use of indwelling urinary catheters can be reduced by maintaining strict guidelines on justifiable indications for inserting a urinary catheter, verifying daily whether the indication still applies, and by timely removal of the catheter when it is not or no longer needed.
许多住院患者在住院期间会接受导尿。然而，在21%至54%的患者中，导尿并无适当指征。使用导尿管引起的最严重并发症是尿路感染（UTI），这是最常见的医院感染之一。在71%至80%的医院获得性尿路感染病例中，存在导尿管。导尿管留置时间是与导尿管相关的尿路感染的主要危险因素。减少不适当的导尿次数是预防与导尿管相关的尿路感染的有效方法。通过对插入导尿管的合理指征保持严格的指导原则、每天核实指征是否仍然适用，以及在不需要或不再需要导尿管时及时拔除，可以减少留置导尿管的不当使用。
