Division of Infectious Diseases, Departments of Internal Medicine and Infection Control and Epidemiology, University of Michigan Health System, Ann Arbor, MI 48109-5378, USA.
Crit Care Clin. 2013 Jan;29(1):19-32. doi: 10.1016/j.ccc.2012.10.005.
Urinary tract infection remains one of the most common healthcare-associated infections in the intensive care unit and predominantly occurs in patients with indwelling urinary catheters. Duration of catheterization is the most important risk factor for developing catheter-associated urinary tract infection (CAUTI). General strategies for preventing CAUTI include measures such as adherence to hand hygiene. Targeted strategies for preventing CAUTI include limiting the use and duration of urinary catheters, using aseptic technique for catheter insertion, and adhering to proper catheter care. Anti-infective catheters may be considered in some settings. Successful implementation of these measures has decreased urinary catheter use and CAUTI.
尿路感染仍然是重症监护病房中最常见的医疗保健相关感染之一，主要发生在留置导尿管的患者中。导尿管留置时间是发生导管相关性尿路感染（CAUTI）的最重要危险因素。预防 CAUTI 的一般策略包括遵守手卫生等措施。预防 CAUTI 的针对性策略包括限制导尿管的使用和留置时间、使用无菌技术进行导尿管插入以及遵守正确的导管护理。在某些情况下可能会考虑使用抗感染导管。这些措施的成功实施已经减少了导尿管的使用和 CAUTI 的发生。
