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外科患者的尿路感染

Urinary tract infections in surgical patients.

作者信息

Ramanathan Rajesh, Duane Therese M

机构信息

Virginia Commonwealth University Medical Center, 1200 East Broad Street, PO Box 980454, Richmond, VA 23298, USA.

JPS Health Network, Department of Surgery, 1500 S. Main Street, 3rd Floor OPC Suite 300, Ft. Worth, TX 76104, USA.

出版信息

Surg Clin North Am. 2014 Dec;94(6):1351-68. doi: 10.1016/j.suc.2014.08.007. Epub 2014 Oct 3.

Abstract

Catheter-associated urinary tract infections (CAUTI) are common in surgical patients. CAUTI are associated with adverse patient outcomes, and negatively affects public safety reporting and reimbursement. Inappropriate catheter use and prolonged catheter duration are major risk factors for CAUTI. CAUTI pathogenesis and treatment are complicated by the presence of biofilms. Prevention strategies include accurate identification and tracking of CAUTIs, and the development of institutional guidelines for the appropriate use, duration, alternatives, and removal of indwelling urinary catheters.

摘要

导尿管相关尿路感染(CAUTI)在外科手术患者中很常见。CAUTI与不良患者结局相关,并对公共安全报告和报销产生负面影响。导尿管使用不当和留置时间延长是CAUTI的主要危险因素。生物膜的存在使CAUTI的发病机制和治疗变得复杂。预防策略包括准确识别和跟踪CAUTI,以及制定关于留置导尿管的适当使用、留置时间、替代方法和拔除的机构指南。

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