导尿管:遵循指南以避免感染。
[Urinary catheter : comply with guidelines to avoid infections].
作者信息
Miranda Elodie, Boillat Céline, Kherad Omar
机构信息
Service de médecine interne, Hôpital de La Tour, 3, Avenue Jacob-Daniel Maillard, 1217 Genève.
出版信息
Rev Med Suisse. 2017 Jan 25;13(547):273-275.
Catheter-associated urinary tract infection (CAUTI) is the most frequent hospital acquired infection, associated with significant morbidity, mortality and health care costs. Up to 50 % of urinary catheter use in hospital are for incontinence or convenience without proper indication. In addition, urinary catheters are not removed when no longer necessary, due to a lack of vigilance of the health care team. The duration of catheterization is the most important risk factor for the development of CAUTI. Simple measures to prevent CAUTI include appropriate use, maintaining awareness of catheters in place and use of different alternatives. These measures can reduce the number of CAUTI over 50 % along with positive impact on the quality of care and costs.
导尿管相关尿路感染(CAUTI)是最常见的医院获得性感染,与显著的发病率、死亡率和医疗保健成本相关。医院中高达50%的导尿管使用是用于失禁或方便目的,而没有适当的指征。此外,由于医护团队缺乏警惕性,导尿管在不再需要时未被拔除。导尿持续时间是发生CAUTI的最重要危险因素。预防CAUTI的简单措施包括合理使用、保持对留置导尿管的关注以及使用不同的替代方法。这些措施可使CAUTI的数量减少50%以上,同时对护理质量和成本产生积极影响。