儿科重症监护病房患者留置导尿管的细菌学监测

Bacteriologic surveillance of indwelling urinary catheters in pediatric intensive care unit patients.

作者信息

Kasian G F, Elash J H, Tan L K

机构信息

Department of Pediatrics, University Hospital, University of Saskatchewan, Saskatoon, Canada.

出版信息

Crit Care Med. 1988 Jul;16(7):679-82. doi: 10.1097/00003246-198807000-00006.

DOI:10.1097/00003246-198807000-00006

PMID:3371044

Abstract

Daily cultures were obtained from the proximal tubing port on 108 indwelling urinary catheters in 100 pediatric ICU (PICU) patients aged 1 month to 17 yr to establish the risk of acquiring bacteriuria. Group 1 patients (58 catheters) were catheterized in the PICU and group 2 patients (50 catheters) were catheterized in the operating room. Group 1 patients had a significantly (p less than .03) greater risk of bacteriuria than group 2 during the early days of surveillance, but the final cumulative risk in both groups was similar (27% in group 1 and 37% in group 2). Combined, the overall cumulative risk was 29.1%. The risk of acquiring a urinary tract infection was not related to sex or prior antibiotic use. There was a significantly greater risk (p less than .025) in children under 1 yr of age.

摘要

从100名年龄在1个月至17岁的儿科重症监护病房（PICU）患者的108根留置导尿管的近端管腔端口获取每日培养物，以确定发生菌尿的风险。第1组患者（58根导尿管）在PICU进行导尿，第2组患者（50根导尿管）在手术室进行导尿。在监测早期，第1组患者发生菌尿的风险显著高于第2组（p<0.03），但两组的最终累积风险相似（第1组为27%，第2组为37%）。综合来看，总体累积风险为29.1%。发生尿路感染的风险与性别或先前使用抗生素无关。1岁以下儿童的风险显著更高（p<0.025）。