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重症患者导管相关性尿路感染的病因及危险因素分析与相应预防和护理措施的研究

Analysis of Etiology and Risk Factors of Catheter-Associated Urinary Tract Infection in Critically Ill Patients and Research on Corresponding Prevention and Nursing Measures.

作者信息

Juanjuan Du, TianTian Zhao, Yue Dong, Lili Wang, Ping Xu, Xu Hongyun

机构信息

China Lianyungang City First People's Hospital, Lianyungang Hospital Affiliated to Xuzhou Medical University, Lianyungang, Jiangsu Province 222000, China.

Two Departments of Critical Care Medicine, Anhui Wanbei Coal-Electricity Group General Hospital, Suzhou, 234000 Anhui, China.

出版信息

Appl Bionics Biomech. 2021 Dec 20;2021:8436344. doi: 10.1155/2021/8436344. eCollection 2021.

Abstract

Catheter-associated urinary tract infection (CAUTI) is the most common complication in patients with indwelling catheterization. The incidence of CAUTI in my country is still at a relatively high level compared with foreign countries, especially for the ICU, which has a high usage rate of urinary catheters, to focus on prevention and control. This article focuses on studying the risk factors of CAUTI in critically ill patients and discusses targeted preventive care measures. This article investigates and examines the clinical data of CAUTI in critically ill patients. After statistical analysis, the risk factors that affect CAUTI are summarized, so as to derive the cause of CAUTI in order to strengthen clinical care and to further study the prevention, control, and nursing of CAUTI to provide reference. Clinical data shows that the CAUTI infection rate of patients with catheter indwelling ≥7 days is greater than that of patients with catheter indwelling days less than 7 days. The CAUTI infection rate of the patients who change the urine collection bag every day or ≥7 days is greater than that of the patients who change the urine collection bag within 2 to 4 days.

摘要

导尿管相关尿路感染(CAUTI)是留置导尿患者最常见的并发症。我国CAUTI的发病率与国外相比仍处于较高水平,尤其是在重症监护病房(ICU),其导尿管使用率高,更应注重预防和控制。本文着重研究重症患者CAUTI的危险因素,并探讨针对性的预防护理措施。本文对重症患者CAUTI的临床资料进行调查和分析。经过统计分析,总结出影响CAUTI的危险因素,从而推导CAUTI的病因,以加强临床护理,并进一步研究CAUTI的预防、控制和护理,提供参考。临床资料显示,导尿留置时间≥7天的患者CAUTI感染率高于导尿留置时间小于7天的患者。每天或≥7天更换集尿袋的患者CAUTI感染率高于2至4天内更换集尿袋的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/5d8270d80acd/ABB2021-8436344.001.jpg

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