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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.

DOI:10.1155/2021/8436344
PMID:34966446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8712177/
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/8712177/78b5ae09eb0f/ABB2021-8436344.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/5d8270d80acd/ABB2021-8436344.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/a659cb7141b1/ABB2021-8436344.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/73240c50f271/ABB2021-8436344.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/78b5ae09eb0f/ABB2021-8436344.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/5d8270d80acd/ABB2021-8436344.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/a659cb7141b1/ABB2021-8436344.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/73240c50f271/ABB2021-8436344.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99d/8712177/78b5ae09eb0f/ABB2021-8436344.004.jpg

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Emerging evidence-based innovative approaches to control catheter-associated urinary tract infection: a review.新兴循证创新方法控制导管相关尿路感染:综述。
Front Cell Infect Microbiol. 2023 Jul 25;13:1134433. doi: 10.3389/fcimb.2023.1134433. eCollection 2023.

本文引用的文献

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A Retrospective Study on Risk Factors for Urinary Tract Infection in Patients with Intracranial Cerebral Hemorrhage.颅内脑出血患者尿路感染的危险因素回顾性研究。
Biomed Res Int. 2020 Jan 28;2020:1396705. doi: 10.1155/2020/1396705. eCollection 2020.
2
Risk factors for hospital-acquired non-catheter-associated urinary tract infection.
J Am Assoc Nurse Pract. 2019 Dec;31(12):747-751. doi: 10.1097/JXX.0000000000000175.
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Standardisation of perioperative urinary catheter use to reduce postsurgical urinary tract infection: an interrupted time series study.标准化围手术期导尿管使用以减少术后尿路感染:一项中断时间序列研究。
BMJ Qual Saf. 2019 Jan;28(1):32-38. doi: 10.1136/bmjqs-2017-007458. Epub 2018 May 29.
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Empiric antibiotic therapy in urinary tract infection in patients with risk factors for antibiotic resistance in a German emergency department.德国急诊科中存在抗生素耐药危险因素的尿路感染患者的经验性抗生素治疗
BMC Infect Dis. 2018 Jan 26;18(1):56. doi: 10.1186/s12879-018-2960-9.
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Efficacy of Antimicrobial Catheters for Prevention of Catheter-Associated Urinary Tract Infection in Acute Cerebral Infarction.抗菌导管预防急性脑梗死患者导管相关尿路感染的疗效。
J Epidemiol. 2018 Jan 5;28(1):54-58. doi: 10.2188/jea.JE20170022. Epub 2017 Oct 25.
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Re: Bacteriuria and Urinary Tract Infection after Female Urodynamic Studies: Risk Factors and Microbiological Analysis.
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