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评估女性患者在使用外置尿液收集装置前后的菌尿症发生率。

Evaluating the incidence of bacteriuria in female patients before and after implementation of external urinary collection devices.

作者信息

Noval Mandee M, Leekha Surbhi, Armahizer Michael, Celotto Abigale, Bhatt Meghna, Seung Hyunuk, Claeys Kimberly

机构信息

Department of Pharmacy, University of Maryland Medical Center, Baltimore, Maryland.

Department of Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, Maryland.

出版信息

Antimicrob Steward Healthc Epidemiol. 2022 Mar 17;2(1):e44. doi: 10.1017/ash.2022.30. eCollection 2022.

DOI:10.1017/ash.2022.30
PMID:36310796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9614887/
Abstract

External urinary collection devices (ECDs) are increasingly used in female patients, however, their impact on bacteriuria and antimicrobial use is unclear. Comparing the periods before and after the implementation of an ECD use policy, we found an overall decrease in bacteriuria but no significant decrease in trend of monthly rates. Antimicrobial use for genitourinary indications did not change.

摘要

外置尿液收集装置(ECDs)在女性患者中的使用越来越多,然而,其对菌尿症和抗菌药物使用的影响尚不清楚。通过比较实施ECDs使用政策前后的时间段,我们发现菌尿症总体有所减少,但月发病率趋势没有显著下降。用于泌尿生殖系统适应症的抗菌药物使用情况没有变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4228/9614887/8eab233becac/S2732494X22000304_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4228/9614887/af5976ac6671/S2732494X22000304_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4228/9614887/8eab233becac/S2732494X22000304_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4228/9614887/af5976ac6671/S2732494X22000304_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4228/9614887/8eab233becac/S2732494X22000304_fig2.jpg

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本文引用的文献

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J Emerg Nurs. 2021 Jan;47(1):131-138. doi: 10.1016/j.jen.2020.09.008. Epub 2020 Nov 10.
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Implementation of an external female urinary catheter as an alternative to an indwelling urinary catheter.实施外置女性导尿管作为留置导尿管的替代方案。
Am J Infect Control. 2021 Jun;49(6):764-768. doi: 10.1016/j.ajic.2020.10.023. Epub 2020 Nov 3.
3
Effect of an external urinary collection device for women on institutional catheter utilization and catheter-associated urinary tract infections.
女性使用外置集尿装置对医疗机构内导尿管使用和与导尿管相关的尿路感染的影响。
Infect Control Hosp Epidemiol. 2021 May;42(5):619-621. doi: 10.1017/ice.2020.1259. Epub 2020 Nov 3.
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Infectious Diseases Society of America Position Paper: Recommended Revisions to the National Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Sepsis Quality Measure.美国传染病学会立场文件:国家严重脓毒症和脓毒性休克早期管理捆绑包(SEP-1)脓毒症质量测量推荐修订版。
Clin Infect Dis. 2021 Feb 16;72(4):541-552. doi: 10.1093/cid/ciaa059.
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External Collection Devices as an Alternative to the Indwelling Urinary Catheter: Evidence-Based Review and Expert Clinical Panel Deliberations.外置集尿装置作为留置导尿管的替代方案:循证综述与专家临床小组审议
J Wound Ostomy Continence Nurs. 2016 May-Jun;43(3):301-7. doi: 10.1097/WON.0000000000000220.
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Clin Infect Dis. 2009 May 1;48(9):1182-8. doi: 10.1086/597403.
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