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中国某医院脊髓损伤住院患者尿路感染的发生率及危险因素。

Incidence and risk factors of urinary tract infection in hospitalized patients with spinal cord injury in a hospital of China.

机构信息

Department of Rehabilitation, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Jiefang Avenue, No. 1095, Wuhan, 430030, Hubei, China.

出版信息

Sci Rep. 2024 Feb 13;14(1):3579. doi: 10.1038/s41598-024-54234-2.

Abstract

Urinary tract infection (UTI) caused by spinal cord injury (SCI) can have significant morbidity. There is currently a lack of relevant data in China. This study explores incidence and risk factors of UTI in hospitalized patients with SCI in China, and will help healthcare professionals to make informed clinical decisions to reduce the incidence of UTI. This retrospective study analyzed the medical records of patients with SCI who were hospitalized at three campuses of a hospital in central China between August 2014 and August 2023. The files of patients with SCI were reviewed for demographics and clinical characteristics. Logistic regression analysis was performed to identify risk factors associated with UTI. A total of 538 patients were included in this study. The incidence of UTI was 49.8%. Sex, hypoproteinemia, urinary incontinence, bladder irrigation, timing of rehabilitation, duration of indwelling urinary catheter were risk factors of UTI. The implementation of specific preventive measures is anticipated to result in a decrease in the occurrence of UTI among individuals with SCI, consequently enhancing their overall quality of life and prognosis.

摘要

脊髓损伤(SCI)导致的尿路感染(UTI)会带来严重的发病率。目前中国缺乏相关数据。本研究探讨了中国住院 SCI 患者 UTI 的发生率和危险因素,将有助于医疗保健专业人员做出明智的临床决策,以降低 UTI 的发生率。本回顾性研究分析了 2014 年 8 月至 2023 年 8 月期间在中国中部一家医院的三个校区住院的 SCI 患者的病历。对 SCI 患者的档案进行了回顾,以了解人口统计学和临床特征。采用 logistic 回归分析确定与 UTI 相关的危险因素。本研究共纳入 538 例患者。UTI 的发生率为 49.8%。性别、低蛋白血症、尿失禁、膀胱冲洗、康复时机、留置导尿时间是 UTI 的危险因素。预计实施具体的预防措施将降低 SCI 患者 UTI 的发生,从而提高他们的整体生活质量和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/613f/10861502/fdceed67424b/41598_2024_54234_Fig1_HTML.jpg

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