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技术在预防导尿管相关感染中的应用

The Use of Technology in the Prevention of Infections Associated with Urinary Catheterization.

作者信息

Fonseca Bruna Raquel, Silva Maura Filipa, Ferreira Rogério Ferrinho, de Sá Sofia Cabecinhas, Mestre Teresa Dionísio, Catarino Marta Sofia

机构信息

School of Health Sciences, Polytechnic Institute of Beja, 7800-111 Beja, Portugal.

Santa Maria Local Health Unit, Public Business Entity, 1649-035 Lisboa, Portugal.

出版信息

Nurs Rep. 2024 Dec 7;14(4):3895-3906. doi: 10.3390/nursrep14040284.

DOI:10.3390/nursrep14040284
PMID:39728645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11677464/
Abstract

(1) Background: Urinary tract infections (UTIs) are caused by the proliferation of pathogenic microorganisms, and they are the second most common hospital-acquired infections, with catheter-associated UTIs (CAUTIs) accounting for about 40% of these nosocomial infections. This review aims to identify the impact of technology on preventing infections in patients with urinary catheters; (2) Methods: The search was conducted in April 2024 through the EBSCOhost platform, with access to the American Search Complete, CINHAL Ultimate, Medline databases, and through the Scopus database; (3) Results: In total were included eight articles in this review. Technology interventions can significantly reduce the incidence of CAUTIs, decrease the duration of catheter use, improve diagnosis, and enhance patient safety; (4) Conclusions: Technological advancements show significant benefits in reducing infection rates and improving patient outcomes, like shorter hospital stays and comfort. Multidisciplinary approaches and educational strategies are essential to maximize these benefits.

摘要

(1) 背景:尿路感染(UTIs)由致病微生物增殖引起,是第二常见的医院获得性感染,其中导尿管相关尿路感染(CAUTIs)约占这些医院感染的40%。本综述旨在确定技术对预防导尿患者感染的影响;(2) 方法:2024年4月通过EBSCOhost平台进行检索,可访问美国搜索完整版、CINHAL终极版、Medline数据库以及通过Scopus数据库进行检索;(3) 结果:本综述共纳入8篇文章。技术干预可显著降低CAUTIs的发生率,缩短导尿管使用时间,改善诊断,并提高患者安全性;(4) 结论:技术进步在降低感染率和改善患者预后方面显示出显著益处,如缩短住院时间和提高舒适度。多学科方法和教育策略对于最大化这些益处至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c638/11677464/4b50c61f27ff/nursrep-14-00284-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c638/11677464/4b50c61f27ff/nursrep-14-00284-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c638/11677464/4b50c61f27ff/nursrep-14-00284-g001.jpg

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1
The Use of Technology in the Prevention of Infections Associated with Urinary Catheterization.技术在预防导尿管相关感染中的应用
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Nursing interventions to reduce the risk of catheter-associated urinary tract infection. Part 1: Catheter selection.降低导尿管相关尿路感染风险的护理干预措施。第1部分:导尿管的选择。
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本文引用的文献

1
Biomimetic urine flow control can preserve bladder function in patients with indwelling catheterization.仿生尿流控制可在留置导尿的患者中保留膀胱功能。
Medicine (Baltimore). 2023 Dec 1;102(48):e36444. doi: 10.1097/MD.0000000000036444.
2
Diagnostic performance of urine analysis based on flow microimaging and artificial intelligence recognition technology in suspected urinary tract infection patients.基于流式显微成像和人工智能识别技术的尿液分析在疑似尿路感染患者中的诊断性能。
Scand J Clin Lab Invest. 2022 Sep;82(5):385-390. doi: 10.1080/00365513.2022.2100273. Epub 2022 Jul 19.
3
A comprehensive survey on non-invasive wearable bladder volume monitoring systems.
关于非侵入式可穿戴式膀胱容量监测系统的综合调查。
Med Biol Eng Comput. 2021 Aug;59(7-8):1373-1402. doi: 10.1007/s11517-021-02395-x. Epub 2021 Jul 14.
4
Prevention of Nosocomial Catheter-Associated Urinary Tract Infections Through Computerized Feedback to Physicians and a Nurse-Directed Protocol.通过向医生提供计算机化反馈及护士主导方案预防医院导管相关尿路感染
Am J Med Qual. 2019 Sep/Oct;34(5):430-435. doi: 10.1177/1062860619873170.
5
Reducing urinary catheter use using an electronic reminder system in hospitalized patients: A randomized stepped-wedge trial.使用电子提醒系统减少住院患者的导尿管使用:一项随机阶梯式试验。
Infect Control Hosp Epidemiol. 2019 Apr;40(4):427-431. doi: 10.1017/ice.2019.31. Epub 2019 Mar 4.
6
Reducing urinary catheter use: a protocol for a mixed methods evaluation of an electronic reminder system in hospitalised patients in Australia.减少导尿管使用:澳大利亚住院患者电子提醒系统的混合方法评估方案。
BMJ Open. 2018 May 9;8(5):e020469. doi: 10.1136/bmjopen-2017-020469.
7
A Technology Intervention for Nurses Engaged in Preventing Catheter-Associated Urinary Tract Infections.一项针对从事预防导尿管相关尿路感染工作的护士的技术干预措施。
Comput Inform Nurs. 2018 Jun;36(6):305-313. doi: 10.1097/CIN.0000000000000429.
8
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.系统评价与Meta分析优先报告条目:PRISMA声明
PLoS Med. 2009 Jul 21;6(7):e1000097. doi: 10.1371/journal.pmed.1000097.