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脊髓损伤患者临床尿路感染的分析性流行病学研究

Analytic epidemiology of clinical urinary tract infection in spinal cord injury.

作者信息

Herruzo Cabrera R, Leturia Arrazola A, Vizcaino Alcaide M J, Fernández Arjona M, Rey Calero J

机构信息

Department of Preventive Medicine, Autonomous University, Madrid, Spain.

出版信息

Eur J Epidemiol. 1994 Feb;10(1):23-7. doi: 10.1007/BF01717447.

DOI:10.1007/BF01717447
PMID:7957785
Abstract

The authors studied all patients (121) who were admitted to the National Paraplegic Center of Toledo, during a 6-month period, with spinal cord injuries (SCI). We obtained a clinical urinary tract infection predictive equation dependent on different risk factors (age, hospitalization time, level of SCI, sex, etc.). It is important to note that the main clinical-UTI risk factors were: (1) age, (2) hospitalization period, and (3) SCI category. We also achieved a mathematical model that we can use when the patient is admitted to this Center (in this case we do not include hospitalization time). This model enables us to predict clinical UTI depending on patient characteristics.

摘要

作者对在6个月期间入住托莱多国家截瘫中心的所有121例脊髓损伤(SCI)患者进行了研究。我们获得了一个依赖于不同风险因素(年龄、住院时间、脊髓损伤水平、性别等)的临床尿路感染预测方程。需要注意的是,主要的临床尿路感染风险因素为:(1)年龄,(2)住院时间,以及(3)脊髓损伤类别。我们还建立了一个数学模型,可在患者入住该中心时使用(这种情况下我们不包括住院时间)。该模型使我们能够根据患者特征预测临床尿路感染。

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本文引用的文献

1
Pathogenesis of urinary infection in patients with acute spinal cord injury on intermittent catheterization.急性脊髓损伤患者间歇性导尿时泌尿系统感染的发病机制
J Urol. 1981 May;125(5):672-3. doi: 10.1016/s0022-5347(17)55158-7.
2
Sequelae and management of urinary infection in the patient requiring chronic catheterization.长期留置导尿管患者泌尿系统感染的后遗症及处理
J Urol. 1981 Jan;125(1):1-8. doi: 10.1016/s0022-5347(17)54874-0.
3
An update on the early management of traumatic paraplegia (nonoperative and operative management).
创伤性截瘫的早期管理(非手术和手术管理)的最新进展
Clin Orthop Relat Res. 1984 Oct(189):12-21.
4
Urinary infection and complications during clean intermittent catheterization following spinal cord injury.脊髓损伤后清洁间歇性导尿期间的尿路感染及并发症
J Urol. 1984 Nov;132(5):943-6. doi: 10.1016/s0022-5347(17)49959-9.
5
Prophylaxis of bacteriuria during intermittent catheterization of the acute neurogenic bladder.急性神经源性膀胱间歇性导尿期间菌尿症的预防
J Urol. 1980 Mar;123(3):364-6. doi: 10.1016/s0022-5347(17)55938-8.
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Recurrent urinary tract infection in adult women: diagnosis and treatment.成年女性复发性尿路感染:诊断与治疗
Infect Dis Clin North Am. 1987 Dec;1(4):793-806.
7
ABC of spinal cord injury. Urological management.脊髓损伤基础知识。泌尿外科管理。
Br Med J (Clin Res Ed). 1986 Jan 25;292(6515):249-53. doi: 10.1136/bmj.292.6515.249.
8
An appraisal of antibiotic policies for urinary tract infections in patients with spinal cord injuries undergoing long-term intermittent catheterisation.对长期间歇性导尿的脊髓损伤患者尿路感染抗生素政策的评估。
Paraplegia. 1988 Aug;26(4):215-25. doi: 10.1038/sc.1988.34.