Vasile I, Mogoş D, Păun I, Păun M, Florescu M
Clinica Chirurgie generală, Spitalul CFR Craiova.
Chirurgia (Bucur). 1998 Sep-Oct;93(5):317-21.
Nosocomial urinary tract infection is the most common type of sepsis in the post-surgical patient. This paper presents our experience with 218 nosocomial urinary infections (34.93% of our postoperative infections) which complicated the postoperative course of 1002 (21.75%) urethral catheterized patients out of a total of 5950 (3.6%) operated on and under study individuals. Thus we found that urethral catheterization is the most important risk factor for post-surgery urinary infections. Moreover, in our series the postoperative urinary tract sepsis bacteriology is dominated (> 95% of cases) by aerobic gram-negative bacilli that mainly reside in the bowel and also commonly colonize the perineum. Furthermore, we demonstrated that post-surgical urinary infections did not influence directly death rate but they had a significant bearing on care costs. Finally we consider the prevention of postoperative nosocomial urinary tract sepsis as an essential principle of this condition management.
医院获得性尿路感染是外科术后患者中最常见的败血症类型。本文介绍了我们对218例医院获得性尿路感染（占术后感染的34.93%）的经验，这些感染使1002例（21.75%）导尿患者的术后病程复杂化，这些患者来自总共5950例接受手术和研究的个体（占3.6%）。因此，我们发现导尿是术后尿路感染最重要的危险因素。此外，在我们的系列研究中，术后尿路败血症的细菌学以需氧革兰氏阴性杆菌为主（>95%的病例），这些细菌主要存在于肠道，也常定植于会阴。此外，我们证明术后尿路感染不会直接影响死亡率，但它们对护理成本有重大影响。最后，我们认为预防术后医院获得性尿路败血症是这种疾病管理的一项基本原则。
