CICU患儿导尿管相关性尿路感染危险因素分析

发布时间：2018-03-20 03:16

  本文选题：导尿管相关性尿路感染　切入点：危险因素　出处：《中华医院感染学杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的探讨儿科心脏重症监护病房(CICU)患儿发生导尿管相关性尿路感染(CAUTI)的感染特点及相关危险因素,为预防CAUTI发生提供有力依据。方法采用前瞻性研究,对2013年1月-2014年12月收入CICU的2 457例患儿发生CAUTI进行监测,并采用多因素logistic分析发生CAUTI的危险因素,数据采用SPSS 17.0软件进行统计分析。结果 2 457例患儿发生CAUTI 56例,感染率为2.28%,留置尿管总日数为9 021d,CAUTI千日感染率6.21/‰;从56例CAUTI患儿中共分离出62株病原菌,其中革兰阴性菌33株占53.23%,检出第1位的病原菌为大肠埃希菌;单因素方差分析显示,患儿体质量6kg、年龄6月龄、使用抗菌药物、留置尿管天数≥15d和住院天数14d等为发生CAUTI的危险因素;多因素logistic分析显示,体质量6kg和住院天数14d为CICU患儿发生CAUTI的独立危险因素。结论 CICU患儿CAUTI感染率较高,特别是体质量6kg患儿发生CAUTI的风险可增高3.58倍(P0.001),应针对该类患儿制定相应措施,以有效降低CAUTI感染。
[Abstract]:Objective to investigate the infection characteristics and risk factors of urethral catheter associated urinary tract infection in children in pediatric cardiac intensive care unit (CICU), and to provide a basis for the prevention of CAUTI. The incidence of CAUTI was monitored in 2 457 children who were admitted to CICU from January 2013 to December 2014, and the risk factors of CAUTI were analyzed by multivariate logistic. The data were statistically analyzed by SPSS 17.0 software. Results there were 56 cases of CAUTI in 2 457 cases. The infection rate was 2.28, the total number of days of indwelling urethral catheter was 6.21 / 鈥，

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