导尿管相关尿路多重耐药菌感染影响因素分析

发布时间：2018-05-07 22:14

本文选题：导尿管相关性尿路感染 + 多重耐药菌　；参考：《中国消毒学杂志》2017年07期

【摘要】：目的分析导尿管相关性尿路多重耐药菌(MDROs)感染现状与影响因素,为临床防控提供参考。方法回顾调查分析某医院导尿管相关性尿路MDROs感染情况并分析其相关影响因素。结果纳入监测的1 668例患者中,发生导尿管相关性尿路MDROs感染73例,发生率为4.38%。导尿管相关性尿路MDROs感染主要影响因素是入住ICU、留置导尿管时间长、换管次数多、采取机械通气、规范采取导尿口消毒护理、抗菌药物使用时间长、使用种数多、联用抗菌药物,其中规范导尿管口护理是保护因素,其余为危险因素。结论导尿管相关性尿路MDROs感染主要与侵入性操作、交叉感染与不合理使用抗菌药物有关,规范导尿口护理可减少MDROs感染。应严格掌握导尿指征,进行导管相关性感染目标性监测,及时评估,尽量减少不必要保留尿管,留置导尿应严格执行无菌技术,规范尿管护理,合理使用抗菌药物。
[Abstract]:Objective to analyze the present situation and influencing factors of urinary catheter associated multidrug resistant bacteria (MDROs) infection in order to provide reference for clinical prevention and control. Methods retrospective investigation and analysis of urinary catheter-related urinary tract MDROs infection and its related factors. Results among the 1 668 patients, 73 cases (4.38%) had urethral catheter associated urinary tract MDROs infection. The main influencing factors of urinary tract MDROs infection associated with urethral catheter were long time of indwelling urethral catheter, more times of tube change, mechanical ventilation, standardized nursing of disinfecting urethral orifices, long time of use of antimicrobial agents, and many kinds of antibiotics. Combined use of antimicrobial agents, which standardized catheter care is a protective factor, the rest is a risk factor. Conclusion urinary catheter related urinary tract MDROs infection is mainly related to invasive operation, cross infection is related to irrational use of antimicrobial agents, standardized urinal catheterization nursing can reduce MDROs infection. The indication of catheterization should be strictly grasped, the targeted monitoring of catheterization infection should be carried out, the timely assessment should be made, the unnecessary retention of urethral catheter should be reduced as far as possible, and the aseptic technique should be strictly carried out in the indwelling catheterization.
【作者单位】：贵州医科大学第三附属医院;贵州省人民医院;
【基金】：贵州省科技厅联合项目(黔科合字[2014]7162号) 贵州省黔南州社会发展科技项目(黔南科合社字[2013]20号)
【分类号】：R472

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