孕妇尿路感染危险因素与临床治疗效果研究

发布时间：2018-09-10 18:10

【摘要】：目的探究孕妇尿路感染的危险因素,以便针对性地预防,感染病原菌与耐药性及治疗效果,为针对性的治疗提供参考依据。方法选取2011年2月-2014年5月医院收治的100例妊娠伴尿路感染孕妇作为试验组,同期选取108例已进行产前检查无尿路感染的孕妇作为对照组,对孕妇感染因素进行分析研究,数据采用SPSS19.0软件进行统计分析。结果高龄孕妇、孕中后期、文化程度低、有泌尿系统感染及流产史,患有贫血、糖尿病、泌尿系统结石为发生感染危险因素(P0.05);共培养出病原菌91株,以大肠埃希菌为主,共53株占58.2%,其次为变形菌属,共11株占12.1%;大肠埃希菌对头孢他啶、亚胺培南、头孢吡肟耐药率较低,均10.0%。结论对于有尿路感染危险因素的妊娠妇女应加强孕期尿液检查,对尿路感染孕妇留取中段尿进行培养,做药敏试验,选取对致病菌敏感的抗菌药物进行治疗。
[Abstract]:Objective to investigate the risk factors of urinary tract infection in pregnant women in order to prevent infection pathogens and drug resistance and provide reference for targeted treatment. Methods from February 2011 to May 2014, 100 pregnant women with urinary tract infection were selected as experimental group and 108 pregnant women who had undergone antenatal examination without urinary tract infection as control group. The infection factors of pregnant women were analyzed and studied. The data were analyzed by SPSS19.0 software. Results elderly pregnant women with low education, history of urinary tract infection and abortion, anemia, diabetes mellitus and urinary system stones were risk factors of infection (P0.05). 91 strains of pathogenic bacteria were cultured, mainly Escherichia coli. 53 strains accounted for 58.2%, followed by Proteus with 11 strains accounting for 12.1.The resistance rate of Escherichia coli to ceftazidime, imipenem and cefepime was low (10.0%). Conclusion for pregnant women with urinary tract infection risk factors, the urine examination should be strengthened during pregnancy, the urine of pregnant women with urinary tract infection should be cultured, the drug sensitivity test should be done, and the antimicrobial agents sensitive to pathogenic bacteria should be selected to treat the pregnant women with urinary tract infection.
【作者单位】：辽宁医学院附属第一院肾内科;四川省人民医院肾内科;
【基金】：四川省卫生厅科研基金项目资助(30305030260)
【分类号】：R714.258

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