膀胱镜检查后患者发生尿路感染的危险因素分析

发布时间：2018-02-28 08:41

  本文关键词： 膀胱镜检查 尿路感染 危险因素　出处：《中华医院感染学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨膀胱镜检查后患者发生尿路感染的危险因素,为有效控制患者发生尿路感染提供依据。方法选取2014年7月-2015年6月在医院接受膀胱镜检查的患者96例,采用回顾性的分析方法分别统计患者的年龄、性别、有无合并症等,分析患者发生尿路感染的危险因素。结果 96例患者中有30例患者确诊为尿路感染,感染率为31.25%;检测出病原菌48株,其中以革兰阴性菌为主,共30株占62.50%,其次为革兰阳性菌16株占33.33%,真菌2株占4.17%;选取主要的革兰阴性菌、革兰阳性菌以及真菌进行药敏试验,结果显示其对大多数抗菌药物均产生一定耐药性;灌注次数≥6次、年龄≥65岁、有前列腺增生、留置导尿管以及糖尿病等基础疾病是膀胱镜检查后患者发生尿路感染的危险因素;在单因素分析的基础上,将有统计学意义的灌注次数、年龄、性别、糖尿病、前列腺增生以及留置导尿管等变量因素,采用logisctic进行回归分析,筛选出独立危险因素,按照OR值的大小,依次为年龄大、糖尿病、前列腺增生以及留置导尿管。结论术前对前列腺增生及糖尿病等基础疾病患者进行治疗,严格控制留置导尿管的适用指征和无菌操作,有效减少患者尿路感染。
[Abstract]:Objective to investigate the risk factors of urinary tract infection after cystoscopy, and to provide evidence for effective control of urinary tract infection. Methods 96 patients who underwent cystoscopy from July 2014 to June 2015 were selected. The age, sex, complication and risk factors of urinary tract infection were analyzed by retrospective analysis. Results 30 out of 96 patients were diagnosed with urinary tract infection. The infection rate was 31.25. 48 strains of pathogenic bacteria were detected, of which 30 were Gram-negative bacteria (62.50), 16 Gram-positive bacteria (33.3333), and two fungi (4.17). The main gram-negative bacteria, Gram-positive bacteria and fungi were selected for drug sensitivity test. The results showed that the drug resistance to most antimicrobial agents was more than 6 times, the age 鈮，

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