老年患者医院下尿路感染的易感因素与治疗策略分析

发布时间：2018-06-08 02:40

本文选题：下尿路感染 + 老年　；参考：《中华医院感染学杂志》2017年21期

【摘要】：目的探讨老年患者医院下尿路感染的易感因素与治疗策略,为老年患者医院下尿路感染的预防控制提供参考。方法回顾性分析2016年1月-12月医院住院治疗的196例老年患者临床资料,调查患者下尿路感染率,分析感染病原菌分布及感染的相关因素,并比较感染患者与非感染患者治愈时间及症状缓解时间。结果 196例患者下尿路感染86例,感染率为43.88%,感染病原微生物以细菌74例为主,占86.05%;女性、患有恶性肿瘤及肾脏疾病、有尿道创伤性操作、有反复尿路感染病史、有糖尿病史、有低蛋白血症是引起老年患者发生下尿路感染的危险因素(P0.05);Logistic回归分析显示女性、有尿道创伤性操作、有反复尿路感染病史、有糖尿病史是引起老年患者发生医院下尿路感染的独立易感因素(P0.05);感染患者治愈时间及症状缓解时间分别为(11.19±3.20)d、(6.96±1.55)d,明显长于非感染患者的(8.19±2.58)d、(4.20±1.06)d,比较差异有统计学意义(P0.05);所有患者均在积极治疗后治愈,治愈率为100.00%。结论女性、有尿道创伤性操作、有反复尿路感染病史、有糖尿病史是引起老年患者发生医院下尿路感染的独立易感因素,医院下尿路感染老年患者治愈时间明显延长,积极治疗转归良好。
[Abstract]:Objective to explore the susceptible factors and treatment strategies of nosocomial urinary tract infection in elderly patients, and to provide reference for the prevention and control of nosocomial urinary tract infection in elderly patients. Methods the clinical data of 196 elderly patients hospitalized in hospital from January to December 2016 were retrospectively analyzed. The infection rate of lower urinary tract was investigated, and the distribution of pathogenic bacteria and the related factors of infection were analyzed. The time of cure and remission of symptoms were compared between infected patients and non-infected patients. Results there were 86 cases of lower urinary tract infection in 196 patients, the infection rate was 43.88, and 74 cases were bacteria (86.05%), the female had malignant tumor and kidney disease, traumatic urethra operation, history of repeated urinary tract infection, history of diabetes mellitus. Hypoproteinemia was a risk factor for lower urinary tract infection in elderly patients. Logistic regression analysis showed that women had traumatic urethral operation and had a history of recurrent urinary tract infection. The history of diabetes mellitus was an independent susceptible factor of nosocomial urinary tract infection in elderly patients (P 0.05), and the cure time and symptom remission time of infected patients were 6.96 卤1.55 days, respectively, which were significantly longer than that of non-infected patients (4.20 卤1.06 days), and the difference was statistically significant (P 0.05). All patients were cured after active treatment. The cure rate was 100.00000. Conclusion female patients with traumatic urethral operation, history of repeated urinary tract infection and diabetes mellitus are independent susceptible factors of nosocomial urinary tract infection. The cure time of elderly patients with nosocomial urinary tract infection is obviously prolonged. Positive treatment turned out to be good.
【作者单位】：遵义市第一人民医院泌尿外科;
【分类号】：R691.3

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