脊髓损伤患者泌尿系感染常见危险因素及病原菌分布

发布时间：2018-04-27 09:41

本文选题：脊髓损伤 + 泌尿系感染　；参考：《中国康复理论与实践》2017年04期

【摘要】：目的分析导致脊髓损伤患者泌尿系感染常见危险因素和病原菌分布。方法回顾性分析本院2015年12月至2016年6月收治的452例脊髓损伤患者感染率及感染危险因素。结果 104例(23%)确诊为泌尿系感染。分离出病原菌119株,其中革兰氏阴性菌96株(80.7%),革兰氏阳性菌23株(19.3%)。主要危险因素有女性、侵入性操作、下肢肌力低下、神经源性膀胱和预防使用抗菌药物等。侵入性操作主要包括留置导尿、间歇导尿和其他经尿道操作,留置导尿的泌尿系感染发生率为100.0%。结论脊髓损伤患者泌尿系感染中常见病原菌以革兰氏阴性菌为主,医务人员要结合病原菌高耐药率、高分离率的特征,合理运用抗菌药物控制病原菌的传播及其耐药性。应针对性地严密监控存在基础疾病、接受侵入性操作及肌力低下的患者。
[Abstract]:Objective to analyze the common risk factors and pathogenic bacteria distribution of urinary tract infection in patients with spinal cord injury. Methods the infection rate and risk factors of 452 patients with spinal cord injury admitted from December 2015 to June 2016 were analyzed retrospectively. Results 104 cases were diagnosed as urinary tract infection. 119 strains of pathogenic bacteria were isolated, of which 96 strains were Gram-negative bacteria and 23 strains were Gram-positive bacteria. The main risk factors were female, invasive operation, lower extremity muscle strength, neurogenic bladder and prophylactic use of antimicrobial agents. Invasive procedures included indwelling catheterization, intermittent catheterization and other transurethral catheterization. The incidence of urinary tract infection in indwelling catheterization was 100.0g. Conclusion Gram-negative bacteria are the main pathogens in urinary tract infection in patients with spinal cord injury. Medical staff should combine the characteristics of high drug resistance rate and high isolation rate of pathogens and use antibiotics to control the spread of pathogens and their drug resistance. Patients with underlying diseases should be closely monitored for invasive operations and hypotonia.
【作者单位】：中国康复研究中心北京博爱医院;
【基金】：中国康复研究中心课题(No.2015ZX-13)
【分类号】：R651.2;R691.3

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