| 摘要: |
| 目的 对某三级医院近两年患者泌尿道医院感染的情况及其影响因素进行分析，探讨预防控制泌尿道医院感染的有效措施。 方法 选择2016年1月1日—2017年12月31日发生泌尿道医院感染的住院患者143例作为病例组，并选择同期未发生泌尿道医院感染的患者143例作为对照组，分析发生感染的影响因素。结果 病例组患者中男性95人，占66.4%，平均年龄（64.2±15.70）岁，住院总天数为（33.98±31.73）天，其中住院41天及以上的患者28例占19.6%，112例患者使用导尿管，93例使用抗生素天数在11天以上。经多因素logistic分析，结果显示使用抗生素（OR=12.134，P<0.001）、住院天数21-40天（OR=3.755，P=0.002，住院天数41天及以上（OR=11.448，P<0.001），使用导尿管天数（OR=2.51，P=0.009）是泌尿道院内感染的独立危险因素，且住院时间越长，感染的风险越大。结论 泌尿道院内感染受多方面影响，应加强医院卫生消毒工作，强化医务人员的无菌操作意识，加强对抗菌药物的合理使用培训及其规范化管理，合理评估尿管以尽量缩短置管时间，来降低泌尿道医院感染的风险。 |
| 关键词: 泌尿道 医院感染 影响因素 |
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| The analysis on influencing factors of hospitalized patiants with urinary tract infection in recent two years |
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Changzhou Jintan District People''s Hospital
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| Abstract: |
| Objective To analyze the situation of urinary tract infection and its influencing factors in the last two years, and to discuss the effective measures to prevent and control the infection of urinary tract. Methods 143 hospitalized patients with urinary tract infection from January 1, 2016 to December 31, 2017 were selected as case group and 143 patients who had no urinary tract infection in the same period were selected as the control group to analyze the influencing factors of the infection. Results In the case group, 95 men were male, accounting for 66.4%, the average age was (64.2±15.70) years, the total hospital days were (33.98±31.73) days, of which 28 patients who in hospital for 41 days and above were 19.6%, 112 patients were used with catheter, and the number of antibiotic days in 93 cases was above 11 days. After single factor and multi factor Logistic analysis, the results showed that antibiotics (OR=12.283, P<0.001), 21-40 days of hospitalization days (OR=5.378, P<0.001), 41 days and more hospitalization days (OR=17.536, P<0.001), the use of urinary catheter days (OR=2.902, P=0.002) were independent risk factors for urinary tract infection. The longer the time in hospital, the greater the risk of infection. Conclusion The infection of urinary tract is affected by many aspects. It is necessary to strengthen the hospital disinfection work, strengthen the awareness of aseptic operation of medical personnel, strengthen the training and standardized management of the rational use of antibiotics, rationally evaluate the urinary catheter to reduce the time of catheterization, to reduce the risk of urinary tract infection. |
| Key words: urinary tract nosocomial infection influencing factors |
