Paraplegic patients to prevent urinary tract infection in nursing.docVIP

 PAGE \* MERGEFORMAT 5 Paraplegic patients to prevent urinary tract infection in nursing [Keywords] paraplegia care to prevent urinary tract infections Paraplegic patients often require indwelling catheter, catheterization is invasive treatment can often lead to urinary tract infections. Has been reported, hospital-acquired infections, 40% of urinary tract infections [1], and the longer indwelling catheter long, the higher rate of infection [2] Long-term indwelling catheter, urinary tract infection due to increased opportunities for urinary stones, causing great suffering to patients, so the quality of care for the catheter to prevent urinary tract infections are a very important role . 1 cause of urinary tract infection caused by 1.1 Factors for Most patients with paraplegia caused by trauma, usually young or middle-aged, physical and psychological injuries are very serious, patient anxiety, fear, despair and even psychological negative common, due to pessimistic mood, not with the treatment, the body defenses are weakened, easily lead to infection. 1.2 urethral mucosa To prevent bacterial invasion depends on the integrity of the urethral mucosa, inappropriate urinary catheterization may damage the mucosa caused by infection. Possible causes: inappropriate choice of catheter, lubrication is not in place, the action is not gentle intubation, insertion depth is not enough, air bags did not of water-filled bladder that cause urinary tract mucosa line pressure, degeneration and necrosis, the urethral injury. mucosal injury by rough, diminished capacity defense, is conducive to vegetative bacteria and the adhesion of urothelial cells and urinary protein and salt together form a biofilm covering the surface of the catheter, served to protect the role of bacteria from urine washing, and hinder the antibiotics kill the bacteria, causing infection. 1.3 Long-term indwelling catheter Stimulate long-term urethral catheter and bladder mucosa, des