留置导尿管患者泌尿道感染前瞻性研究.PDFVIP

432 2007 12 20 7 6 Chin J Infect Chemother, Dec1 2007, Vol1 7, No1 6 # # 刘 丁, 陈 萍, 成 瑶, 王 政 : 20 06 1 ) 20 06 6 485 , 26 1 , 53. 8% , 1 0 00 2 6. 4 ; ICU Logistic , ( ) , , : ; ; : R691.3 :B : 100 9-7 70 8(2 00 7) 06-04 32-03 Prospective cohort study of catheter- associated urinary tract infecti ons LI UDing, CH EN Ping, CH ENG Yao, WANG Zheng. (Dap ing H osp ital, The Third ilitary edical University, Chongqing 400 042, China) Abstract: Objective o analyze the incidence, pathogen and risk factors of hospital acquired catheter-associated urinary tract infec- tions. Methods During January to June in 20 06, all catheterized patients w ere reviewed by prospective cohort study in a teaching hospi- tal. Results A total of 261 patients with hospital acquired catheter-associated urinary tract infections were identified in 485 catheterized patients. he average morbidity was 53 . 8% and the morbidity per 1 00 0 bed-day was 26.4 . he highest infection morbidity w as in in- tensive care unit (ICU) , followed by Department of Urology and Department of Gynecology. According to logistic regression analysis, the risk factors of hospital acquired catheter-associated urinary infection included female gender, douching catheter w ith antimicrobial drug, duration of catheterization, prior use of antimicrobial drug. Conclusions Incidence of hospita-l acquired urinary tract infection is high in catheterized patients. It is imperative to make every effort to control the infection. Key words: Urinary tract infection; Cohort study; Risk factor , 2006 1 ) 20 06 6 485 , , ; 329 , ( catheter-associated urinary tract infections, CA