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目的:探讨患者导尿管相关尿路感染的高危因素和诊疗护理措施,为临床诊治提供借鉴。方法:对374例患者临床资料分析,研究其导尿管相关感染发生的危险因素。结果:感染发生率为24.33%,感染病原菌主要为革兰氏阴性杆菌67例,占54.47%,革兰氏阳性球菌35例,占28.46%,真菌18例,占14.63%;导尿管相关感染与年龄、基础疾病、住院时间、集尿袋更换时间、导尿管留置时间、抗菌药物使用时间等有关(P<0.05)。结论:导尿管相关感染发生率较高,其发生受多种因素影响,根据不同情况采取针对性的诊疗护理措施,密切监测高龄患者,治疗原发疾病,适时尽早拔出尿管,严格无菌技术操作,合理应用抗菌药物等降低医院感染发生率。
Objective: To explore the risk factors of catheter-related urinary tract infection and the nursing measures in clinic, so as to provide reference for clinical diagnosis and treatment. Methods: The clinical data of 374 patients were analyzed to study the risk factors of catheter-related infection. Results: The incidence of infection was 24.33%. The main pathogens of infection were 67 Gram-negative bacilli (54.47%), 35 Gram-positive cocci (28.46%), fungi (18 cases), accounting for 14.63% And age, underlying disease, hospital stay, set urine bag replacement time, urinary catheter retention time, antibacterial drug use time and so on (P <0.05). Conclusion: The incidence of catheter-related infections is high, and its occurrence is affected by many factors. According to different situations, we take targeted care and nursing measures, closely monitor the elderly patients, treat the primary disease, pull out the catheter as soon as possible, strictly without Bacterial technology operation, rational use of antimicrobial agents to reduce the incidence of nosocomial infections.