Analysis of the Causes and Nursing Strategy of Indwelling Urethral Catheter Associated Urinary Tract Infection in Intensive Care Unit_West China Medical Journal

Authors：

 CHENRong , ZHAOXiao-yan

Department of Nosocomial Infection Management, the Third People's Hospital of Mianyang, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

Keywords：

Indwelling catheter; Catheter-associated urinary tract infection; Nursing strategy

DOI：

10.7507/1002-0179.20150148

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Objective To analyze the related risk factors for catheter-associated urinary tract infection in the Intensive Care Unit (ICU), and make corresponding nursing countermeasures. Methods By target monitoring of catheter-associated urinary tract infection in 184 patients in the ICU from 2011 to 2012, infection risk factors were analyzed. The measures of nursing interventions had been taken since January 2012, and the effects before and after the intervention were contrasted and evaluated. Results Before the intervention, 951 out of 1 229 patients in 2011 had indwelling catheter, and catheter-associated urinary tract infection occurred in 127 patients with an infection rate of 13.35%. After the intervention, 841 out of 1 437 in 2012 had indwelling catheter, and catheter-associated urinary tract infection occurred in 57 patients with an infection rate of 6.78%. Conclusion Taking effective intervention measures can effectively reduce the ICU catheter-associated urinary tract infection and it also ensures the safety of medical care.

Citation： CHENRong, ZHAOXiao-yan. Analysis of the Causes and Nursing Strategy of Indwelling Urethral Catheter Associated Urinary Tract Infection in Intensive Care Unit. West China Medical Journal, 2015, 30(3): 519-521. doi: 10.7507/1002-0179.20150148 Copy

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13.	喻平. 留置导尿病人泌尿系感染的临床观察及护理[J]. 护士进修杂志, 2009, 24(6):569-570.
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1. 刘丁, 陈萍, 成瑶, 等. 留置导尿管患者泌尿道感染前瞻性研究[J]. 中国感染与化疗杂志, 2007, 7(6):432-434.
2. 王培忠. 老年患者医院感染的直接经济损失评价及危险因素研究[D]. 北京:中国协和医科大学, 2006.
3. 任南, 冯丽, 文细毛, 等. 成人及儿童重症监护病房(ICU)医院感染监测[J]. 实用医院感染监测方法学, 2012, 6(1):111-112.
4. 何桂娟. 医院感染控制中护理伦理问题及对策[J]. 中华医院感染学杂志, 2011, 21(12):2540-2541.
5. 韦咏坊. 留置导尿与尿路感染相关因素的研究进展[J]. 护士进修杂志, 2010, 25(3):206-208.
6. 何美琴. 住院患者医院感染的危险因素分析及护理干预[J]. 护理实践与研究, 2011, 8(16):82-83.
7. 赵玉. 留置导尿患者尿路感染的护理干预[J]. 中国医药指南, 2013, 11(20):325.
8. 邵永惠, 薛痕, 龙继川, 等. 泌尿道假丝酵母菌医院感染危险因素分析与护理干预体会[J]. 华西医学, 2013, 8(8):1168-1171.
9. 袁望舒, 刘忠良, 张海娜, 等. 导尿管相关尿路感染的防治现状及展望[J]. 中华医院感染学杂志, 2011, 21(9):1936-1938.
10. Chenoweth CE, Saint S. Urinary tract infections[J]. Infect Dis Clin North Am, 2011, 25(1):103-115.
11. Triveni R, Shamala TR, Rastogi NK. Optimised production and utilisation of exopolysaccharide from Agrobacterium radiobacter[J]. Proc Biochem, 2001, 36(8/9):787-795.
12. 丁宸. 泌尿系统感染病原菌的变迁及耐药性分析[J]. 江西医学, 2005, 23(5):492.
13. 喻平. 留置导尿病人泌尿系感染的临床观察及护理[J]. 护士进修杂志, 2009, 24(6):569-570.
14. Mckellar QA, Benchaoui H. Avermecins and milbemycins[J]. J Vet Pharmacol Ther, 1996, 19(5):331-351.
15. Mckellar QA. Developments in pharmacokinetics and pharmacodynamics drugs[J]. J Vet Pharmacol Ther, 1997, 20(Suppl 1):10-19.
16. 朱建未, 张小军, 左荣, 等. 泌尿系统感染的病原菌分布及耐药性分析[J]. 实验与检验医学, 2008, 26(6):694-695.

West China Medical Journal

Analysis of the Causes and Nursing Strategy of Indwelling Urethral Catheter Associated Urinary Tract Infection in Intensive Care Unit

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