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

1.	劉丁, 陳萍, 成瑤, 等. 留置導尿管患者泌尿道感染前瞻性研究[J]. 中國感染與化療雜志, 2007, 7(6):432-434.
2.	王培忠. 老年患者醫院感染的直接經濟損失評價及危險因素研究[D]. 北京:中國協和醫科大學, 2006.
3.	任南, 馮麗, 文細毛, 等. 成人及兒童重癥監護病房(ICU)醫院感染監測[J]. 實用醫院感染監測方法學, 2012, 6(1):111-112.
4.	何桂娟. 醫院感染控制中護理倫理問題及對策[J]. 中華醫院感染學雜志, 2011, 21(12):2540-2541.
5.	韋詠坊. 留置導尿與尿路感染相關因素的研究進展[J]. 護士進修雜志, 2010, 25(3):206-208.
6.	何美琴. 住院患者醫院感染的危險因素分析及護理干預[J]. 護理實踐與研究, 2011, 8(16):82-83.
7.	趙玉. 留置導尿患者尿路感染的護理干預[J]. 中國醫藥指南, 2013, 11(20):325.
8.	邵永惠, 薛痕, 龍繼川, 等. 泌尿道假絲酵母菌醫院感染危險因素分析與護理干預體會[J]. 華西醫學, 2013, 8(8):1168-1171.
9.	袁望舒, 劉忠良, 張海娜, 等. 導尿管相關尿路感染的防治現狀及展望[J]. 中華醫院感染學雜志, 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. 泌尿系統感染病原菌的變遷及耐藥性分析[J]. 江西醫學, 2005, 23(5):492.
13.	喻平. 留置導尿病人泌尿系感染的臨床觀察及護理[J]. 護士進修雜志, 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, 張小軍, 左榮, 等. 泌尿系統感染的病原菌分布及耐藥性分析[J]. 實驗與檢驗醫學, 2008, 26(6):694-695.

1. 劉丁, 陳萍, 成瑤, 等. 留置導尿管患者泌尿道感染前瞻性研究[J]. 中國感染與化療雜志, 2007, 7(6):432-434.
2. 王培忠. 老年患者醫院感染的直接經濟損失評價及危險因素研究[D]. 北京:中國協和醫科大學, 2006.
3. 任南, 馮麗, 文細毛, 等. 成人及兒童重癥監護病房(ICU)醫院感染監測[J]. 實用醫院感染監測方法學, 2012, 6(1):111-112.
4. 何桂娟. 醫院感染控制中護理倫理問題及對策[J]. 中華醫院感染學雜志, 2011, 21(12):2540-2541.
5. 韋詠坊. 留置導尿與尿路感染相關因素的研究進展[J]. 護士進修雜志, 2010, 25(3):206-208.
6. 何美琴. 住院患者醫院感染的危險因素分析及護理干預[J]. 護理實踐與研究, 2011, 8(16):82-83.
7. 趙玉. 留置導尿患者尿路感染的護理干預[J]. 中國醫藥指南, 2013, 11(20):325.
8. 邵永惠, 薛痕, 龍繼川, 等. 泌尿道假絲酵母菌醫院感染危險因素分析與護理干預體會[J]. 華西醫學, 2013, 8(8):1168-1171.
9. 袁望舒, 劉忠良, 張海娜, 等. 導尿管相關尿路感染的防治現狀及展望[J]. 中華醫院感染學雜志, 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. 泌尿系統感染病原菌的變遷及耐藥性分析[J]. 江西醫學, 2005, 23(5):492.
13. 喻平. 留置導尿病人泌尿系感染的臨床觀察及護理[J]. 護士進修雜志, 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, 張小軍, 左榮, 等. 泌尿系統感染的病原菌分布及耐藥性分析[J]. 實驗與檢驗醫學, 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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