Targeted monitoring and analysis of catheter associated urinary tract infection in patients with severe brain injury
10.3760/cma.j.issn.1674-2907.2016.06.020
- VernacularTitle:重症脑损伤患者留置尿管相关尿路感染的目标性监测与分析
- Author:
Wenya CAO
1
;
Fang LIU
;
Ran WANG
Author Information
1. 100053 北京，首都医科大学宣武医院神经内科监护室
- Keywords:
Severe brain injury;
Indwelling catheter;
Targeted monitoring and analysis;
Analysis
- From:
Chinese Journal of Modern Nursing
2016;22(6):822-824
- CountryChina
- Language:Chinese
-
Abstract:
Objective To monitor the catheter associated urinary tract infection in patients with severe brain injury and analyze the incidence and risk factors of urinary tract infection in hospital, so as to take preventive measures and reduce the incidence of urinary tract infection. Methods Based on the monitoring program of indwelling urinary catheter in patients with severe brain injury and combining the method of microbial monitoring and retrospective study of patients in hospital, a total of 204 catheterized patients with severe brain injury were selected and analyzed the catheter associated urinary tract infection. Results There were 12 patients with urinary tract infections, and a higher incidence of urinary tract infection in elderly, serious condition, long-term bed ridden patients and longer catheter indwelling time with severe brain injury. The incidence of urinary tract infection in patients with more invasive operations was 3. 8‰. Fungus was the most common pathogenic bacteria. Conclusions Following indwelling catheter indications strictly, strengthening the aseptic management of catheter, shortening time of detaining urethral catheterization, and proper using of antibiotics are recommended as effective measures to lower the incidence of catheter associated urinary tract infection in patients with severe brain injury.
