Effect analysis of implementing proactive monitoring on elderly stroke women with Escherichia coli infection caused by indwelling urinary catheter
10.3760/cma.j.issn.1672-7088.2013.16.026
- VernacularTitle:老年女性脑卒中患者留置尿管致大肠埃希菌感染的前瞻性监控及效果评价
- Author:
Cuiping LI
;
Jianmei LI
;
Zhao LI
;
Yuyan HU
;
Jinxia DENG
- Publication Type:Journal Article
- Keywords:
Senile female;
Stroke;
Indwelling urinary catheter;
Escherichia coli;
Proactive monitoring
- From:
Chinese Journal of Practical Nursing
2013;(16):54-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the control effect of proactive monitoring on senile stroke women with Escherichia coli infection caused by indwelling catheter.Methods From October 2011 to September 2012 elderly female stroke patients with indwelling urinary catheter were chosen in the department of neurology and were given proactive monitoring,which included the following:management of antibiotics has been humanized,urinary catheter care used first-cleaning and then disinfection method,pathogen monitoring professionals directly went to the bacteria room for obtaining information.The monitoring results were compared with those last year.Results The urinary Escherichia coli infection in monitoring popu-lations declined sharply,Escherichia coli infection rate reduced from 20.5% to 3.6%.The urinary infection rate in hospitalized patients reduced from 10.8% to 5.7% respectively.The preventive application of an-tibacterial drugs greatly reduced from 70.0% to 24.7%.The nursing staff all mastered the nursing method of the catheter.Conclusions To give proactive monitoring to senile stroke women with indwelling urinary catheter can control Escherichia coli and other bacteria induced urinary infection due to indwelling catheter significantly,demonstrate a deterrent effect on unreasonable application of antibiotics,which can be recommended to control other indwelling catheter induced urinary hospital infection.