Risk Factors and Pathogens Distribution of Urinary Tract Infection in Patients with Spinal Cord Injury
10.3969/j.issn.1006-9771.2017.04.012
- VernacularTitle:脊髓损伤患者泌尿系感染常见危险因素及病原菌分布
- Author:
Jun GAO
;
Wen LI
;
Jing LI
- Keywords:
spinal cord injury;
urinary tract infection;
risk factor;
pathogen
- From:
Chinese Journal of Rehabilitation Theory and Practice
2017;23(4):420-423
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors and distribution of pathogenic bacteria of urinary tract infection (UTI) patients with spi-nal cord injury (SCI). Methods A total of 452 patients with SCI collected from December, 2015 to June, 2016 were retrospectively analyzed. Results 104 cases (23.1%) were diagnosed as UTI. 119 strains were identified, including 96 strains of Gram-negative bacteria (80.7%) and 22 strains of Gram-positive bacteria (19.3%). Female, invasive operation, depressed lower limb muscle strength, neurogenic bladder and pre-vention of antibacterial agents use were considered to be the main risk infection factors. The invasive operation included indwelling urethral catheterization, intermittent catheterization and other transurethral operation. The incidence rate of UTI in patients with SCI who also accept-ed indwelling catheter was 100.0%. Conclusion Gram-negative bacteria is the dominated pathogenic bacteria in SCI patients with UTI. It should be noticed the characteristics of pathogen, which both may have the high drug resistance rate and high separation rate, to select exact-ly antimicrobial agents to control the spread and drug resistance of pathogenic bacteria. In addition, patients with underlying diseases, inva-sive operation and lower strength should be monitored targeted.
