临床儿科杂志 ›› 2021, Vol. 39 ›› Issue (12): 891-.doi: 10.3969/j.issn.1000-3606.2021.12.003

• 泌尿系统疾病专栏 • 上一篇    下一篇

新生儿导尿管相关性尿路感染影响因素分析

谢朝云 1, 李文华 1, 蒙桂鸾 1, 丁晓荣 1, 张萍 2   

  1. 1 .贵州医科大学第三附属医院(贵州都匀 558000);2 .黔南州人民医院(贵州都匀 558000)
  • 发布日期:2021-12-22
  • 通讯作者: 贵州省科技厅联合项目(No.黔科合LH字[2014]7162号);贵州省黔南州社会发展科技项目(No.黔南科合社字[2018]7号)
  • 基金资助:
    谢朝云 电子信箱:xcu 2009 @ 163 .com

Analysis of related factors of neonatal catheter-related urinary tract infection

n XIE Zhaoyun1 , LI Wenhua1 , MENG Guiluan1 , DING Xiaorong1 , ZHANG Ping2   

  1. 1 .The Third Affiliated Hospital of Guizhou Medical University; 2 .Qiannan Buyei and Miao Autonomous Prefecture People's Hospital, Duyun 558000, Guizhou, China)
  • Published:2021-12-22

摘要: 目的 分析新生儿导尿管相关性尿路感染(CAUTIs)的影响因素。方法 回顾分析2012年1月至2021年 2月留置导尿新生儿的临床资料,根据是否发生CAUTIs分为CAUTIs组与非CAUTIs组,分析CAUTIs发生的影响因 素。结果 362例新生儿中,63例(17 . 4 %)发生CAUTIs。其中男38例、女25例,出生胎龄为37(36~40)周,出生体质 量为(2 . 82±0 . 79)kg。二分类logistic回归分析显示,留置尿管时间、置管次数是新生儿CAUTIs发生的独立危险因素 (P<0.05),而出生体质量、入院日龄、出生胎龄、导尿管口消毒护理次数是新生儿CAUTIs发生的独立保护因素(P<0.05)。 结论 减少早产、低日龄与低体质量儿留置导尿,缩短留置导尿时间与减少置管次数,增加导尿管口消毒护理是减少新生 儿CAUTIs的主要措施。

关键词: 导尿管相关性尿路感染; 多因素分析; 新生儿

Abstract: Objective To analyze the influence factors of neonatal catheter-associated urinary tract infection (CAUTIs). Methods The clinical data of neonates with indwelling catheterization from January 2012 to February 2021 were retrospectively analyzed. According to the occurrence of CAUTIs, they were divided into CAUTIs group and non CAUTIs group and the influence factors of CAUTIs were analyzed. Results The CAUTIs occurred in 63 (17.4%) of 362 neonates. There were 38 boys and 25 girls with gestational age of 37 ( 36 - 40 ) weeks and birth weight of ( 2 . 82 ±0 . 79 ) kg. Binary logistic regression analysis showed that time and frequency of indwelling catheter were independent risk factors for CAUTIs (P

Key words: catheter related urinary tract infection; multivariate analysis; newborn