Abstract：Objective To analyze the characteristics and risk factors of hospital infection of urinary surgery patients, and to provide nursing strategies for preventing hospital infection. Methods Totally 480 urinary surgery patients were retrospectively investigated, and they were divided into infection group (46 cases) and non-infection group (434 cases) according to whether or not with hospital infection. The incidence rate and distribution characteristics were analyzed, and correlated risk factors of hospital infection of urinary surgery patients were screened by single factor and multiple factors methods. Results The incidence rate of hospital infection of urinary surgery patients was 9.58% (46/480), mainly by urinary system, genital system and operative incision. Multiple factors analysis results showed that the factors of age (OR=2.364), complication of basic disease (OR=8.009), past urinary tract infection (OR=6.661), invasive procedure (OR=2.946), indwelling catheter (OR=3.010) and without antimicrobial prophylaxis (OR=3.661) were the risk factors of hospital infection of urinary surgery patients. Conclusion The incidence rate of hospital infection in urinary surgery stay in a high position without going down. We should adopt essential nursing intervention measures to aim directly at these risk factors of hospital infection, in order to cut down the rate of hospital infection of urinary surgery patients.
刘爱香,王鑫,郑红. 泌尿外科患者发生医院感染的危险因素及护理对策分析[J]. 中国医院统计, 2018, 25(3): 186-188.
Liu Aixiang, Wang Xin, Zheng Hong. Investigation analysis on risk factors and nursing strategies of hospital infection of urinary surgery patients. journal1, 2018, 25(3): 186-188.
[1] 刘军.泌尿外科院内感染相关因素分析及其护理对策[J].安徽医药,2012,16(9):1377-1378. [2] LI XY. Distribution and drug resistance of pathogens causing nosocomial infefctons in urology[J]. Journal of Pathogen Biology, 2013,8(4):365-367. [3] 于惠翀.引起泌尿外科患者医院感染的相关因素分析[J].临床医药文献杂志,2016,3(29):5804-5805. [4] 李质尚,石磊,刘富.泌尿外科患者医院感染的危险因素分析[J].中华医院感染学杂志,2013,23(17):4158-4162. [5] 胡忠春,赵明,张文才.泌尿外科患者医院感染病原菌分布与感染危险因素分析[J].中华医院感染学杂志,2015,25(1):199-201. [6] 王小敏.肾病综合征患者医院感染相关因素的回归分析[J].中国医院统计,2014,21(3):200-201. [7] SHEPHERD AK, POTTINGER PS. Management of urinary tract infections in the era of increasing antimicrobial resistance[J]. Med Clin North Am, 2013,97(4):737-757. [8] 董巧梅.泌尿外科医院感染危险因素分析及护理对策[J].基层医学论坛,2013,17(9):1138-1139. [9] 林茂虎,朱晓应,苗芮,等.泌尿外科住院患者医院感染危险因素分析[J].中华医院感染学杂志,2015,25(11):2561-2562. [10]陈祥建,丁德刚,徐宏立.泌尿外科患者医院感染的相关因素分析[J].河南外科学杂志,2015,21(1):62-63. [11]姜小爱,喻敏.肾内科住院患者的医院感染发生情况及危险因素分析[J].中国医院统计,2017,24(4):291-293. [12]王光春,周婷婷,车建平,等.泌尿系统手术后尿路感染危险因素分析[J].同济大学学报(医学版),2013,34(2):68-71. [13]杨瑜,陈明,朱伟东,等.泌尿外科医院感染危险因素与病原菌耐药分析[J].中华医院感染学杂志,2016,26(1):120-122.
