泌尿外科患者泌尿系院内感染病原学分布特点及其危险因素分析胡斌;路枚;韦华玉;韦秀望【期刊名称】《广西医学》【年(卷),期】2018(40)1【摘要】目的探讨泌尿外科住院患者泌尿系院内感染的病原学分布特点及其危险因素.方法将泌尿外科住院患者按是否发生泌尿系院内感染分为感染组161例,未发生感染238例(对照组).分析泌尿系院内感染的病原学分布情况,采用logstic多元回归分析发生泌尿系院内感染的危险因素.结果泌尿外科住院患者泌尿系院内感染以革兰阴性菌为主,占70.88％,其中以大肠埃希菌(37.91％)、奇异变形杆菌(12.64％)、肺炎克雷伯菌(9.89％)、铜绿假单薄胞菌(6.04％)多见;革兰阳性菌占24.73％,以肠球菌属(9.89％)多见;真菌感染占4.40％.多因素logstic回归分析结果显示:女性、年龄>60岁、住院时间>15 d、糖尿病史、侵入操作、导尿管留置天数>10 d、抗生素种类≥2种是发生泌尿系院内感染的独立危险因素(P<0.05).结论泌尿外科住院患者泌尿系院内感染以革兰阴性菌为主;女性、年龄大、住院时间长、有糖尿病史、侵入操作、导尿管留置时间长、使用抗生素种类多是发生泌尿系院内感染的独立危险因素.%Objective To explore the etiological distribution characteristics and its risk factors of urological nosocomial infection in inpatients from Department of Urological Surgery. Methods The inpatients from Department of Urological Surgery were divided into infectiongroup(n=161) and control group(patients without nosocomialinfection;n=238) according to whether they suffered urological nosocomialinfection. The etiological distribution of urological nosocomial infection was analyzed,and the risk factors for the incidence of urological nosocomial infection were analyzed by using logistic multiple regression. Results Urological nosocomial infection was dominated by Gram-negative bacteria which accounted for 70. 88％,commonly including Escherichia coli(37. 91％),Proteus mirabilis(12. 64％), Klebsiella pneumoniae(9. 89％) and Pseudomonas aeruginosa(6. 04％);Gram-positive bacteria accounted for 24. 73％,in which Enterococcus was common(9. 89％);fungal infections accounted for 4. 40％. The result of multivariate logistic regression analysis revealed that female,age older than 60 years,hospital stay more than 15 days,history of diabetes mellitus,invasive operation,duration of indwelling urinary catheter more than 10 days,and more than two kinds of antibiotics used were the independent risk factors for urological nosocomial infection(P<0. 05). Conclusion Gram-negative bacteria is common in the inpatients from Department of Urological Surgery. Female,elderly,longer hospital stay,having a history of diabetes mellitus,invasive operation,longer duration of indwelling urinary catheter,antibiotics variety used are the independent risk factors for urological nosocomial infection.【总页数】3页(P34-36)【作者】胡斌;路枚;韦华玉;韦秀望【作者单位】广西壮族自治区人民医院泌尿外科,南宁市 530021;广西壮族自治区人民医院泌尿外科,南宁市 530021;广西壮族自治区人民医院泌尿外科,南宁市530021;广西壮族自治区人民医院泌尿外科,南宁市 530021【正文语种】中文【中图分类】R691.3【相关文献】1.神经外科患者术后泌尿系统感染的危险因素分析及护理策略 [J], 毋云利2.脊柱手术住院患者术后泌尿系统感染的病原学特征和危险因素分析 [J], 杨宇莹;蒋琳;曹静3.老年泌尿外科手术患者院内感染病原学特点及影响因素分析 [J], 黄朝晖4.急诊泌尿系感染病原学及危险因素分析 [J], 金明杰5.肾结石患者经皮肾镜取石术后泌尿系感染的病原学特点及影响因素分析 [J], 党乾元因版权原因，仅展示原文概要，查看原文内容请购买。
