頁籤選單縮合
題名 | 尿管留置病患發生院內泌尿道感染之危險性探討=The Risks of Nosocomial Urinary Tract Infection for Indwelling Catheterized Patients |
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作者 | 陳姿伶; 王琪珍; 吳秀麗; 楊月嬌; 吳怡慧; | 書刊名 | 護理研究 |
卷期 | 5:3 1997.06[民86.06] |
頁次 | 頁259-266 |
分類號 | 419.38 |
關鍵詞 | 危險因子; 院內泌尿道感染; 留置導尿; Risk factor; Nosocomial urinary tract infection; Persistent catheterization; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的為瞭解插置留置導尿管病患發生院內泌尿道感染之描述性流行病學特徵;並進一步比較內科系加護單位與非加護單位發生感染之危險性高低。於1993年3月1日至5月31日三個月內收集南部某醫學中心於入院後使用留置導尿管,並確定當時未有泌尿道感染之內科系加護單位及五個一般病房之病患,共107位為研究對象,持續追蹤這�暽龠H至最後一位出院,整個追蹤時間達九個月。在此期間發生感染者有13位,未感染者94位,累積感染率為12.2% (13/107)。單變項分析發現,已存在其他部位感染(如肺炎、膽囊炎)者、使用留置導尿管至發生感染達十五天以上者有較高之感染危險性。進一步以邏輯迴複歸調整相關因素;如留置導尿管天數及其他部位感染後發現,非加護單位發生院內泌尿道感染的危險性是加護單位的6.70倍,且達統計上意義。將此結果提供該醫學中心護理品質管制委員會作為日後降低內科系單位插置留置導尿管病患發生院內泌尿感染率、及擬定護理措施方案之參考。 |
英文摘要 | The purposes of this follow-up study were to investigate epidemiological characteristics of patients with nosocomial uriinary tract infection (UTI) after catheterization, and to compare the risks of UTI between medical intensive care units and general medical units. 107, patients, without prior UTI and foley catheterization during admission to a medicla center, were recruited from medical ICUs and general medical units such as, Chest etc. The period of collecting patients was from March 1 to May 31, 1993. In this follow-up study, all of the patients who had received foley catheterization after being admitted to the Departments, were monitored fro UTI. Data collection continued for nine months until the last patient was discharged. The result showed the infection rate was 12.1%. Univariate analysis shoowed higher infection rates where the patient had other prior infections (e.g. biliary tract infection; pneumonia...) or used urinary catheters for more than 15 days. In the logistic regression analysis with adjusting two variables,that were other previous infection and used urinary days, the relative risk ratos of developing nosocomial UTI were 6.7, comparing the general medical units to the medical ICUs. Significantly, the risk of nosocomial UTI in general medical units was higher than medical ICUs. These are offered to the nursing quality control committees of medical centers for the purposes of policy making and of reducing the rate of nosocomial UTI in medical units. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。