Prevention of catheter associated urinary tract infection with topical antibacterial agent JUC and anti-reflux drainage bag
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摘要: 目的 通过在留置尿管表面和尿道外口周围的组织喷涂外用抗菌剂洁悠神,并使用抗返流引流袋,观察其预防和降低留置导尿伴随性尿路感染的发生率。 方法 将符合实验标准的患者随机分为对照组和实验组各50例。对照组采用常规留置导尿护理和普通引流袋,引流袋每天更换1次;实验组在常规留置导尿护理基础上,于留置尿管表面、尿道外口、龟头和包皮处喷涂外用抗菌剂洁悠神,并使用抗返流引流袋,根据使用说明书引流袋每周更换1次。比较2组患者第3、7天膀胱尿细菌培养的结果。 结果 对照组培养细菌3 d有12株,7 d有30株,实验组则分别为5株和8株。与对照组相比较,实验组留置导尿感染率明显降低。实验组与对照组之间总体、3 d以及7 d阳性率的差别均具有统计学意义(P<0.05)。对照组3 d与7 d阳性率的差别具有统计学意义(P<0.05),但实验组3 d与7 d阳性率的差别不具有统计学意义(P>0.05)。 结论 通过在留置尿管表面和尿道外口周围组织喷涂洁悠神,并使用抗返流引流袋,可显著降低留置导尿患者膀胱尿细菌培养阳性率,提示能预防和降低留置导尿伴随性尿路感染的发生率,其效果可维持7 d以上。但随着留置导尿时间的延长,留置导尿伴随尿路感染的发生率明显升高。
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关键词:
- 洁悠神 /
- 抗返流引流袋 /
- 留置导尿伴随性尿路感染
Abstract: Objective To prevent and reduce the incidence of catheter associated urinary tract infection by spraying the JUC on the catheter surface and surrounding tissue of urethral orifice,and using anti- reflux drainage bag. Methods Patients who met the criteria of the experiment were randomly divided into control and experimental groups,each group selected 50 cases.Control group were treated with conventional catheterization care and general drainage bags,drainage bag replaced once a day.Experimental group were treated by spraying the JUC on the catheter surface,the external urethral orifice,the glans and the foreskin on the basis of conventional catheterization care,and using anti-reflux drainage bag which replaced once a week according to the instruction manual.Comparison of the results of urine culture of bladder between the experimental and control groups on day 3 and 7. Results Positive bacterial culture of control group were 12 on day 3 and 30 on day 7,there were respectively 5 and 8 in the experimental group.Compared with the control group,the infection rates of catheterization in the experimental group was significantly lower.The difference between the experimental and control groups was statistically significant in the positive rate of overall,three days and seven days(P<0.05).There was statistically significant between difference of the positive rate of three days and seven days in the control group(P<0.05),but the difference between the positive rate of three days and seven days was not statistically significant in the experimental group(P>0.05). Conclusion Spraying the JUC on the catheter surface and surrounding tissue of urethral orifice,and using anti-reflux drainage bag,can significantly reduce the positive rate of bladder urine bacterial culture in patients with catheterization,suggesting it can prevent and reduce the incidence of catheter associated urinary tract infection,and the effect can be maintained for more than seven days.But with prolonged indwelling catheterization time,the incidence of catheter associated urinary tract infection was significantly higher.
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