中国感染控制杂志2016，Vol.15Issue(4)：246-249,4.DOI:10.3969/j.issn.1671-9638.2016.04.007
输尿管镜术后泌尿道感染发病率及其危险因素
Incidence and risk factors of urinary tract infection after ureteroscopy
摘要
Abstract
Objective To evaluate the incidence and risk factors of urinary tract infection(UTI)following uret-eroscopy.Methods Patients undergoing ureteroscopy examination or ureteroscopic lithotripsy in a hospital between 2002 and 2011 were analyzed retrospectively,clinical data of patients were collected and analyzed,including age, sex,history,complication ,urine routine test,urine culture,blood routine test,urethral catheterization,ureteral stent placing and antimicrobial use.Results Incidence of UTI following ureteroscopy was 3.77% (20/531),UTI fol-lowing ureteroscopy examination was higher than ureteroscopic lithotripsy (5.84% [9/154]vs 2.92% [11/377]). Pyelonephritis was the main infection type(n= 15 ),the main pathogen was Escherichia coli (n= 6 ),there was no statistical difference in UTI among patients receiving different types of antimicrobial prophylaxis (P= 0.185 ). Patients with bacteriuria,hydronephrosis,urethral catheterization,without ureteral stent placing,and without re-ceiving antimicrobial prophylaxis had higher incidence of URI(all P<0.05).Conclusion Bacteriuria,hydronephro-sis,urethral catheterization,without postoperative ureteral stent placing,ureteroscopy examination,and without receiving antimicrobial prophylaxis are risk factors of UTI following ureteroscopy.关键词
输尿管/输尿管镜/泌尿道感染/并发症/危险因素Key words
ureter/ureteroscopy/urinary tract infection/complication/risk factor分类
医药卫生引用本文复制引用
李卫平,王振,王施广,张斌,黄创,王养民..输尿管镜术后泌尿道感染发病率及其危险因素[J].中国感染控制杂志,2016,15(4):246-249,4.基金项目
全军医药卫生科研计划资助项目(CLZ12J004) （CLZ12J004）
