中国康复理论与实践2017，Vol.23Issue(4)：420-423,4.DOI:10.3969/j.issn.1006-9771.2017.04.012
脊髓损伤患者泌尿系感染常见危险因素及病原菌分布
Risk Factors and Pathogens Distribution of Urinary Tract Infection in Patients with Spinal Cord Injury
摘要
Abstract
Objective To analyze the risk factors and distribution of pathogenic bacteria of urinary tract infection (UTI) patients with spi-nal cord injury (SCI). Methods A total of 452 patients with SCI collected from December, 2015 to June, 2016 were retrospectively analyzed. Results 104 cases (23.1%) were diagnosed as UTI. 119 strains were identified, including 96 strains of Gram-negative bacteria (80.7%) and 22 strains of Gram-positive bacteria (19.3%). Female, invasive operation, depressed lower limb muscle strength, neurogenic bladder and pre-vention of antibacterial agents use were considered to be the main risk infection factors. The invasive operation included indwelling urethral catheterization, intermittent catheterization and other transurethral operation. The incidence rate of UTI in patients with SCI who also accept-ed indwelling catheter was 100.0%. Conclusion Gram-negative bacteria is the dominated pathogenic bacteria in SCI patients with UTI. It should be noticed the characteristics of pathogen, which both may have the high drug resistance rate and high separation rate, to select exact-ly antimicrobial agents to control the spread and drug resistance of pathogenic bacteria. In addition, patients with underlying diseases, inva-sive operation and lower strength should be monitored targeted.关键词
脊髓损伤/泌尿系感染/危险因素/病原菌Key words
spinal cord injury/urinary tract infection/risk factor/pathogen分类
医药卫生引用本文复制引用
高钧,李雯,李晶..脊髓损伤患者泌尿系感染常见危险因素及病原菌分布[J].中国康复理论与实践,2017,23(4):420-423,4.基金项目
中国康复研究中心课题(No. 2015ZX-13). （No. 2015ZX-13）
