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| Analysis of Risk Factors of Catheter Related Urinary Tract Infection in Children Undergoing Urological Surgery, Construction of Predictive Model and Nursing Countermeasures |
| PENG Li-hong |
| Hunan Children's Hospital,Changsha Hunan 410007 |
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Abstract 【Objective】To investigate the risk factors of catheter associated urinary tract infection in children undergoing urological surgery. 【Methods】A total of 169 children with urinary tract infection who underwent surgical treatment in the urology department of our hospital from April 2020 to April 2021 and had urinary catheters retained after surgery were divided into infection group (n=31) and non infection group (n=138) according to whether the children had urinary tract infection after surgery. The clinical data of two groups of children were collected, and single factor and multi factor regression analysis was conducted on the factors that may affect the occurrence of urinary tract infection in children after surgery, and a prediction model was constructed. The ROC curve was used to analyze the predictive value of the prediction model on the occurrence of urinary tract infection related to urinary catheters in children after urological surgery. 【Results】Among 169 children with indwelling catheter after urological surgery, 31(18.34%) had catheter related urinary tract infection. 29 pathogens, including 18 gram-negative bacteria (62.07%), 10 gram-positive bacteria (34.48%) and 1 fungus (3.45%). Univariate analysis showed that there was a significant difference between the two groups in terms of catheter retention time, previous catheter retention history, hospital stay and catheter replacement times (P<0.05). Multivariate logistic regression analysis showed that the indwelling time of urinary catheter, previous indwelling history of urinary catheter, hospitalization time and the number of catheter replacement were independent risk factors for postoperative urinary tract infection in children (P<0.05). The ROC curve analysis shows that the area under the curve of the prediction model is 0.933 (95%CI:0.875~0.991), which has good prediction value (P=0.000). 【Conclusion】The indwelling time of urinary catheter, the previous indwelling history of urinary catheter, the length of hospital stay and the number of catheter replacement are independent risk factors affecting the occurrence of urinary catheter related urinary tract infection after urological surgery. The predictive model has good predictive value for the occurrence of urinary tract infection in children.
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Received: 02 November 2022
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[1] 朱静文,杨丽,黄德斌. ICU病人导尿管相关性尿路感染危险因素分析及防控措施[J].护理研究,2022,36(12):2155-2159.
[2] KAYE K S,BHOWMICK T,METALLIDIS S,et al. Effect of meropenem-vaborbactam vs piperacillin-tazobactam on clinical cure or improvement and microbial eradication in complicated urinary tract infection:the TANGO I randomized clinical trial[J].JAMA,2018,319(8):788-799.
[3] DREKONJA D M,TRAUTNER B,AMUNDSON C,et al. Effect of 7 vs 14 days of antibiotic therapy on resolution of symptoms among afebrile men with urinary tract infection:a randomized clinical trial[J].JAMA,2021,326(4):324-331.
[4] 崔海军,杨超,刘健. 泌尿系统结石伴尿路感染患者病原菌分布、耐药性及危险因素分析[J].中国现代医学杂志,2022,32(14):83-88.
[5] 欧阳波,何天衢. 泌尿外科学龄期患儿留置导尿管相关性尿路感染预防护理敏感指标的构建及应用研究[J].全科护理,2022,20(19):2669-2673.
[6] SADEGHI-BOJD S,NAGHSHIZADIAN R,MAZAHERI M,et al. Efficacy of probiotic prophylaxis after the first febrile urinary tract infection in children with normal urinary tracts[J].J Pediatric Infect Dis Soc,2020,9(3):305-310.
[7] 杭涛,刘学森,田智谋. 尿肝素结合蛋白、血β防御素2在泌尿外科术后细菌性尿路感染诊断中的应用价值[J].山东医药,2021,61(29):50-53.
[8] 艾米如拉江·艾尔肯,刘强,朱德康,等. 根治性膀胱切除术后发生尿路感染的危险因素[J].现代泌尿外科杂志,2022,27(6):489-493.
[9] 林家豪,苑炜,梁涛,等. 尿道狭窄患者的耻骨上膀胱造瘘管相关性尿路感染的危险因素[J].现代泌尿外科杂志,2022,27(6):483-488.
[10] 冯静,陈永梅. 2016—2020年我院女性患者细菌性尿路感染的临床分布及药敏分析[J].临床合理用药杂志,2022,15(19):153-155.
[11] 吕洋洋,黄海群,梁城英,等. 急诊室导尿管相关尿路感染患者危险因素分析及预测模型的构建[J].温州医科大学学报,2022,52(2):126-131.
[12] 石海利,张娟,张海燕,等. 临床护理人员导尿管相关尿路感染预防的“知信行”相关因素[J]. 国际护理学杂志,2022,41(7):1184-1188. |
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2022, Vol. 39 
