对于女性医疗患者,在引入外部尿道采集装置后进行单一机构前后比较
Nathan Jasperse1, Oscar Hernandez-Dominguez2, Jacob S Deyell3
1Department of Emergency Medicine, Los Angeles County Harbor-UCLA Medical Center, Torrance, CA, USA.
Journal of infection prevention
|May 31, 2023
概括
外部尿道采集器 (EUCDs) 在女性患者中没有减少导管相关的尿路感染 (CAUTIs). 这项研究发现,在EUCD引入后,静止尿导管 (IUC) 天和CAUTI率增加.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 外部尿道采集装置 (EUCD) 是建议的替代体内尿道导管 (IUC) 的替代方案,以减少与导管相关的尿道感染 (CAUTIs).
- 普瑞维克 (PureWick) 设备是一种新的女性EUCD,但其在减少CAUTIs方面的有效性仍未得到证实.
研究的目的:
- 为了比较CAUTI率和IUC利用率在一个机构实施女性EUCD之前和之后.
- 分析女性医疗患者使用EUCD的情况.
主要方法:
- 一次回顾性审查比较了在EUCD可用性 (PRE) 之前的3个月内接受IUCs的女性患者和在12个月后 (POST) 接受IUCs和/或EUCDs的女性患者.
- 数据分析的重点是CAUTI发病率,IUC日,以及与EUCD相关的尿路感染 (UTIs).
主要成果:
- 与PRE队列相比,POST队列显示出更高的IUC天数 (3 vs. 2天,p=0.001) 的中位数,以及明显更高的CAUTI率 (9.3 vs. 2.3每1000个导管天的感染率,p=0.001).
- 与EUCD使用相关的尿路感染率为每1000个器件日9.8例.
结论:
- 在该机构引入女性EUCD与IUC天数和CAUTI率的增加有关.
- 目前的证据不支持EUCD作为减少女性患者CAUTIs的手段;需要进一步的研究.
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