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住院导管与间歇性导管:尿路感染易感性是否有差异?
Vera Neumeier1, Fabian P Stangl2, Joëlle Borer1,3
1Department of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.
BMC infectious diseases
|August 2, 2023
概括
尿路感染 (UTI) 的发生率在使用内置导管的患者和用于神经性下尿路功能障碍 (NLUTD) 的间歇性导管 (IC) 的患者之间是相似的. 这些发现表明,尿路感染问题不应该严重影响导管法的选择.
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
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 神经性下尿路功能障碍 (NLUTD) 需要膀排空方法,如导管.
- 由于感知尿路感染 (UTI) 风险较低,间歇性导管 (IC) 优先于内置导管.
研究的目的:
- 为了比较使用内置导管与IC的NLUTD患者之间的尿路感染发病率和发病率.
- 分析尿液培养特征与导管类型相关的分析.
主要方法:
- 一项横截面研究从2020年2月到2021年1月对402名NLUTD患者进行了前性评估.
- 患者接受了关于尿路感染症状,病史和抗生素使用的标准化采访.
- 从206名内置导管患者和299名进行IC的患者收集了数据.
主要成果:
- 访问时的尿路感染发病率 (两组均为8%) 或12个月内发病率没有显著差异.
- 带住导管的患者年龄较大,并具有较高的并发症得分.
- 常见的细菌包括大肠杆菌 (Escherichia coli),菌菌 (Enterococcus faecalis) 和菌 (Klebsiella spp.) 等.
结论:
- 在这个NLUTD队列中,住院导管和IC组之间的尿路感染频率没有显著差异.
- 在NLUTD患者的导管方法咨询中,不应过分强调尿路感染风险作为差异化因素.
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