优化后预防尿路感染的实践囊镜和女性尿动力学:质量改善研究
Anouk Benseler1, George Tomlinson2, Danny Lovatsis1,3
1Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.
Neurourology and urodynamics
|March 19, 2024
概括
在接受囊囊镜检查或尿动力学研究 (UDS) 的妇女中,减少尿路感染 (UTI) 证明是具有挑战性的. 针对性抗生素预防没有增加尿路感染率,但减少了不良事件.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 传染性疾病 传染性疾病
背景情况:
- 尿路感染 (UTI) 是门诊囊镜和尿动力学研究 (UDS) 后的一个常见问题.
- 确定可修改的风险因素对于减少这些程序中的尿路感染发病率至关重要.
研究的目的:
- 在接受门诊囊镜和/或UDS的妇女中降低尿路感染的发生率.
- 识别和改变可修改的风险因素,有助于医生之间的尿路感染变化.
主要方法:
- 一项质量改善研究,涉及接受门诊囊镜/UDS的成年女性.
- 调查了预防性实践,并确定了医生特定的尿路感染率.
- 实施改变概念,包括例行尿液培养和选择性抗生素预防.
主要成果:
- 两个计划-做-研究-行动周期分别涉及212名和210名女性.
- 早期呈现的尿路感染率没有显著变化 (9.0%对比9.2%).
- 与抗生素相关的不良事件显著减少 (8.5%与1.5%相比),整体尿路感染率没有变化 (7.8%与5.6%相比).
结论:
- 没有特定的策略被确定,以减少尿路感染发病率后囊镜/UDS.
- 风险因子特定的抗生素预防与普遍预防不同,没有提高尿路感染发病率.
- 选择性抗生素使用可以减少不良事件而不会增加尿路感染率.
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