在脊髓损伤患者中,与膀空虚相关的尿路感染
Sasa Milicevic1, Aleksandra Sekulic2, Dejan Nikolic3,4
1Faculty of Medicine, University of Pristina, 38220 Kosovska Mitrovica, Serbia.
Journal of clinical medicine
|July 13, 2024
概括
尿路感染在脊髓损伤患者中很常见,特别是那些使用间歇性自导管治疗的患者. 个性化膀管理对于降低感染率和改善患者治疗结果至关重要.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
背景情况:
- 脊髓损伤 (SCI) 导致神经性膀,增加尿路感染 (UTI) 的风险.
- 尿路感染显著损害SCI患者的功能和生活质量.
研究的目的:
- 为了调查SCI患者的尿路感染发病率.
- 为了确定膀排空方法与尿路感染率之间的关系.
主要方法:
- 对接受康复的560名SCI患者的回顾性分析.
- 纳入标准:成年人,住院时间>30天,没有入院尿路感染症状.
- 收集的数据:人口统计,伤害细节,膀排空方法.
主要成果:
- 71.8%的SCI患者在康复期间发生了尿路感染.
- 在创伤性SCI,较低的ASIA分数和胸部损伤中,尿道感染更频繁.
- 间歇性自导管治疗的尿路感染发病率最高 (62.7%);大肠杆菌和P. mirabilis是常见的病原体.
结论:
- 膀排空方法显著影响SCI中的尿路感染发病率.
- 间歇性导管,尽管有指导方针,显示了最高的尿路感染率.
- 需要个性化膀管理策略,以减轻SCI患者的尿路感染风险.
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