用自来水灌膀,以减少对尿道感染的抗生素的使用,在导管使用者中
Stefan den Hoedt1, Felice E E van Veen1, Jeroen R Scheepe1
1Department of Urology, Erasmus Medical Center, Rotterdam, The Netherlands.
BJU international
|October 16, 2024
概括
用自来水灌膀 (BI) 提供了一种安全有效的方法,可以减少对尿路感染 (UTI) 的抗生素使用. 这种患者友好的方法显著降低了尿路感染的发生率和抗生素依赖.
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
- 患者护理 患者护理
背景情况:
- 反复性尿路感染 (UTI) 是尿导管患者的常见并发症,通常导致抗生素使用增加.
- 在导管患者中管理复发性尿路感染存在挑战,需要探索替代治疗策略,以最大限度地减少抗生素暴露.
研究的目的:
- 评估自来水膀灌 (BI) 的有效性和安全性,以减少治疗尿路感染 (UTI) 的抗生素消耗,这些患者经历了反复出现的尿路感染症状.
- 为了评估患者对膀灌的满意度,作为复发性尿路感染的管理选择.
主要方法:
- 一项前性观察性研究,涉及持久导管或执行干净间歇性导管 (CIC) 的患者,患有复发性尿路感染症状.
- 在没有全身症状的尿路感染中使用自来水膀灌 (BI),患者开始每天灌,并按照逐渐减少的时间表进行灌.
- 测量结果包括抗生素治疗频率,尿路感染发病率比率 (IRR),住院治疗,治疗满意度和生活质量 (QoL),比较BI实施前后的时期.
主要成果:
- 抗生素的使用减少了38.1% (IRR = 0.62,P = 0.016) 和导管相关的尿路感染减少了37.9% (IRR = 0.62,P = 0.005).
- 没有观察到有系统症状的尿路感染或与尿路感染相关的住院病例的显著增加.
- 患者对 BI 的有效性 (81%),易用性 (86%) 和整体经验 (85%) 报告了很高的患者满意度.
结论:
- 自来水膀灌 (BI) 是一种安全,有效和患者友好的替代方案,用于治疗尿路导管患者的复发性尿路感染.
- BI显著减少了抗生素的使用和尿路感染的发生率,为尿路感染管理提供了一种有价值的非药物治疗方法.
- 易于实施和高患者满意度凸显了BI作为泌尿器科护理中的补充策略的潜力.
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