卡拉奇住院病人中导尿管相关尿路感染(UTI)的发病率

Syed Rohan Ali, Moosa Abdur Raqib, Shahida Kashif, Muhammad Ashir Shafique, Abdul Haseeb, Kainat Athar, Aisha Anis
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引用次数: 0

摘要

背景:导尿管相关性尿路感染(CAUTIs)是一种常见的医疗相关性感染,造成了严重的发病率、死亡率和医疗成本的增加。研究方法这是一项横断面研究,研究对象是确诊与使用导尿管相关的尿路感染患者。样本收集时间为 2023 年 11 月至 2024 年 6 月,包括卡拉奇三级医院(即卡拉奇真纳研究生医疗中心和卡拉奇露丝-K.M.-普法医生民事医院)外科、内科和创伤科病房收治的 200 名患者。数据采用 SPSS 22 版进行分析,P 值 0.05 为显著:大多数受访者(59.5%)在插入导管后都更换过导管,主要由受过培训的护士(93.0%)更换。与高血压(56.5%)和糖尿病(44.5%)等潜在疾病有明显关联。性别差异明显,内科病例中女性居多,外科和外伤病例中男性居多(P 值为 0.017)。与年龄相关的趋势显示,55 岁以上年龄组占内科病例的主导地位,而外科和外伤病例则因年龄组而异。导管插入术中出血与UTI之间存在明显关系(P值:0.000):该研究表明,卡拉奇三级医院的 CAUTI 发病率极低,这表明医院采取了有效的措施。然而,还需要进一步研究探讨已发现的潜在风险因素,如女性性别和合并症,以制定有针对性的干预措施,降低 CAUTI 发病率,改善患者预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of catheter associated Urinary Tract Infection (UTI) in hospitalized patient in Karachi
Background: Catheter-associated urinary tract infections (CAUTIs) are a prevalent healthcare-associated infection, accounting for significant morbidity, mortality, and increased healthcare costs. Method: This is a cross-sectional study of patients diagnosed with UTI associated with catheter use. The sample was collected from November 2023 to June 2024, consisting of 200 patients admitted to the surgical, medical, and trauma wards of tertiary hospitals in Karachi, namely Jinnah Postgraduate Medical Centre Karachi and Dr. Ruth K. M. Pfau Civil Hospital Karachi. Data is analyzed using SPSS Version 22 and P-value of 0.05 considered significant. Result: The majority of respondents (59.5%) had their catheters changed since insertion, predominantly by trained nurses (93.0%). There were notable associations with underlying conditions such as hypertension (56.5%) and diabetes (44.5%). Gender differences were significant, with females leading in medical cases and males in surgical and trauma cases (p-value 0.017). Age-related trends showed the 55+ age group dominated medical cases, while surgical and trauma cases varied by age group. There was a significant relationship between bleeding during catheterization and UTI (p-value: 0.000). Conclusion: The study revealed a minimal incidence of CAUTI in Karachi's tertiary care hospitals, indicating effective practices. However, further research is needed to explore the potential risk factors identified, such as female gender and comorbidities, to develop targeted interventions for reducing CAUTI incidence and improving patient outcomes.
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