某三级医院尿路感染及其危险因素分析

Jehanzeb Akram, Muhammad Hammad Ur Rehman Aslam, Q. Ain, T. Khan, Madeeha Mumtaz, Somia Bibi
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摘要

背景:尿路感染(UTI)是世界范围内常见的健康问题,有几个因素使人们易患尿路感染。目的:了解尿路感染的发生率及相关因素。材料和方法:本横断面研究在巴基斯坦拉瓦尔品第一家三级医院的205例患者中进行。采用简单方便的抽样和确定的纳入和排除标准来选择参与者。在获得所有参与者的知情同意后,通过自行设计的形式获取数据。数据分析采用SPSS版本25进行。采用卡方检验检验尿路感染与易感因素的关系。p值小于0.05为有统计学意义。结果:尿路感染发生率为12.68%。尿路感染与年龄(p=0.003)、性别(p=0.001)、婚姻状况(p=0.004)、文化程度(p=0.0001)、社会经济状况(p=0.005)、尿路感染史(p=0.0002)、尿路感染家族史(p=0.0004)、尿路结石史(p=0.003)、近期使用抗生素史(p=0.04)、导尿史(p=0.001)、外生殖器卫生状况(p=0.0005)、尿路感染的相关性显著。性生活频率(p=0.04)、糖尿病史(p=0.002)、水合状态(p=0.0007),尿路感染与憋尿的相关性不显著(p=0.05)。结论:尿路感染的发病率高人口研究中。可能导致尿路感染的危险因素有:年轻、女性、已婚婚姻状况、受教育程度低、社会经济地位低、既往尿路感染史、家族史、尿路结石史、近期使用抗生素史、导尿史、外生殖器卫生状况差、性交频率高、糖尿病史、脱水。建议:人们应该了解泌尿道感染及其原因和预防。人们在服用抗生素或患有糖尿病时也应特别小心,以防止尿路感染。人们在导尿和性交时应保持卫生。人们应该保持水分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Urinary Tract Infection and Its Risk Factors in a Tertiary Care Hospital
Background: Urinary tract infection (UTI) is common health issue all over the world and several factors predispose the people to urinary tract infection. Objective: The study aimed at determining the incidence of Urinary tract infection and factors associated with it. Material and Methods: This cross-sectional study was performed among 205 patients in a tertiary care hospital of Rawalpindi, Pakistan. Simple convenient sampling and an established inclusion and exclusion criteria was applied to select the participants. After obtaining the informed consent from all participants, data was acquired via a self-designed proforma. Data analysis was carried out through SPSS version 25. Chi square test was applied to check the association between urinary tract infection and predisposing factors. The p-value less than 0.05 was taken as statistically significant. Results: The incidence of urinary tract infection was 12.68%. Urinary tract infection was significantly associated age group (p=0.003), gender (p=0.001), marital status (p=0.004), educational status (p=0.0001), socioeconomic status (p=0.005), previous history of UTI (p=0.0002), family history of UTI (p=0.0004), history of stone in urinary tract (p=0.003), history of recent use of antibiotics (p=0.04), history of catheterization (p=0.001), hygienic condition of external genitalia (p=0.0005), frequency of intercourse (p=0.04),  history of diabetes mellitus (p=0.002), and hydration status (p=0.0007), whereas, association of urinary tract infection with holding urine was insignificant (p=0.05). Conclusion: The incidence of urinary tract infection was high among research population. Risk factors that could lead to UTI were young age, female gender, married marital status, lower educational status, lower socioeconomic status, previous history of UTI, family history of UTI, history of stone in urinary tract, history of recent use of antibiotics, history of catheterization, poor hygienic condition of external genitalia, high frequency of intercourse, history of diabetes mellitus, and dehydration. Recommendations: People should be educated about the UTI and its causes and prevention. People should also take special care when they are on antibiotics or when they are diabetics, to prevent UTI. People should maintain hygiene when they are catheterized and during intercourse. People should stay hydrated.
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