摘要
目的探讨经过尿道利用2μm激光进行前列腺切除术后的尿路感染的临床特点以及感染的原因分析,为降低前列腺切除术后发生的尿路感染提供参考依据。方法选取2011年8月-2013年8月250例前列腺增生需行2μm激光前列腺切除术的患者进行试验研究,术后第4天采集患者的尿液进行病原菌培养,将试验所得的尿路感染发生率进行对比分析,数据采用SPSS 14.0软件进行统计分析。结果 250例患者术后有55例患者发生感染,感染率为22.0%;共检出57株病原菌,以革兰阴性菌为主,共31株占54.4%;logistic回归分析结果显示,年龄≥65岁、导尿管的留置时间≥3d、合并有糖尿病等及出现引流不佳是术后尿路感染的独立危险因素(P<0.05)。结论经尿道2μm激光进行前列腺切除术后,虽然预防性的应用抗菌药物,但是尿路感染的发生率仍然较高,应采取相应措施加以控制。
OBJECTIVE To explore the clinical characteristics of postoperative urinary tract infections in the patients undergoing transurethral 2 μm‐laser prostatectomy and investigate the causes of the infections so as to reduce the incidence of urinary tract infections after the prostatectomy .METHODS A total of 250 patients with benign prosta‐tic hyperplasia who underwent the 2μm‐laser prostatectomy from Aug 2011 to Aug 2013 were enrolled in the stud‐y ,then the urine specimens were collected for the culture of pathogens on day 4 of the surgery ,the incidence of the urinary tract infections was observed and compared ,and the statistical analysis was performed with the use of SPSS14 .0 software .RESULTS The postoperative infections occurred in 55 of 250 patients ,with the infection rate of 22 .0% .Totally 57 strains of pathogens have been isolated ,of which 54 .4% （31 strains） were the gram‐nega‐tive bacteria .The results of the logistic regression analysis indicated that the no less than 65 years of age ,catheter indwelling time no less than 3 days ,complication of diabetic mellitus ,and poor drainage were the independent risk factors for the postoperative urinary tract infections （P〈0 .05） .CONCLUSION Although the antibiotics prophy‐laxis is applied after the transurethral 2 μm‐laser prostatectomy ,the incidence of the urinary tract infections re‐mains high ,and it is necessary to take the control measures .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第15期3522-3524,共3页
Chinese Journal of Nosocomiology
基金
湖北省自然科学基金资助项目(71128312)
关键词
前列腺增生
前列腺切除术
尿路感染
Benign prostatic hyperplasia
Prostatectomy
Urinary tract infection
