Analysis of risk factors and nursing strategies of catheter-associated urinary tract infection in intensive care unit
重症监护室患者导尿管相关性尿路感染的危险因素及护理对策分析

摘要

目的 本研究旨在探讨重症监护室（ICU）患者导尿管相关性尿路感染（CAUTI）的主要危险因素，并提出相应的护理对策。方法 本研究回顾性分析了2023年12月至2024年12月期间，我院ICU收治的100例患者的临床资料。其中，将发生CAUTI的33例患者纳入观察组，将未发生CAUTI的67例患者纳入对照组。对患者资料，采用单因素分析和Logistic回归分析，探讨CAUTI的主要危险因素，并提出针对性的护理对策。结果 慢性疾病、尿管插管次数和留置尿管时间是ICU患者发生CAUTI的独立危险因素。结论 ICU患者发生CAUTI的主要危险因素包括慢性疾病、尿管插管次数和留置尿管时间。通过实施科学的护理对策，可有效降低ICU患者CAUTI的发生率。

Abstract

Objective This study was to investigate the main risk factors of catheter-associated urinary tract infection (CAUTI) in intensive care unit (ICU) patients, and to propose corresponding nursing strategies.
Methods This study retrospectively analyzed the clinical data of 100 patients admitted to the ICU of our hospital from December 2023 to December 2024. Among them, 33 patients with CAUTI were included in the observation group and 67 patients without CAUTI were included in the control group. Using univariate analysis and Logistic regression analysis, the main risk factors of CAUTI were discussed, and the corresponding nursing countermeasures were put forward.
Results Chronic disease, catheterization times and catheter retention time were independent risk factors for CAUTI in ICU patients.
Conclusion   The main risk factors for CAUTI in ICU patients include chronic disease, catheterization times and catheter indentation time. Through the implementation of scientific nursing countermeasures, the incidence of CAUTI in ICU patients can be effectively reduced.