王俊, 程天一, 闻婕, 凌枫, 王林创. 产ESBLs大肠埃希菌致社区住院患者尿路感染的危险因素分析[J]. 上海预防医学, 2015, 27(12): 749-752.
引用本文: 王俊, 程天一, 闻婕, 凌枫, 王林创. 产ESBLs大肠埃希菌致社区住院患者尿路感染的危险因素分析[J]. 上海预防医学, 2015, 27(12): 749-752.
WANG Jun, CHENG Tian-yi, WEN Jie, LING Feng, WANG Lin-chuang. Risk factors analysis on urinary tract infection by ESBL-producing E coliamong inpatients in community hospital[J]. Shanghai Journal of Preventive Medicine, 2015, 27(12): 749-752.
Citation: WANG Jun, CHENG Tian-yi, WEN Jie, LING Feng, WANG Lin-chuang. Risk factors analysis on urinary tract infection by ESBL-producing E coliamong inpatients in community hospital[J]. Shanghai Journal of Preventive Medicine, 2015, 27(12): 749-752.

产ESBLs大肠埃希菌致社区住院患者尿路感染的危险因素分析

Risk factors analysis on urinary tract infection by ESBL-producing E coliamong inpatients in community hospital

  • 摘要: 目的 分析社区住院尿路感染患者尿培养中产超广谱β-内酰胺酶(ESBLs)大肠埃希菌的检出情况及其相关危险因素。方法 回顾性分析中段尿培养为大肠埃希菌的169例社区住院尿路感染患者的临床资料,进行ESBLs检测,用logistic回归分析产ESBLs大肠埃希菌致社区住院患者尿路感染的危险因素。结果 单因素分析结果显示,ESBLs组和非ESBLs组的前列腺增生、住院天数、留置导尿、应用第三代头孢菌素等情况差异均有统计学意义(P值均<0.05)。logistic回归分析结果显示,留置导尿(OR=4.546)、应用第三代头孢菌素(OR=4.361)是产ESBLs大肠埃希菌致社区住院患者尿路感染的危险因素。结论 留置导尿、应用第三代头孢菌素的社区住院患者更容易发生产ESBLs大肠埃希菌引起的尿路感染,应对存在上述危险因素的患者重点关注,严格掌握留置导尿指征和合理应用第三代头孢菌素,以减少社区住院患者产ESBLs大肠埃希菌尿路感染的发生。

     

    Abstract: Objective To analyze the detection of ESBLs-producing Escherichia coli by urine culture and its related risk factors in inpatients with urinary tract infection in community hospital.Methods Retrospective analysis was done on clinical data from 169 inpatients with urinary infection whose midstream urine culture was discovered with Escherichia coli, then ESBLs were detected in all of the patients, and risk factors were analyzed by logistic regression analysis in urinary tract infection caused by ESBLs-producing Escherichia coli.Results Univariate analysis showed that the differences were found to be statistically significant in benign prostatic hyperplasia, number of hospitalization days, indwelling catheterization, use of the third generation cephalosporins between ESBLs group and non ESBLs group (P<0.05). Logistic regression analysis showed that indwelling catheterization (OR=4.546) and use of the third generation cephalosporins (OR=4.361) were risk factors for urinary infection by ESBLs-producing Escherichia coli.Conclusion Patients who used catheterization and the third generation cephalosporins were more susceptible to ESBLs-producing Escherichia coli, so we should pay more attention to patients with the risk factors mentioned above, use catheterization carefully and the third generation cephalosporins rationally, so as to reduce the incidence of urinary tract infection by ESBLs-producing Escherichia coli.

     

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