首页> 外文期刊>Nursing of intrgrated traditional Chinese and Western medicine(Zhong-Xiyi Jiehe Huli ) >经直肠超声行前列腺穿刺活检诱发尿路感染的原因及护理
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经直肠超声行前列腺穿刺活检诱发尿路感染的原因及护理

机译:经直肠超声行前列腺穿刺活检诱发尿路感染的原因及护理

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Abstract:Objective To investigate the potential risk factors of urinary tract infection(UTI)caused by transrectal ultrasound(TRUS)guided prostate biopsy, and provide related nursing measures. Methods A retrospective analysis based on 102 prostate cancer patients undergoing transrectal ultrasound(TRUS)guided prostate biopsy was carried out. Patients were divided into the infected and the uninfected group. Multivariable logistic regression analysis was performed to investigate the potential factors of UTI. The relationship between time of using antibiotic and treatment effect(level of urinary-leukocyte)was illustrated by the curve. Results In 102 patients who underwent biopsy, 15 patients(14.71%)with symptoms of UTI. There were 14 strains of pathogenic bacteria detected by UC and bacteria identification, in which gram-negative bacteria accounting for 11 cases, including 9 cases of e. coli. Multivariate analysis showed that history of urinary tract infection, merging, infections of the prostate, age70, preoperative use of antibiotics, indwelling catheter time 4 days were correlated with postoperative UTI(P0.05). The treatment effect on 15 patients appeared a downward trend with time prolonging. Conclusion In the process of UTI after biopsy, escherichia coli.plays an important role in pathogenic bacteria. And people have a history of UTI, infections of the prostate, age 70 years old, didn’t use of antibiotics previously, with indwelling urethral tube time 4 days have higher risk of suffering UTI. It is required to carry out antibiotic therapy to control the condition.
机译:摘要:目的探讨经直肠超声(TRUS)引导下前列腺穿刺活检引起尿路感染(UTI)的潜在危险因素,并提供相关的护理措施。方法对102例经直肠超声(TRUS)引导的前列腺癌患者进行回顾性分析。将患者分为感染组和未感染组。进行多变量logistic回归分析以调查尿路感染的潜在因素。曲线说明了抗生素使用时间与治疗效果(尿白细胞水平)之间的关系。结果102例行活检的患者中,有15例(14.71%)出现尿路感染症状。通过UC和细菌鉴定共检出14株致病菌,其中革兰阴性菌11例,其中大肠杆菌9例。大肠杆菌。多因素分析显示尿路感染史,合并,合并前列腺感染,年龄> 70岁,术前使用抗生素,留置导管时间> 4天与术后尿路感染相关(P <0.05)。随着时间的延长,对15例患者的治疗效果呈下降趋势。结论在活检后的尿路感染中,大肠杆菌在致病菌中起重要作用。而且人们有UTI病史,前列腺感染,年龄> 70岁,以前没有使用抗生素,尿道留置时间超过4天的人患UTI的风险更高。需要进行抗生素治疗以控制病情。

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