Current status and research advances on catheter-associated urinary tract infection in burn patients
-
摘要: 导尿管相关尿路感染是烧伤患者常见医院感染之一,不仅延长患者住院时间、加重家庭和社会的经济负担,而且严重影响患者预后及生活质量,增加患者死亡风险。该文主要对烧伤患者导尿管相关尿路感染流行病学特点、影响因素及相关预防措施进行综述,以期引起临床医务人员的高度重视,为临床实践提供一定参考。Abstract: Catheter-associated urinary tract infection (CAUTI) is one of the common nosocomial infections in burn patients. It not only extends the length of hospital stay of patients, increases the economic burden on family and society, but also seriously affects the prognosis and quality of life of patients, increases the risk of death of patients. In this paper, the epidemiological characteristics, influencing factors, and prevention measures of CAUTI in burn patients are reviewed to draw high attention of clinical medical staff and to provide some reference for clinical practice.
-
Key words:
- Burns /
- Infection /
- Risk factors /
- Catheter-associated urinary tract infection
-
[1] KranzJ, SchmidtS,WagenlehnerF, et al. Catheter-associated urinary tract infectionsin adult patients[J]. Dtsch Arztebl Int, 2020, 117(6):83-88. DOI: 10.3238/arztebl.2020.0083. [2] 郭利民.老年监护室患者导尿管相关尿路感染病原菌及其感染危险因素研究[J].实验与检验医学,2019,37(2):198-201,214.DOI: 10.3969/j.issn.1674-1129.2019.02.011. [3] DeeterL,SeatonM,CarrougherGJ,et al.Hospital-acquired complications alter quality of life in adult burn survivors: report from a burn model system[J].Burns,2019,45(1):42-47.DOI: 10.1016/j.burns.2018.10.010. [4] JeschkeMG,van BaarME,ChoudhryMA,et al.Burn injury[J].Nat Rev Dis Primers,2020,6(1):11.DOI: 10.1038/s41572-020-0145-5. [5] DerkenneC,RonchiL,PrunetB.Management of burns[J].N Engl J Med,2019,381(12):1188.DOI: 10.1056/NEJMc1909342. [6] 吴军,唐丹,李曾慧平,等. 烧伤康复治疗学[M].北京:人民卫生出版社, 2015. [7] 罗高兴,李海胜.烧伤可被视为一种慢性疾病[J].中华烧伤与创面修复杂志,2022,38(12):1101-1104.DOI: 10.3760/cma.j.cn501225-20221010-00444. [8] 中国老年医学学会烧创伤分会.烧伤休克防治全国专家共识(2020版)[J].中华烧伤杂志,2020,36(9):786-792.DOI: 10.3760/cma.j.cn501120-20200623-00323. [9] ISBI Practice Guidelines Committee, SubcommitteeAdvisory, SubcommitteeSteering. ISBI Practice Guidelines for Burn Care, Part 2[J]. Burns, 2018, 44(7): 1617-1706. DOI: 10.1016/j.burns.2018.09.012. [10] ReidS,BrocksomJ,HamidR,et al.British Association of Urological Surgeons (BAUS) and Nurses (BAUN) consensus document: management of the complications of long-term indwelling catheters[J].BJU Int,2021,128(6):667-677.DOI: 10.1111/bju.15406. [11] Ramirez-BlancoCE,Ramirez-RiveroCE,Diaz-MartinezLA,et al.Infection in burn patients in a referral center in Colombia[J].Burns,2017,43(3):642-653.DOI: 10.1016/j.burns.2016.07.008. [12] 郑书炎,刘达恩,韦俊.严重烧伤病人尿路感染临床分析[J].广西医学,2005,27(1):44-45.DOI: 10.3969/j.issn.0253-4304.2005.01.022. [13] 张可祥, 李风. 烧伤患者泌尿系医院感染病原体调查与临床研究[J].重庆医学, 2009, 38(10): 1225-1226. DOI: 10.3969/j.issn.1671-8348.2009.10.037. [14] ZamparEF,AnamiEHT,KerbauyG,et al.Infectious complications in adult burn patients and antimicrobial resistance pattern of microorganisms isolated[J].Ann Burns Fire Disasters,2017,30(4):281-285. [15] Issler-FisherAC,FakinRM,FisherOM,et al.Microbiological findings in burn patients treated in a general versus a designated intensive care unit: effect on length of stay[J].Burns,2016,42(8):1805-1818.DOI: 10.1016/j.burns.2016.06.019. [16] 唐颖,赵春月.389例烧伤重症监护病房病例病原菌检出及耐药情况[J].华南预防医学,2021,47(12):1615-1617,1621.DOI: 10.12183/j.scjpm.2021.1615. [17] ÜnS,YılmazY,YıldırımM,et al.Investigation of prevalance and risk factors for hospital-acquired urinary tract infections in patients with severe burn injury[J].Ulus Travma Acil Cerrahi Derg,2015,21(1):57-62.DOI: 10.5505/tjtes.2015.35920. [18] KimJ,KimDS,LeeYS,et al.Fungal urinary tract infection in burn patients with long-term foley catheterization[J].Korean J Urol,2011,52(9):626-631.DOI: 10.4111/kju.2011.52.9.626. [19] HeW,WangY,WangP,et al.Intestinal barrier dysfunction in severe burn injury[J/OL].Burns Trauma,2019,7:24[2022-09-04].https://pubmed.ncbi.nlm.nih.gov/31372365/.DOI: 10.1186/s41038-019-0162-3. [20] HarpoleBG,WibbenmeyerLA,EricksonBA.Genital burns in the national burn repository: incidence, etiology, and impact on morbidity and mortality[J].Urology,2014,83(2):298-302.DOI: 10.1016/j.urology.2013.10.039. [21] JimboM,OverholtTL,CosmaGL,et al.Full thickness genital burns independently increase the odds of death among pediatric burn patients[J].J Pediatr Urol,2020,16(2):220.e1-220.e6.DOI: 10.1016/j.jpurol.2020.01.011. [22] Moins-TeisserencH,CordeiroDJ,AudigierV,et al.Severe altered immune status after burn injury is associated with bacterial infection and septic shock[J].Front Immunol,2021,12:586195.DOI: 10.3389/fimmu.2021.586195. [23] BornLJ,QuirogaLH,LagzielT,et al.Clinical outcomes in 'diabese' burn patients: a systematic review and meta-analysis[J].Burns,2022,48(2):281-292.DOI: 10.1016/j.burns.2021.04.001. [24] RayJJ,MeizosoJP,AllenCJ,et al.Admission hyperglycemia predicts infectious complications after burns[J].J Burn Care Res,2017,38(2):85-89.DOI: 10.1097/BCR.0000000000000381. [25] YangB,CaiYQ,WangXD.The impact of diabetes mellitus on mortality and infection outcomes in burn patients: a meta-analysis[J].Eur Rev Med Pharmacol Sci,2021,25(6):2481-2492.DOI: 10.26355/eurrev_202103_25411. [26] 赵旭,赵璐,严向明,等.细菌生物膜的形成与导管相关性尿路感染的关系[J].中华医院感染学杂志,2017,27(18):4154-4158.DOI: 10.11816/cn.ni.2017-172466. [27] 鲁虹言,王淑君,李方容,等.大面积烧伤患者卧翻身床尿袋放置方法的改进[J].护理学杂志,2016,31(10):66-67.DOI: 10.3870/j.issn.1001-4152.2016.10.066. [28] 中国老年医学学会烧创伤分会,中华医学会烧伤外科学分会重症学组.成人烧伤俯卧位治疗全国专家共识(2022版)[J].中华烧伤与创面修复杂志,2022,38(7):601-609.DOI: 10.3760/cma.j.cn501120-20211208-00407. [29] 霍玉萌,张海燕,尚文涵,等.三甲医院导尿管相关尿路感染现状及其与护理人力配置相关性分析[J].中国卫生质量管理,2020,27(6):72-75,80.DOI: 10.13912/j.cnki.chqm.2020.27.6.18. [30] 王淑君,李方容,鲁虹言,等.我国烧伤中心护理人力资源配置横断面调查[J].中华烧伤与创面修复杂志,2023,39(4):364-370.DOI: 10.3760/cma.j.cn501225-20220613-00231. [31] MongI,RamooV,PonnampalavanarS,et al.Knowledge, attitude and practice in relation to catheter-associated urinary tract infection (CAUTI) prevention: a cross-sectional study[J].J Clin Nurs,2022,31(1/2):209-219.DOI: 10.1111/jocn.15899. [32] 李芳,张丽娟,原丽.护士职业价值观与重度烧伤患者术后医院感染风险相关性分析[J].国际护理学杂志,2018,37(13):1763-1766.DOI: 10.3760/cma.j.issn.1673-4351.2018.13.011. [33] 中国老年医学学会烧创伤分会,中国医师协会中国创面修复科标准化建设专家委员会.烧伤科护士职业标准的全国专家共识[J].感染、炎症、修复, 2020, 21(3): 143-146. DOI: 10.3969/j.issn.1672-8521.2020.03.005. [34] LavalléeJF,GrayTA,DumvilleJ,et al.The effects of care bundles on patient outcomes: a systematic review and meta-analysis[J].Implement Sci,2017,12(1):142.DOI: 10.1186/s13012-017-0670-0. [35] Christ-LibertinC,BlackS,LatackiT,et al.Evidence-based prevent catheter-associated urinary tract infections guidelines and burn-injured patients: a pilot study[J].J Burn Care Res,2015,36(1):e1-6.DOI: 10.1097/BCR.0000000000000193. [36] HillDM,WoodGC,HickersonWL.Linezolid bladder irrigation as adjunctive treatment for a vancomycin-resistant Enterococcus faecium catheter-associated urinary tract infection[J].Ann Pharmacother,2015,49(2):250-253.DOI: 10.1177/1060028014563066. [37] LiuBG,YuanXL,HeDD,et al.Research progress on the oxazolidinone drug linezolid resistance[J].Eur Rev Med Pharmacol Sci,2020,24(18):9274-9281.DOI: 10.26355/eurrev_202009_23009. [38] PoppJA,LayonAJ,NappoR,et al.Hospital-acquired infections and thermally injured patients: chlorhexidine gluconate baths work[J].Am J Infect Control,2014,42(2):129-132.DOI: 10.1016/j.ajic.2013.08.015. [39] PallottoC,FiorioM,De AngelisV,et al.Daily bathing with 4% chlorhexidine gluconate in intensive care settings: a randomized controlled trial[J].Clin Microbiol Infect,2019,25(6):705-710.DOI: 10.1016/j.cmi.2018.09.012. [40] BoonyasiriA,ThaisiamP,PermpikulC,et al.Effectiveness of chlorhexidine wipes for the prevention of multidrug-resistant bacterial colonization and hospital-acquired infections in intensive care unit patients: a randomized trial in Thailand[J].Infect Control Hosp Epidemiol,2016,37(3):245-253.DOI: 10.1017/ice.2015.285. [41] SasakiJ, MatsushimaA, IkedaH, et al. The Japanese Society for Burn Injuries (JSBI) Clinical Practice Guidelines for Management of Burn Care (3rd Edition)[J].Acute Med Surg,2022,9(1):e739.DOI: 10.1002/ams2.739. [42] BordesJ,Le FlochR,BourdaisL,et al.Perineal burn care: French working group recommendations[J].Burns,2014,40(4):655-663.DOI: 10.1016/j.burns.2013.09.007. [43] HenmanLJ,CorriganR,CarricoR,et al.Identifying changes in the role of the infection preventionist through the 2014 practice analysis study conducted by the Certification Board of Infection Control and Epidemiology, Inc[J].Am J Infect Control,2015,43(7):664-668.DOI: 10.1016/j.ajic.2015.02.026. [44] 范一麟,郭丹,黄柯策,等.国内外感染控制专科护士培养现状及启示[J].中国感染控制杂志,2017,16(4):383-387.DOI: 10.3969/j.issn.1671-9638.2017.04.024. [45] EmaneiniM,BeigverdiR,van LeeuwenWB,et al.Prevalence of methicillin-resistant Staphylococcus aureus isolated from burn patients in Iran: a systematic review and meta-analysis[J].J Glob Antimicrob Resist,2018,12:202-206.DOI: 10.1016/j.jgar.2017.10.015. [46] AmissahNA,BuultjensAH,AblordeyA,et al.Methicillin resistant Staphylococcus aureus transmission in a Ghanaian burn unit: the importance of active surveillance in resource-limited settings[J].Front Microbiol,2017,8:1906.DOI: 10.3389/fmicb.2017.01906.
点击查看大图
计量
- 文章访问数: 168
- HTML全文浏览量: 34
- PDF下载量: 46
- 被引次数: 0