常规导尿对妇科小手术后尿路感染率的影响。

IF 5.7 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Obstetrics and gynecology Pub Date : 2025-01-01 Epub Date: 2024-11-14 DOI:10.1097/AOG.0000000000005788
Salina Zhang, Deepasri Ananth, Lyn Haselton, Jenifer Byrnes
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引用次数: 0

摘要

本初步研究描述了在三级护理社区医院的小型妇科手术中常规单次导尿后尿路感染(UTI)的发生率。回顾了2021年以来762名患者的记录,包括宫腔镜、环形电切手术、扩张和刮除等手术。结果显示,导尿率为42.4%,与未导尿患者相比,导尿患者发生uti的比例(5.6%)显著高于未导尿患者(2.5%)。本研究提示,除非医学上有必要,否则应避免置管以降低医院感染风险。这些结果提倡重新考虑目前的做法,以加强病人护理和尽量减少可预防的尿路感染。
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Effects of Routine Catheterization on Urinary Tract Infection Rates After Minor Gynecologic Surgeries.

This pilot study describes urinary tract infection (UTI) rates after routine single catheterization during minor gynecologic surgeries at a tertiary care community hospital. Records from 762 patients from 2021 were reviewed, including procedures such as hysteroscopy, loop electrosurgical excision procedure, and dilation and curettage. Findings revealed a 42.4% catheterization rate, with a significantly higher proportion of catheterized patients having UTIs (5.6%) compared with noncatheterized patients (2.5%). This study suggests that catheterization, unless medically necessary, should be avoided to reduce nosocomial infection risk. These results advocate for reconsidering current practices to enhance patient care and minimize preventable UTIs.

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来源期刊
Obstetrics and gynecology
Obstetrics and gynecology 医学-妇产科学
CiteScore
11.10
自引率
4.20%
发文量
867
审稿时长
1 months
期刊介绍: "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.
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