TẦN SUẤT, MẦM BỆNH, CÁC YẾU TỐ NGUY CƠ VÀ QUẢN LÝ NHIỄM KHUẨN TIẾT NIỆU LIÊN QUAN TỚI ỐNG THÔNG Ở BỆNH NHÂN ĐỘT QUỴ TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objectives: to determine the prevalence, pathogens, and risk factors of catheter-associated urinary tract infections (CAUTI) in stroke patients at Huu Nghi Hospital and (2) to evaluate nursing interventions used to reduce the risks of catheter-associated urinary tract infections in stroke patients. Methods: A prospective study was performed on 119 stroke patients undergoing urinary catheterization at Huu Nghi Hospital, patients were followed up throughout the admission period. Results: Prevalence of CAUTI in stroke patients at the hospital was 34/119 (28.57%). The most common pathogens of CAUTI in stroke patients were E. coli (46.15%), Candida albicans (23.07%), K. pneumoniae (15.38%) and P. aeroginosa (15,38%). The most important risk factors for CAUTI in stroke patients may include: Age ≥80 years old (61,76 %), female gender (7/19, 27.00%), diabetes mellitus (5/34, 14.70%), stroke severity, prolonged catheterization time ≥7 days, and prolonged length of hospital stay (>1 day). Nursing interventions used to reduce the risks of catheter-associated urinary tract infections may include: Proper insertion and maintenance, insert and remove catheters only for appropriate indications, perform hand hygiene, insert catheters using aseptic technique, properly secure indwelling catheters and maintain a closed drainage system. Conclusion: Prevalence of CAUTI in stroke patients at Huu Nghi Hospital was still high