Risk Factors of Urinary Tract Infection in Inpatients with Spinal Cord Injury:A Retrospective Study
Objective To explore the risk factors of urinary tract infection(UTI)in inpatients with spinal cord injury(SCI),and to provide reference for early and rapid identification of high-risk patients and early implementation of nursing intervention.Methods The clinical data of 308 SCI patients admitted to the Rehabilitation Department of a tertiary A hospital from January 2018 to August 2023 were retrospectively analyzed,and they were divided into UTI group and non-UTI group according to whether or not they developed UTI during hospitalization.The general information,spinal cord injury,urination mode and comorbiditions,laboratory test results and other indicators of patients in the two groups were analyzed.Binary Logistic regression analysis was used to screen the risk factors of UTI in patients with SCI during hospitalization.Results Among the 308 patients with SCI,62(20.13％)developed a UTI during hospitalization.There were significant differences in education level,injury degree,bulbar cavernous reflex,DVT at admission,anemia at admission,and urination mode between the two groups(all P＜0.05).Regression analysis showed that indwelling catheterization,DVT and the disappearance of bulbar cavernous reflex were the main factors affecting the incidence of UTI in SCI inpatients(all P＜0.05).Conclusion The incidence of UTI in SCI inpatients is high.Nursing staff should pay special attention to patients with indwelling catheterization and disappearance of DVT and bulbar cavernous reflex at admission,and take preventive measures to effectively reduce nosocomial infection.
万方数据
维普
