導尿管相關之泌尿道感染預防

Prevention of Catheter-associated Urinary Tract Infection

從1981年開始，陸續有文獻討論「如何診斷，預防及處理導尿管相關之泌尿道感染」議題，包含無症狀菌尿症及有症狀的泌尿道感染。美國感染症學會（IDSA）的專家根據文獻整理出造成導尿管相關泌尿道感染因素及如何減少導尿管相關泌尿道感染的方法，「導尿管相關菌尿症」是最常見的醫療照護相關感染的主因，這個議題是每個醫療機構都應該要重視。同時也澄清過去一些模稜兩可用來降低導尿管相關之菌尿症及泌尿道感染的方法。

Catheter-associated (CA) bacteriuria is the most common healthcare-associated infection worldwide and results from the widespread use of urinary catheterization, much of which is inappropriate, in hospitals and long-term care facilities (LTCFs). Since 1981, many studies in the literature have frequently discussed the guidelines for the diagnosis, prevention, and management of patients with CA urinary tract infection (CA-UTI), both symptomatic and asymptomatic. Experts from the Infectious Disease Society of America (IDSA) have collected information from this literature and analyzed the cause of CA-UTI, and according to the obtained evidence, how its incidence can be reduced. These IDSA guidelines are intended for use by physicians in all medical specialties who carry out direct patient care, with emphasis on the care of patients in hospitals and LTCFs. The guidelines also clarify previous ambiguous points to reduce the incidence of CA-UTI.