導尿管相關泌尿道感染之管制策略

An Infection-control Strategy for Catheter-associated Urinary Tract Infection

泌尿道感染是醫療照護中常見的問題之一，大部分的泌尿道感染與留置導尿管有關，嚴重的泌尿道感染可能引發全身性感染，導致延長住院天數或增加醫療成本的支出。通常留置導尿管造成泌尿道感染的重要危險因素可分為病人因素和導尿管因素，尤其是導尿管留置時間為最重要的影響因素。從各不同機構的導尿管相關泌尿道感染指引中，可以比較各指引建議強度之一致性與差異性，以做為擬定政策和教育訓練之參考。

Urinary tract infections (UTIs) are common in health care. Most UTIs are caused by indwelling urinary catheters. Severe UTIs may lead to systemic infections, prolonged hospital stays, and increased health care expenditures. The important risk factors of catheter-associated UTI can be categorized into patient factors and catheter factors, particularly duration of indwelling urinary catheterization. Based on infection-control guidelines for catheter-associated UTIs from different institutions, the differences in consistency and intensity can be compared in order to formulate policies and education trainings.