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摘要: 耻骨上膀胱造瘘是一种常用的膀胱引流方法。与其他膀胱引流方法一样，耻骨上膀胱造瘘管引起的导管相关性感染很常见，且几乎无法避免。尽管目前已有许多研究进行了比较，耻骨上膀胱造瘘管与其他膀胱引流方法在控制导管相关性感染方面的优劣仍存在争议。此外，耻骨上膀胱造瘘相关性感染的病原菌谱和危险因素对于指导用药和护理、降低其相关性感染发生率至关重要，但目前在这方面的研究较少。本文将既往发表的相关研究作一综述，以期对留置耻骨上膀胱造瘘管引起的相关性感染有一个更深入的认识。Abstract: Suprapubic catheter is a commonly used method of bladder drainage. Like other bladder drainage methods, catheter-associated bacteriuria caused by suprapubic catheter is very common and almost unavoidable. Although there have been many studies that have compared it, the advantages and disadvantages of suprapubic catheter and other bladder drainage methods in decreasing catheter-associated bacteriuria are still controversial. In addition, the pathogen spectrum and risk factors of suprapubic catheter associated bacteriuria are essential for guiding medication and care, also for reducing the incidence of suprapubic catheter associated bacteriuria. This article will review the studies about suprapubic catheter associated bacteriuria.
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表 1 对比SPC和IDC的CAB研究
第一作者 发表年份 前瞻性/回顾性 病例类型 导管留置时间 SPC IDC CAB CA-UTI CAB CA-UTI Kringel U [2] 2010 前瞻性 阴道前壁修补术 短期 96 h组：3.1%(1/32) 96 h组：0(0/32) 24 h组：27.0%(27/100)；96 h组：25.0%(25/100) 24 h组：2.0%(2/100)；96 h组：6.0%(6/100) Perrin LC [14] 1997 前瞻性 直肠手术 短期 14.3%(7/49) N/A 32.2%(19/59) N/A Sethia KK [13] 1987 前瞻性 普外科手术 短期 6.3%(2/32) N/A 47.1%(16/34) N/A Dinneen MD [15] 1990 回顾性 主动脉手术 短期 8.1%(7/86) N/A 35.6%(16/45) N/A Horgan AF [16] 1992 回顾性 急性尿储留 长期 17.9%(10/56) N/A 40.0%(12/30) N/A Harke N [17] 2018 前瞻性 前列腺癌根治术 短期 5.3%(3/57) N/A 10.1%(8/79) N/A Stekkinger E [18] 2011 前瞻性 阴道膨出修补术 短期 9.4%(6/64) N/A 9.7%(6/62) N/A Dunn TS [19] 2005 回顾性 Burch膀胱尿道固定术 短期 1.9%(2/106) N/A 2.7%(3/111) N/A Schiøtz HA[20] 1989 前瞻性 阴道整形术 短期 21.1%(8/38) 23.7%(9/38) 12.5%(5/40) 27.5%(11/40) Hennessey DB [21] 2018 回顾性 脊髓损伤 长期 N/A 29.2%(7/24) N/A 37.9%(11/29) Krebs J [22] 2016 回顾性 神经源性下尿路功能障碍 长期 N/A 58.3%(70/120) N/A 83.3%(15/18) 注：短期为≤14 d，长期为>14 d；N/A：未进行相关研究。 
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| 引用本文: |
林家豪, 宋鲁杰. 耻骨上膀胱造瘘管相关性感染的研究进展[J]. 临床泌尿外科杂志, 2022, 37(10): 800-805. doi: 10.13201/j.issn.1001-1420.2022.10.016
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| Citation: |
LIN Jiahao, SONG Lujie. Advances in urinary tract infection associated with suprapubic catheter[J]. J Clin Urol, 2022, 37(10): 800-805. doi: 10.13201/j.issn.1001-1420.2022.10.016
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