대한간호학회지 (Journal of Korean Academy of Nursing)
- 제19권3호
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- Pages.249-258
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- 1989
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- 2093-758x(eISSN)
비뇨기계 병원감염 통제를 위한 실험연구 -유치도뇨관을 삽입한 환자에게 외요도구간호를 실시한 실험군과 그 대조군의 요로감염율 비교-
The Control of Catheter -associated Urinary Tract Infection : An Experimental Nursing Study -This study examined the effect of daily meatal care on the urinary tract infection rate of an experimental group.-
초록
The purpose of study was to confirm theory about the effectiveness of routine mental care on the reduction of catheter-associated urinary tract infection. The study was carried out at a university hospital from September 1,1987 to April 17, 1989 : 32 Patients with a foley -catheter were studied. The study compared the urinary tract infection rate of an experimental group with that of a control group and tested the antibiotic susceptibility of the isolated bacteria. The experimental group(16 patients) was given daily meatal care with 10% Betadine for periods ranging from 4 to 21 days. The control group(16 patients) was not given that care. The results obtained were as follows : 1. The urinary tract infection rate of the experimental group was 50.0 %, and that of the control group 43.8%. There was no significant difference between the groups. 2. Organisms isolated in the control group were bacteria 100%, and in the experimental group bacteria 50% and fungus 50%. The most common organisms of the 15 strains isolated in the total group were Staphylococcus coagulase negative (3 patients), and E-coli (3 patients). 3. Most of bacteria isolated in this study were sensitive to Norfloxacillin, but resistant to Ampicillin, Chloramphenicol, Kanamycin, Tetracycline, and Erythromycin. Hence the importance of controling catheter-associated urinary tract infections. Findings suggest the need to search for other sources of infection, further experimentation controling various sources of urinary tract infection and larger group of subjects.