| Objective: By analyzing the risk factors and pathogens for urinary tract infection in spinal cord injury patients concurrent with urinary tract infection during the period of hospitalization, to provide a basis for preventing the urinary tract infection in spinal cord injured patients. Methods: We retrospectively analyzed the related factors and pathogens of 237 cases of spinal cord injury patients concurrent with urinary system infection treated in our department between January 2012 to October 2016. First, single-factor logistic regression was used to analyze the patients' gender, age, disease course, whether suffering from diabetes, hypertension, heart disease and other chronic diseases, whether suffering from pulmonary infection, pressure sores, electrolyte imbalance, hypoalbuminemia and other complications, whether suffering from spine fracture, whether receiving surgical treatment, early application of high-dose steroid hormone, whether taking early rehabilitation intervention, whether taking continuous indwelling catheterization, clean intermittent catheterization, sterile intermittent catheterization, suprapubic cystostomy and other treatment, whether taking perineal scrub, bladder irrigation, health education and other nursing measures, whether having complete spinal cord injury, whether in the period of spinal cord shock or recovery period and other related factors. The suspected risk factors were initially screened, and then multivariate logistic regression analysis was used to screen early spinal cord injury patients with UTI independent risk factors. Results: Age greater than 50, indwelling catheterization for 2-6 weeks, diabetes mellitus, early application of high-dose steroid hormone, spine fracture, complete injury, and shock period were the independent risk factors of urinary tract infection. Health education, and sterile intermittent catheterization were the protective factors (P<0.05). The main pathogens included Escherichia coli, followed by Klebsiella pneumoniae, Enterococcus faecalis, Enterobacter cloacae, Candida albicans. Conclusion: According to the risk factors of urinary tract infection and pathogenic bacteria in patients with spinal cord injury, it is recommended to take measures to prevent urinary tract infections. |
