Rates of bacteriuria in laboring women with epidural analgesia: continuous vs intermittent bladder catheterization
Rates of bacteriuria in laboring women with epidural analgesia: continuous vs intermittent bladder catheterization
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DOI：
10.1016/j.ajog.2012.02.018
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发表时间：
2012-04-01
影响因子：
9.8
通讯作者：
Bartholomew, Marguerite Lisa
中科院分区：
文献类型：
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作者：
Millet, Lauren;Shaha, Steve;Bartholomew, Marguerite Lisa
目的：比较硬膜外持续留置导尿术(IC)和持续留置导尿术(CIF)在硬膜外镇痛分娩妇女中菌尿率的差异。研究设计：160名产妇接受IC或CIF的随机、非盲法试验。在硬膜外放置时取一次导尿管尿培养。出院时进行第二次导尿或排尿培养。结果：根据美国疾病控制中心(CDC)和美国传染病学会(IDSA)的定义，比较CIF和IC的菌尿率。结果：对146名女性样本进行分析。两组之间的随机性、人口学和劳动特征没有显著差异；5.48%的样本符合疾控中心的菌尿标准，17.8%的样本符合IDSA标准。在IC组中，7例(8.9%)符合CDC的菌尿标准，18例(22.8%)符合IDSA的菌尿标准。在CIF组，1例(1.5%)符合CDC标准，8例(12.1%)符合IDSA标准。在所有分娩、所有阴道分娩和自然阴道分娩中，IC组的菌尿率均显著高于CIF组(P<；0.05)。结论：与CIF相比，IC组的菌尿率显著高于CIF组。
OBJECTIVE: The purpose of this study was to compare the rates of bacteriuria in laboring women with epidural analgesia with the use of intermittent bladder catheterization (IC) vs continuous indwelling Foley catheterization (CIF).STUDY DESIGN: We conducted a randomized, nonblinded trial in which 160 laboring women received IC or CIF. An initial catheterized urine culture was taken at the time of epidural placement. A second catheterized or voided culture was taken at discharge. Results were analyzed to compare bacteriuria rates between CIF and IC with the use of the Center for Disease Control (CDC) and Infectious Disease Society of America (IDSA) definitions.RESULTS: Samples from 146 women were analyzed. Randomization, demographics, and labor characteristics were not significantly different between groups; 5.48% of the samples met CDC criteria for bacteriuria, and 17.8% of the samples met IDSA criteria. In the IC group, 7 samples (8.9%) met CDC criteria for bacteriuria, and 18 samples (22.8%) met IDSA criteria for bacteriuria. In the CIF group, 1 sample (1.5%) met CDC criteria, and 8 samples (12.1%) met IDSA criteria. There was a significantly higher rate of bacteriuria by both criteria in the IC group among all deliveries, all vaginal deliveries, and spontaneous vaginal deliveries (P < .05).CONCLUSION: Compared with CIF, IC was associated with significantly higher rates of bacteriuria.