การป้องกันการติดเชื้อในระบบทางเดินปัสสาวะที่สัมพันธ์กับการคาสายสวนปัสสาวะ

Main Article Content

วงเดือน สุวรรณคีรี
อรพิน จุลมุสิ

บทคัดย่อ

 ผู้ป่วยที่มีข้อบ่งชี้จำเป็นในกำรคำสำยสวนปัสสำวะมีควำมเสี่ยงสูงในกำรติดเชื้อในระบบทำงเดิน
ปัสสำวะ ซึ่งเป็นดัชนีชี้วัดคุณภำพกำรดูแลผู้ป่ วยที่สำคัญของโรงพยาบาล การป้องกันการติดเชื้อในระบบทำง
เดินปัสสำวะที่สัมพันธ์กับการคำสายสวนปัสสำวะที่ครอบคลุมทุกองค์ประกอบที่เกี่ยวข้องกับการติดเชื้อจึง
เป็นสิ่งสำคัญบุคลากรทำงการแพทย์ โดยเฉพาะพยาบาลต้องมีความรู้ ความเข้ำใจอยำงถูกต้องในกำรดูแลผู้ป่ วย
ที่คำสำยสวนปัสสำวะที่สำคัญได้แก่ กลไกกำรเกิดกำรติดเชื้อ เกณฑ์ในกำรวินิจฉัยกำรติดเชื้อ และปัจจัยที่
เกี่ยวข้องกับการติดเชื้อ ตลอดจนโรงพยาบาลต้องกำหนดแนวปฏิบัติเพื่อป้องกันการติดเชื้อดังกล่ำวที่ชัดเจน
กับการติดตามกำรปฏิบัติตำมแนวทำงที่กำหนดเพื่อเพิ่มความปลอดภัยของผู้ป่วย และลดควำมเสี่ยงต่อกำรติดเชื้อ

Article Details

รูปแบบการอ้างอิง
สุวรรณคีรี ว. ., & จุลมุสิ อ. . (2023). การป้องกันการติดเชื้อในระบบทางเดินปัสสาวะที่สัมพันธ์กับการคาสายสวนปัสสาวะ. NU Journal of Nursing and Health Sciences, 17(2), 1–14. สืบค้น จาก https://he01.tci-thaijo.org/index.php/NurseNu/article/view/260297
ประเภทบทความ
บทความวิจัย

เอกสารอ้างอิง

Anggi, A., Wijaya, D. W., & Ramayani, R. (2019). Risk

factors for catheter-associated urinary tract infection

and uropathogen bacterial profile in the intensive

care unit in hospital in Medan, Indonesia. Journal

of Medical Sciences, 7(20), 3488-3492.

Anothayanonth, Y. (2020). Factors that affecting

catheter-associated urinary tract infection in tertiary

hospital. Journal of the Police Nurses, 12(1), 48-57.

[In Thai].

Atkins, L., Sallis, A., Chadborn, T., Shaw, K., Schneider,

A., Hopkins, S.,…& Lorencatto, F. (2020).

Reducing catheter-associated urinary tract infections:

a systematic review of barriers and facilitators and

strategic behavioral analysis of interventions.

Implementation Science, 15(44), 1-22.

Bamrasnaradura Infections Diseases Institute. (2018).

Handbook for hospital acquired infection diagnosis.

Bangkok: Aksorn Graphic and Design. [In Thai].

Bamrasnaradura Infections Diseases Institute. (2020).

Guideline for the prevention and control of hospital

acquired infections. Bangkok: Aksorn Graphic and

Design. [In Thai].

Carlsson, M., Haglin, L., Rosendahl, E., & Gustafson,

Y. (2013). Poor nutrition status is associated with

urinary tract infection among older people living in

residential care facilities. The Journal of Nutrition,

Health & Aging, 17(2), 186-171.

Centers for Diseases Control and Prevention (CDC).

(2012) Principles of Epidemiology in Public Health

Practice: An Introduction to Applied Epidemiology

and Biostatistics. (3rd ed). Retrieved 10 January 2023

from https://www.cdc.gov/ophss/csels/dsepd/ss1978/

lesson1/section8.html Chenoweth, C. E. (2021).

Urinary tract infections 2021 update. Infect Dis

Clin N Am, 35(2021), 857-870.

Chomkerd, T., Phanpanich, W., & Menaphol, S. (2019).

Histological alterations of the urinary tract infection

by Escherichia coli from urinary catheter. Srinagarind

Med Journal, 34(4), 406-413. [In Thai].

Damani, N. (2016). Prevention of catheter-associated

urinary tract infections. United Kingdom:

International Federation of Infection Control.

Dudeck, M. A., Edwards, J. R., Allen-Bridson, K., Gross,

C., Maipiedi, P. J., Peterson, K. D.,…& Sievert, D.

W. (2015). National Healthcare Safety Network

(NHSN) report, data summary for 2013, deviceassociated module. American Journal of Infection

Control, 43(3), 206-221.

Gould, C. V., Umscheid, C. A., Agarwal, R. K., Kuntz,

G., & Pegues, D. A. (2019). Healthcare Infection

Control Practices Advisory Committee (HICPAC):

guideline for prevention of catheter-associated

urinary tract infections 2009. Retrieved March 26,

, from https://www.cdc.gov/infectioncontrol/

pdf/guidelines/cauti-guidelines-H.pdf

Hariati, H., Suza, D. E., & Tarigan, R. (2019). Risk

factors analysis for catheter-associated urinary tract

infection in Medan, Indonesia. Journal of Medical

Sciences, 7(19), 3189-3194.

Hollenbeak, C. S., & Schilling, A. L. (2018). The

attributable cost of catheter-associated urinary tract

infections in the United States: A systematic review.

American Journal of Infection Control, 46(7), 751-

Huang, K., Liang, J., Mo, T., Zhou, Y., & Ying, Y. (2018).

Does periurethral cleaning with water prior to

indwelling urinary catheterization increase the risk

of urinary tract infections? A systematic review and

meta-analysis. American Journal of Infection Control,

, 400-405.

Kotikula, I., & Chaiwarith, R. (2018). Epidemiology of

catheter-associated urinary tract infections at Maharaj

Nakorn Chiang Mai Hospital, Northern Thailand.

Southeast Asian J Trop Med Public Health, 49(1),

-122.

Lacovelli, V., Gaziev, G., Topazio, L., Bove, P.,

Vespasiani, G., & Agro, E. F. (2014). Nosocomial

urinary tract infections: a review. Urologia, 81(4),

-227.

Letiga-Kriegel, A. S., Salmasian, H., Vawdrey, D.,

Yourgerman, B. E., Green, R. A., Furuya, E. Y.,…&

Perotte, R. (2019). Identify the risk factors for

catheter-associated urinary tract infections: a large

cross-sectional study of six hospitals. MBJ Open, 9,

-7.

Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X.

(2018). Risk factors for catheter-associated urinary

tract infection among hospitalized patients: A

systematic review and meta-analysis of observational

studies. J Adv Nurs, 75, 517-527.

Ling, M. L., Kong, C. H., Apisarnthanarak, A., Jaggi, N.,

Harrinton, G., & Fong, S. M. (2022). Asia Pacific

Society of Infection Control (APSIC) guide for

prevention of catheter-associated urinary tract

infections (CAUTIs). Retrieved June 26, 2022, from

https://apsic-apac.org/wp-content/uploads/2022/06/

APSIC-CAUTI-guidelines-2022.pdf

Lo, E., Nicolle, L. E., Coffin, S. E., Gould, C., Maragakis,

L. L., Meddings, J.,...& Yokoe, D.S. (2014).

Strategies to prevent catheter-associated urinary tract

infections in acute care hospitals: 2014 update.

Infection Control and Hospital Epidemiology, 35(5),

-479.

Maki, D. G., & Tambyah, P. A. (2001). Engineering out

the risk for infection with urinary catheters.

Engineering Infectious Diseases, 7(2), 342-347.

Mclellan, L. K., & Hunstad, D. A. (2016). Urinary tract

infection: Pathogenesis and outlook. Trends Mol

Med, 22(11), 946-957.

Mohammed, O., Gedamu, S., Birrie, E., Seid, A., Dires,

A., & Goshiye, D. (2022). Knowledge, practice and

associated factors of health care workers on

prevention of catheter-associated urinary tract

infections in South Wollo Zone Public Hospitals,

Northeast Ethiopia. Infection and Drug Resistance,

, 5729-5739.

National Healthcare Safety Network (NHSN). (2022).

Urinary tract infection (Catheter-associated urinary

tract infection (CAUTI) and non-catheter-associated

urinary tract infection (UTI)) events. Retrieved 26

March 2022 from https://www.cdc.gov/nhsn/pdfs/

pscmanual/7psccauticurrent.pdf

Omer, S. A., Zahran, F. E., Ibrahim, A., Sidahmed, L.

A., Karam, G., Almuhim, F., & Soltan, S. A. (2020).

Risk factors for catheter associated urinary tract

infections (CAUTI) in medical wards and intensive

care units (ICU). Journal of Microbiology Research,

(1), 1-5.

Onsee, W., & Bunnag, S. (2016). Efficacy of silver

coated urinary catheter to prevent catheter associated

urinary tract infection in kidney transplant recipients

and immunocompromised patients. Journal of the

Nephrology Society of Thailand, 22(4), 55-61. [In

Thai].

Oumer, Y., Dadi, B. R., Seid, M., Biresaw, G., &

Manilal, A. (2021). Catheter-associated urinary tract

infection: Incidence, associated factors and drug

resistance patterns of bacterial isolations in Southern

Ethiopia. Infection and Drug Resistance, 14, 2883-

Perrin, K., Vats, A., Qureshi, A., Hester, J., Larson, A.,

Felipe, A.,…& Busl, K. (2021). Catheter-associated

urinary tract infection (CAUTI) in the NeuroICU:

Identification of risk factors and time-to-CAUTI

using a case-control design. Neurocrit Care, 34,

-278.

Pickard, R., Lam, T., MacLennan, G., Starr, K., Kilonzo,

M., McPherson, G.,…& Dow, J. N. (2012). Types

of urethral catheter for reducing symptomatic urinary

tract infections in hospitalized adults requiring shortterm catheterization: multicenter randomized

controlled trial and conic evaluation of antimicrobialand antiseptic-impregnated urethral catheter (the

CATHETER trial). Health Technology Assessment,

(47), DOI: 10.3310/hta 16470

Rosenthal, V. D., Bat-Erdene, I., Gupta, D., Belkebir, S.,

Rajhans, P., Zand, F.,…& Leblebicioglu, H. (2020).

International Nosocomial Infection Control

Consortium (INICC) report, data summary of 45

countries for 2012-2017: Device-associated module.

American Journal of Infection Control, 48, 423-432.

Temiz, E., Piskin, N., Aydemir, H., Oztoprak, N.,

Akduman, D., Celebi, G., & Kokturk, F. (2012).

Factors associated with catheter-associated urinary

tract infections and the effects of other concomitant

nosocomial infections in intensive care units.

Scandinavian Journal of Infectious Diseases, 44(5),

-349.

Touhy, T. A., & Jett, K. F. (2014). Ebersole and Hess’

gerontological nursing & healthy aging. St Louis:

Elsevier.

Umscheid, C. A., Mitchell, M. D., Doshi, J. A., Agarwal,

R., Williams, K., & Brennan, P. J. (2011). Estimating

the proportion of healthcare-associated infections

that are reasonably preventable and the related

mortality and costs. Infection Control and Hospital

Epidemiology, 32(2), 101-112.

Unahalekhaka, A., Lueang-a-papong, S., & Chitreecheur,

J. (2014). Prevention of multidrug resistant

organism infections in intensive care units.

Nonthaburi: Health Systems Research Institute. [In

Thai].

Vincitorio, D., Barbadora, P., Pennacchietti, L., Pellegrini,

I., David, S., Ponzio, E., & Prospero, E. (2014). Risk

factors for catheter-associated urinary tract infection

in Italian elderly. American Journal of Infection

Control, 42(8), 898-901.