Clinical analysis and nursing care of urinary tract infections in elderly patients of gynecology department after ovarian cancer surgery

OBJECTIVE To investigate the characteristics and predisposing factors of the urinary tract infections(UTI)in the elderly female patients so as to guide the clinical treatment and nursing and reduce the incidence of urinary tract infections.METHODS A total of 136 cases of patients,who underwent the ovarian cancer surgery in the hospital from Jan 2008 to Dec 2011,were enrolled in the study,and the risk factors associated with the urinary tract infections were analyzed.RESULTS Of totally 136 patients investigated,the urinary tract infections occurred in 49 cases of patients with the incidence rate of 36.03%;the urinary tract irritation was the predominant clinical performance with the positive rate of 57.14%.Of totally 49 strains of pathogens isolated,there were 25(51.02%) strains of gram-positive cocci,23(46.94%) strains of gram-negative bacilli,and 1(2.04%) strain of fungi.The comparative study of the urinary tract infection patients and the non-urinary tract infection patients concluded that the incidence of urinary tract infections after the ovarian cancer surgery was related to the urineremain induced by the primary disease,frequency of catheterization,long-term caththeter indwelling,and underlying diseases,the difference was statistically significantc(P0.05).CONCLUSION It is an effective way to reduce the incidence of the urinary tract infections after the ovarian cancer surgery to strengthen the nursing of the catheter indwelling,control the time of catheterization,strictly implement the aseptic techniques,advocate the physiological bladder irrigation,and intensify the mental nursing.