نقش سوندگذاری مثانه حین زایمان بر بروز عفونت های ادراری پس از زایمان
کد: G-1138
نویسندگان: طلعت خدیوزاده © ℗, سارا مرادی
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Objective: This systematic review and meta-analysis study was conducted with the aim of the effect of bladder catheterization on the incidence of urinary tract infections (UTIs) in women, by investigating the potential hospital nature of these diseases. Methods: A comprehensive search was conducted in several databases, including PubMed, Cochrane Library and Scopus, on studies published up to October 2023. The primary outcome of all these studies was the frequency of UTI within the first 30 days postpartum. The risk of bias in these studies was assessed with the Newcastle-Ottawa Quality Assessment (NOS) tool. Data was analyzed using random models to calculate odds ratio (OR) with 95% confidence. Findings: In total, the data of 15 studies including 3202 participants were included in the analysis. The results showed that UTI was significantly higher in mothers who had bladder catheterization compared to mothers who had not bladder catheterization (OR=2.60, 95% CI: 1.82-3-64,). Subsequent analyzes showed that fixed catheter insertion was associated with a higher risk of infection compared to intermittent catheterization; both methods were associated with an increased risk of UTI. History of UTI during pregnancy was an important predictor of postpartum UTI. Conclusion: Due to the increased risk of nosocomial infection following bladder catheterization during or after delivery, the use of bladder catheters in delivery rooms should be minimized. Adherence to strict hygiene protocols is necessary to reduce UTI during childbirth. It is necessary to carry out more research with the aim of improving catheterization methods and investigating alternative solutions for the management of urine retention during the labor and delivery.
کلمات کلیدی
Obstetric, bladder catheterization, nosocomial infection, UTI, systematic review, meta-analysis
