Chateter-associated Urinary Tract Infections in Adults

Abstract

Introduction:Hospital-acquired Urinary tract infections make 35% of all the hospital-acquired infections, and about 80% of them are related to the catheterization of the urinary bladderPurpose:To determine clinical characteristics and dominant etiologic factors of Urinary Tract Infections associated with urinary catheter (C-UTIs).Methods:Determined clinical characteristics of C-UTIs were prospectively analyzed on 38 hospitalized patients in the Clinic for Infectious Diseases at the University Clinical Centre Tuzla, from January 1st 2011 to December 31st 2011. The control group constituted of 200 patients with community-acquired Urinary Tract Infections (Co-UTIs) hospitalized in the same period.Results:It was registered on 22 (57.89%) of symptomatic infections, 14 (36.84%) asymptomatic bacteriuria and 2 (5.26%) other C-UTIs. Dominant etiologic factors were: E. coli, caused 14 (36.84%), Extended-Spectrum Beta-lactamase producing (ESBL) Klebsiella pneumoniae 7 (18.42%), Enterococcus faecium and Candida spp. 3 (7.89%) of C-UTIs. E. coli was significantly most common etiologic factor of C-UTIs in younger women (p=0.04). E. coli from C-UTIS showed significantly higher resistance to antimicrobial drugs. Inadequate antimicrobial therapy was significantly more common prescribed to patients from C-UTIs. Lethal outcome was significantly most common associated with certain clinical and laboratory findings.Conclusion:Initial antimicrobial therapy of those serious infections should be based on data from those research.

Microbiology and Drug Resistance of Pathogens in Patients Hospitalized at the Nephrology Department in the South of Poland

“…This result is compatible with another report (Albu et al 2018). However, other authors found amikacin (100.0%) and cefepime (100.0%) to be superior to nitrofurantoin (92.8%) in susceptibility rate what is incompatible with our analysis (Piljic et al 2013).…”

Magnitude of Biofilm Formation and Antimicrobial Resistance Pattern of Bacteria Isolated from Urinary Catheterized Inpatients of Jimma University Medical Center, Southwest Ethiopia

“…In this study, nearly two-third bacterial isolates showed multiple-drug resistance. This finding is similar to previous reports that showed resistance to various categories of antimicrobial drugs including penicillin and tetracycline at various geographic locations elsewhere including in Ethiopia [21, 22, 32, 33, 37, 42]. The possible explanation for higher resistance of bacteria to those drugs may be widespread and indiscriminate use as well as its ease of accessibility over the counter in pharmacies, which can lead to a shift to increase in resistant microbes [19, 40, 41].…”

“…Similarly, in this study, Gram-negative bacteria were found to be the dominant etiologic agents (76.7%) of all bacterial isolates. Other researchers have also reported similar results [15, 21–23, 31–33].…”

“…(23.3%). Similar studies have been reported elsewhere from Egypt [5], Kenya [34], and Bosnia [33] and three studies in Ethiopia [21, 22, 32]. The predominance of these bacteria in the gut as normal flora may result in an infection of the urinary tract by contaminating the urethra and ascends into the bladder.…”

Investigation of prevalance and risk factors for hospital-acquired urinary tract infections in patients with severe burn injury

“…[29] Bunların aksine bir çalışmada yaş ile kateter ilişkili idrar yolu enfeksiyonu gelişim arasında istatistiksel olarak anlamlı bir ilişki saptamamıştır. [30] Çalışmamızda yaş ile HKİYE arasında anlamlı bir ilişki saptanmadı. Bu farklılık; çalışmamızdaki hastaların yanık maruziyetine daha müsait olan nispeten daha genç yaş grubunda hastalardan oluşmasından kaynaklanabilir.…”