Management of urinary tract infection in women: A practical approach for everyday practice

Heidar, Nassib Abou; Degheili, Jad A.; Yacoubian, Aline; Khauli, Raja B.

doi:10.4103/ua.ua_104_19

Cited by 63 publications

(60 citation statements)

References 50 publications

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“…As UTI is a very common disease in females, its diagnosis and treatment have important implications for patient's health, healthcare costs, and antibiotic resistance development (15). Prevalence studies on local UTI pathogens and their susceptibility patterns to antimicrobial agents are considered useful to guide empirical antibiotic therapy because the prevalence of uropathogens and their features could vary with time and geographical regions (11).…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Susceptibility Patterns of Uropathogens Isolated from Female Patients with Urinary Tract Infection in Duhok Province, Iraq

Naqid

Balatay

Saeed

et al. 2020

Jundishapur J Health Sci

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Background: Urinary Tract Infections (UTIs) are one of the most common bacterial infections worldwide. The study of bacterial uropathogens in a local area and their susceptibility to antimicrobial agents is required to determine empirical therapy. Objectives: This study aimed to assess the profile and antibiotic resistance patterns of bacteria, causing urinary infections isolated from female patients in Duhok province, Iraq. Methods: A total of 530 urine samples were collected from females clinically suspected of UTIs over three years between January 2017 and February 2020. The samples were inoculated directly on MacConkey and Blood agar media and then incubated aerobically for 24 h at 37°C. Samples that gave up colony counts of ≥ 105 CFU/mL were considered as positive growth. Purified colonies were identified through standard bacteriological tests, and their susceptibility to different antibiotics was determined using the Vitek-2 system. Results: Out of 530 urine samples, 450 (84.9%) contained Gram-negative bacteria, while the other 80 (15.1%) harbored Gram-positive bacteria. Escherichia coli was the most common uropathogenic isolate (58.5%), followed by K. pneumoniae (14.3%), Staphylococcus spp. (8.9%), P. mirabilis (6.6%), E. faecalis (3.2%), and S. agalactiae (3.02%). The majority of Gram-negative uropathogens were resistant to ampicillin, aztreonam, ceftriaxone, and cefepime and around 95% were sensitive to ertapenem and imipenem. Most Gram-positive isolates showed high resistance to benzylpenicillin, oxacillin, gentamicin, and erythromycin, and high susceptibility to linezolid, tigecycline, and nitrofurantoin. Conclusions: It was concluded from this study that E. coli is the predominant pathogen causing UTIs in female patients in Duhok province, Iraq. There were increasing antibiotic resistance rates, particularly to ampicillin, aztreonam, ceftriaxone, benzylpenicillin, and erythromycin. Therefore, empirical antibiotic therapy should be based on local sensitivity patterns rather than international guidelines.

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Section: Discussionmentioning

confidence: 99%

Antibiotic Susceptibility Patterns of Uropathogens Isolated from Female Patients with Urinary Tract Infection in Duhok Province, Iraq

Naqid

Balatay

Saeed

et al. 2020

Jundishapur J Health Sci

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“…Similarly, female HCP attires were highly contaminated with E. coli compared to their male counterparts in this study. UTIs caused by E. coli is more common in women 32 , which raises concerns about female HCP being prone to UTI from their attires.…”

Section: Discussionmentioning

confidence: 99%

Predictors of growth of Escherichia coli on lab coats as part of hospital‐acquired infection transmission through healthcare personnel attire

et al. 2021

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Background: Healthcare personnel (HCP) attire could be potential vehicles for microbial transmission.This study aimed to explore the extent of bacterial contamination and hygiene and handling practices of healthcare personnel attire that could in uence bacterial growth.Methods: Descriptive, cross-sectional study was used in this study. Convenience sampling of the 188 healthcare personnel was recruited from a main holistic hospital in the northern part of Jordan. Three swab samples were collected from three different parts of lab coats used by each participant. ANOVA test and the generalized mixed linear model were used for the categorical variables of three or more levels and identify the predictors of positive growth of Escherichia Coli on healthcare personnel attire.Results: Enterococcus faecalis was the most common species of bacteria found on lab coat. Despite of no statistically signi cant differences were found, the HCP attire coming from the critical care units and the emergency department were highlighted with slightly higher contamination compared to other departments. Escherichia coli 's near-signi cant growth differences (p=0.057) were found based on different locations on lab coats compared to other types of bacteria. Factors associated with signi cant growth of Escherichia coli on healthcare personnel attire were age ≥36 years, a high income, bachelor marital status, working as a physician, lab coat use preferred over scrubs, and borrowing of lab coats.Conclusion: Healthcare personnel should be cautious about the method of use and storage of lab coats they wear.Recent evidence indicate that healthcare personnel's hands are the main vehicle and source of crosscontamination to patients. 5,10 However, the transmission of microbes from healthcare personnel and clinical devices to patients has also been reported. 11,12 These infections could be transmitted to hospitalized patients through textiles, such as lab coats, and mobile and medical devices used by healthcare personnel. Evidence supporting this hypothesis has never been reported in Jordan.White coats have a long traditional history of being a symbol of hope, healing, and identi cation for medical professionals. However, there has been a concern that white coats may play a potential role in the transmission of pathogenic microorganisms within and outside hospital settings. 13,14 The material used in lab coats plays a salient role in microbial adhesion, in which fabric blended with cotton is more likely to catch microbes more than fabric made completely from polyester. 15 Healthcare personnel, such as nurses and doctors, who wear white coats over their uniforms are at a higher risk for transmitting microbes through lab coats to their patients.After admission to a hospital, a condition known as dysbiosis, which is the loss of "health-promoting" bacteria in human body, makes the body vulnerable to any pathogens in the hospital environment, especially to nosocomial infections. 16 The most common among dangerous bacteria that are transmitted and cause s...

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“…Urinary tract infection is a common gynecological disease as a serious health problem in the world in the 21 st century and is caused by the presence and proliferation of microorganisms in the urinary tract. [ 1 2 ] Urinary tract infections affect 150 million people worldwide every year,[ 1 2 3 4 ] and one-third of all women experience urinary tract infections in their lifetime. [ 5 ] The disease is more common in pregnant women due to mechanical and hormonal changes of the pregnancy period than nonpregnant women.…”

Section: Introductionmentioning

confidence: 99%

Predictability of constructs of theory of planned behavior in adopting urinary tract infection prevention behaviors among pregnant women

Moradpour

Shahnazi

Hassanzadeh

2021

Journal of Education and Health Promotion

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BACKGROUND: Urinary tract infection is a common infection in women during pregnancy, leading to many complications for both mother and fetus if untreated. The present study aimed to investigate the predictability of constructs of the theory of planned behavior (TPB) in adopting urinary tract infection prevention behaviors in pregnant women. MATERIALS AND METHODS: In the present cross-sectional study, we selected 100 pregnant women who visited the comprehensive health service centers of Zarrinshahr using convenience sampling from July to September 2019. We collected data by a questionnaire designed based on the constructs of the TPB and analyzed data using SPSS 20 and linear regression test and Pearson correlation coefficient. A significant level was considered as α < 0.05. RESULTS: In the study, the Pearson correlation coefficient showed direct relationships between the score of behavior and the scores of knowledge (P = 0.005), attitude (P = 0.02), perceived behavioral control (P < 0.001), and behavioral intention (P = 0.001). Linear regression analysis indicated that among the above variables, the perceived behavioral control, knowledge, and behavioral intention were significant predictors of scores of urinary tract infection prevention behaviors, respectively, in terms of their importance. CONCLUSION: In this study, perceived behavioral control is detected as the main predictor of doing urinary tract infection prevention behaviors in pregnant women and should be considered in designing educational interventions.

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Management of urinary tract infection in women: A practical approach for everyday practice

Cited by 63 publications

References 50 publications

Antibiotic Susceptibility Patterns of Uropathogens Isolated from Female Patients with Urinary Tract Infection in Duhok Province, Iraq

Antibiotic Susceptibility Patterns of Uropathogens Isolated from Female Patients with Urinary Tract Infection in Duhok Province, Iraq

Predictors of growth of Escherichia coli on lab coats as part of hospital‐acquired infection transmission through healthcare personnel attire

Predictability of constructs of theory of planned behavior in adopting urinary tract infection prevention behaviors among pregnant women

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