Urinary Tract Infection at a University Hospital in Saudi Arabia: Incidence, Microbiology, and Antimicrobial Susceptibility

Eltahawy, A.T.A.E.; Khalaf, Ragaa M. F.

doi:10.5144/0256-4947.1988.261

Cited by 16 publications

(23 citation statements)

References 9 publications

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“…Other studies have reported similar findings. 3,4,11,12 The most frequent gram-positive isolates in our study were streptococci, which also agrees with the findings of other investigators. 4,6,8 However, Scheckler 3 reported that Staphylococcus aureus was the most frequent gram-positive isolate in patients with communityacquired bacteremia in his series.…”

Section: Discussionsupporting

confidence: 83%

“…This agrees with other studies. 3,11 Weinstein et al 5 and Macfarlane and Narla 8 identified the respiratory tract as the most frequent site of origin, and this was the second most frequent source of infection in our series. The origin of Brucella bacteremia could not be documented clinically or microbiologically.…”

Section: Discussionmentioning

confidence: 88%

“…Interestingly, other studies on bacteremia from Saudi Arabia and Kuwait have reported few or no Brucella isolates. 6,7,11 The other common gram-negative isolate was E. coli, which caused over 40% of non-Brucella, gramnegative bacteremia. Other studies have reported similar findings.…”

Section: Discussionmentioning

confidence: 99%

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Community-Acquired Bacteremia in a Teaching Hospital in Saudi Arabia

et al. 1989

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During one year, 153 episodes of community-acquired bacteremia were documented at King Khalid University Hospital in Riyadh, with an incidence of 6.7 cases/1000 admissions. Over 70% of the isolates were gram-negative organisms. Brucella sp. accounted for 42% of all isolates. The other common iso lates were Escherichia coli and streptococci. The origin of infection could be identified in 79% of patients with non-Brucella bacteremia, with the urinary and respiratory tracts the most common sources of bacteremia. The mortality of bacteremia in this series was 5.2%. Streptococcus pneumoniae bacteremia was associated with the highest mortality.IOM Al-Orainey, MNS Al-Nasser, ES Saeed, SA Al-Habib, MNH Chowdhury, Community-Acquired Bacteremia in a Teaching Hospital in Saudi Arabia. 1989; 9(6): 547-550 Bacteremia is a serious problem confronting clinicians, as it is associated with a high mortality. Studies done on bacteremia in the West have shown a change in the pattern of the causative organisms, with increasing gramnegative bacteremias, especially in hospital-acquired infections.1-5 The few reports from developing countries showed a different pattern of community-acquired bacteremia, with an increased frequency of pathogens such as Salmonella. [6][7][8] There is very little data on community-acquired bacteremia in Saudi Arabia. This study was therefore undertaken to assess the incidence and pattern of community-acquired bacteremia in a university hospital in Saudi Arabia. Material and MethodsThe study was conducted at King Khalid University Hospital in Riyadh over a period of one year, between 1 November 1986 to 30 October 1987. Patients with community-acquired bacteremia were included. For the purpose of the study, community-acquired bacteremia was defined as an infection present on or before admission to hospital. Bacteremias occurring after admission to the hospital were considered hospital-acquired infections and were excluded from the study.The hospital records of patients with community-acquired bacteremia were reviewed for demographic data, symptoms and signs of infection, results of laboratory tests and cultures, underlying diseases, predisposing factors, therapy, and outcome of each episode of bacteremia. The origin of infection was identified by examining culture results and clinical data. Laboratory MethodsBlood cultures were performed by drawing 10 ml of blood aseptically from each patient and inoculating 5 ml into each of two bottles, one containing tryptic soy broth and the other thiol broth (Difco Laboratories, Detroit,

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 88%

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Community-Acquired Bacteremia in a Teaching Hospital in Saudi Arabia

et al. 1989

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“…1,2 An incidence of 7/1000 hospital admissions has been reported from Abu Dhabi, 1 10.9/1000 from Kuwait, 3 and 13.5/1000 in Saudi Arabia. 4 Incidence reported from the United States and Europe has ranged from 3.4 to 28/1000 hospital-admissions, 5 and Nigeria has reported a higher incidence approaching 37/1000 hospital admissions. 6 Studies from developed countries showed clear predominance of hospital-acquired bacteremia.…”

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confidence: 99%

Bacteremia in Basrah University Teaching Hospital: Incidence, Microbiologic Features, and Therapeutic Pattern

Hasony

Al-Samaraie

1989

Ann Saudi Med

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, a total of 4369 blood cultures were obtained from patients at Basrah University Teaching Hospital. Among these, 227 (5.2%) were bacteriologically positive, giving an incidence rate of 8.06/1000 hospital admissions. Of these 227 positive cases, 151 (66.5%) were obtained from patients admitted to medical wards, while 76 (33.5%) were from surgical patients. Among the medical patients, 50 isolates (33.1%) were considered hospital-acquired as compared to 101 (66.9%) community-acquired. Among the surgical group, 60 (79%) were hospital-acquired infections as compared to 16 (21%) community-acquired ones. Eleven (4.9%) of the isolated microorganisms were resistant to all antibiotics tested. The sensitivity pattern of organisms isolated from hospital-acquired infections showed more resistance to antibiotics (77.5%) than did community-acquired infections (22.5%), and surgical patients (55%) showed more resistance than medical patients (45%).HJ Hasony, AGM Al-Samaraie, Bacteremia in Basrah University Teaching Hospital: Incidence, Microbiologic Features, and Therapeutic Pattern. 1989; 9(2): 165-170 The incidence and microbial etiology of bacteremia have been reported extensively from developed countries, but information from developing countries is limited. Reports from developing countries have indicated communityacquired pathogens as the predominant cause of bloodstream infections.

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“…To the Editor: In recent articles [1,2], various microorganisms responsible for urinary tract infections from hospitals in Saudi Arabia were reported. The most frequently isolated etiological agents of urinary tract infections with Escherichia coli, Klebsiella-Enterobacter group and Pseudomonas sp.…”

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confidence: 99%