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Journals / Van Tıp Dergisi / 2012 / Cilt: 19 - Sayı: 1

The Relationship between Catheterisation ad Nosocomial urinary tract infections in our clinic and Bacterial Prevalance: A Retrospective study

Kliniğimizdeki Nozokomiyal üriner sistem enfeksiyonların Kateterizasyonla olan ilişkisi ve Bakteriyel Prevelans: Retrospektif bir çalışma

Cavit CEYLAN
Serkan DOĞAN
Süha ŞEN
Öner ODABAŞ
Pages
21–26
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The most isolated microorganism in urine cultures of patients; with or without previous surgery; is Escherichia Coli (38.9%).

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: We retrospectively evaluated the role of urinary catheterization as an etiologic factor in patients with urinary tract infection (UTI), detected in the past year in our urology clinic.
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Key Findings & Data:Results: A total of 131 patients, 35 women (26.7%) and 96 men (73.3%), were aged between 18-83 years (mean: 51.9 years). 121 of them (%92.4) had previous urological surgery while 10 had not (%7.6).
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Conclusion & Impact:The most isolated microorganism in urine cultures of patients; with or without previous surgery; is Escherichia Coli (38.9%).
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: We retrospectively evaluated the role of urinary catheterization as an etiologic factor in patients with urinary tract infection (UTI), detected in the past year in our urology clinic. Matherial and Method: Patients treated in urology clinic in one year with positive urine cultures, were included in the study and were evaluated in terms of previous surgery, catheterisation and isolated microorganisms. Results: A total of 131 patients, 35 women (26.7%) and 96 men (73.3%), were aged between 18-83 years (mean: 51.9 years). 121 of them (%92.4) had previous urological surgery while 10 had not (%7.6). Surgical procedures were endoscopic in 80 (66.1%) and open surgery in 41 (33.9%). Urinary catheterisation were performed in 105 of the patients (%80.2) while in 26 (%19.8) were not. Microorganisms isolated in urine cultures were Escherichia coli in 51 (%38.9), Pseudomonas aeroginosa in 26 (%19.8), Klebsiella spp. in 24 (%18.3), Enterococcus faecalis in 11 (%8.4), Acinetobacter baubanni in 5 (%3.8), Stafilococcus aureus in 4 (%3.1), Serratia marcences in 4 (%3.1), Stafilococcus epidermidis in 2 (%1.5), Morganella spp. in 2 (%1.5) and Stenotrophomonas maltophilia in 2 (%1.5), respectively. Conclusion: The most common cause of UTIs diagnosed in our urology clinic in the past year is urinary catheterisation. The most isolated microorganism in urine cultures of patients; with or without previous surgery; is Escherichia Coli (38.9%).

Özet

Amaç Üroloji kliniğimizde son bir yıl içinde, nozokomial idrar yolları enfeksiyonu (İYE) nedeniyle takip ettiğimiz hastaları, etken patojenler ve enfeksiyona neden olan etyolojiler içinde, üriner kateterizasyonun yerini retrospektif olarak değerlendirdik. Yöntem: Son bir yılda mikrobiyoloji laboratuarında idrar kültürlerinde üreme saptanan, üroloji kliniğinde tedavi gören hastalar çalışma kapsamına alınmıştır. Hastalar geçirdikleri operasyonlar, kateterizasyonlar ve üreyen mikroorganizmalar yönünden değerlendirilmiştir. Bulgular: Yaşları 18-83 (ortalama yaş 51.9) olan, 35 kadın (%26.7), 96 erkek (%73.3) toplam 131 hastanın idrar kültürlerinde üropatojen üremesi saptadık. Bu hastaların 121’i (%92.4) operasyon geçirmiş, 10’u (%7.6) herhangi bir ürolojik girişim geçirmemişti. Cerrahi işlem geçiren hastaların 80’i (%66.1) endoskopik cerrahi, 41’i (33.9) açık cerrahi geçirmişlerdi. Hastaların 105’ine (%80.2) kataterizasyon uygulanmış, 26 (%19.8) hastaya ise herhangi bir kataterizasyon uygulanmamıştı. Hastaların idrar kültürlerinde üreme saptanan üropatojenler ise sırasıyla; E. Coli 51 hastada (%38.9), Pseudomonas Aeruginosa 26 hastada (%19.8), Klebsiella. spp. 24 hastada (%18.3), Enterococcus Faecalis 11 hastada (%8.4), Acinetobacter baubanni 5 hastada (%3.8), Stafilococcus Aureus 4 hastada (%3.1), Serratia marcences 4 hastada (%3.1), Stafilococcus Epidermidis 2 hastada (%1.5), Morganella spp. 2 hastada (%1.5), Stenotrophomonas Maltophilia 2 hastada (%1.5) tespit edilmiştir. Sonuç: Son bir yılda üroloji kliniğinde karşılaştığımız idrar yolu enfeksiyonlarının en sık sebebi üriner kateterizasyondur. Opere olan veya olmayan hastalarda en sık karşılaştığımız etken üropatojen ise %38.9 oranında E.Coli’dir.

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Cite This Article

CEYLAN, C., DOĞAN, S., ŞEN, S., ODABAŞ, Ö. (2012). The Relationship between Catheterisation ad Nosocomial urinary tract infections in our clinic and Bacterial Prevalance: A Retrospective study. Van Tıp Dergisi, Cilt: 19 - Sayı: 1, 21–26. https://ajindex.com/articles/334168

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