Nosocomial urinary tract infections: Micro-organisms, antibiotic sensitivities and risk factors

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dc.authoridGuvel, Sezgin/0000-0001-6534-9981
dc.contributor.authorSavas, L.
dc.contributor.authorGuvel, S.
dc.contributor.authorOnlen, Y.
dc.contributor.authorSavas, N.
dc.contributor.authorDuran, N.
dc.date.accessioned2024-09-18T21:07:41Z
dc.date.available2024-09-18T21:07:41Z
dc.date.issued2006
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective. Although urinary tract infections (UTIs) are the most common hospital-acquired infections, the epidemiology of these UTIs is not well defined in Turkey. The aim of this surveillance study was to determine micro-organisms responsible for UTI, their antibiotic sensitivities and to describe the incidence and risk factors of nosocomial urinary tract infections (NUTI). Subjects and Methods: This was a prospective surveillance study including cases of NUTI in intensive care units and various inpatient clinics. This study was carried out between November 2000 and January 2002. The following information was recorded: patients' age, gender type of infection (hospital-acquired), presence of urinary catheter, intensive care unit admission, duration of hospital stay, type of organisms isolated and their antimicrobial susceptibility. The diagnosis of NUTI was based on criteria established by the Centers for Disease Control, Atlanta. Mini Api and conventional culture methods were used to determine the causative agents. The agents were isolated on eosin methylene blue agar and 5% sheep blood agar Statistical analyses of data were by chi-square test and logistic regression. Results: In this study, 618 (2.1%) nosocomial infections (NIs) were determined in 29778 patients, and 178 of these infections were NUTI (28.8%, 178/618). The mean age of NUTI patients was 61.0 +/- 19.4 years (0-91 years) and 82 NUTI patients (46.1%) were male and 96 (53.9%) were female. The most frequently isolated micro-organism was Escherichia coli (31.4%) followed by Candida spp (21.3%), Klebsiella spp (10.6%) and Enterococcus spp (6.9%). Compared to the rate of other NIs, the rate of NUTI increased by 1.011 times per year of age, by 2.052 times in females and by 3.83 times in patients with urinary catheters (p < 0.05). The most effective antibiotics against Gram-negative bacteria were found to be imipenem and meropenem. Conclusions: Important factors to prevent NUTI are to avoid unnecessary urethral catheterization, to choose narrow spectrum antibiotics according to antibiotic sensitivities, to investigate regularly the causative micro-organisms and their resistance patterns and to update the treatment protocols.en_US
dc.identifier.endpage193en_US
dc.identifier.issn0043-3144
dc.identifier.issn2309-5830
dc.identifier.issue3en_US
dc.identifier.pmid17087104en_US
dc.identifier.scopus2-s2.0-33749603014en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage188en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13848
dc.identifier.volume55en_US
dc.identifier.wosWOS:000241071900011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherUniv West Indies Faculty Medical Sciencesen_US
dc.relation.ispartofWest Indian Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectResistant Escherichia-Colien_US
dc.subjectUnited-Statesen_US
dc.subjectAntimicrobial Resistanceen_US
dc.subjectSecular Trendsen_US
dc.subjectSurveillanceen_US
dc.subjectSusceptibilityen_US
dc.subjectPrevalenceen_US
dc.subjectEmergenceen_US
dc.subjectEtiologyen_US
dc.titleNosocomial urinary tract infections: Micro-organisms, antibiotic sensitivities and risk factorsen_US
dc.typeArticleen_US

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