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العنوان
Acquired Urinary Tract Infections In The Intensive Care Unit /
المؤلف
El-Deeb, Mostafa Mohy El-Deen.
هيئة الاعداد
باحث / مصطفى محي الدين مصطفى الديب
مشرف / شرين محمد شوقي
مشرف / داليا السيد متولي
مناقش / عبير عبد الرحيم غزال
مناقش / جيهان عادل البطوطي
الموضوع
Infection Control and Management. Microbiology.
تاريخ النشر
2019.
عدد الصفحات
62 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
علم الأحياء الدقيقة
تاريخ الإجازة
25/6/2019
مكان الإجازة
جامعة الاسكندريه - معهد البحوث الطبية - Microbiology
الفهرس
Only 14 pages are availabe for public view

from 62

from 62

Abstract

Urinary tract infection (UTI) is one of the most commonn types of nosocomial infections encountered in the inpatient settings including intensive care unit (ICU). Amongst patients admitted to ICU, studies have revealed the incidence of nosocomial UTIs to range from 9% to 29%.
The risk of patients acquiring a UTI in an ICU was approximately 2.5-fold higher than that of patients in a general hospital ward. Complicated nosocomial UTIs may lead to urosepsis, and increase patient morbidity and mortality.
Over the past few years, several studies conducted overseas have identified the presence and the prolonged use of urinary catheterisation, female gender, and increased length of ICU stay to be the risk factors associated with ICU acquired UTI.
In addition, emerging antibiotic-resistant strains of some of the most frequently observed causative organisms of urinary infections, such as Escherichia coli, Pseudomonas aeruginosa, and other Gram-negative microorganisms as a result of prolonged use or previous exposure to broad-spectrum antibiotics in the ICU patients is also becoming a growing concern.
In the present study we aimed to review the incidence of UTI in patients admitted to ICU and effect of UTI on morbidity and mortality we conclude 50 patients presented to the Intensive Care Unit
Results
- Mean age was 40 years with male predominance 64%, 58% of the included patients admitted to surgical intensive care and 42% to internal medicine
- 90% of the included patients had history of underlying disease and 60% had antiobiotic therapy before catheterization, 45% of patients presenting with fever, 35% had Change in the urine colour,10% had lion pain and 5% had dysuria and frequent urination for each.
- 92% of patients had catheterization with mean duration 9.22 days and 65% of them on mechanical ventilation, 75% of patients had ICU stay less than 10 days ,25% had ICU more than 10 days with mean ICU stay 7.75 days ,with 50% mortality rate.
- 50% of patients had pyuria, 35% had bacteruria and pyuria and 15% had bacteruria, 20% of patients had no growth in culture, 30% had positive culture to E coli, 18% to klebsiella ,10% to pseudomonas and 6% to Staphylococcus aureus, 8% to Candida, Enterobacter, Enterococcus presented in 4% for each.