Research Article
Volume 4 Issue 10 - 2020
Catheter Associated Urinary Tract Infection in Intensive Care Units: A Descriptive Study from Ahvaz Golestan Hospital in Iran
Mohsen Savaie1*, Mahboubeh Karimi2, Farhad Soltani3, Fereshteh Amiri1 and Isa Rezaee4*
1Anesthesiologist, Intensivist, Assistant Professor, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2Medical Student, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3Anesthesiologist, Intensivist, Associate Professor, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4Nephrologist, Assistant Professor, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
*Corresponding Author: Mohsen Savaie, Anesthesiologist, Intensivist, Assistant Professor, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Received: August 25, 2020; Published: September 19, 2020




Abstract

Introduction: Urinary tract infection (UTI) is one of the most common infections and study of its causative and related factors can be useful in the prevention and treatment of this infection. In the present study, the prevalence of catheter-associated UTI in critically ill patients was investigated.

Materials and Methods: This retrospective descriptive study was performed on patients with catheter in intensive care units of Golestan Hospital of Ahvaz/Iran during the summer of 2018 using census method. Prevalence of UTI and its relationship with age, gender, duration of catheter use, underlying disease, immune deficiency and sepsis was investigated. Also, cultured micro-organism and antibiotic resistance was investigated.

Results: 18.7% of critically ill patients had catheter-associated urinary tract infection. The most common micro-organism causing urinary tract infections were Candida, E. coli and Enterobacter. 22.4% of males and 30.8% of females had urinary tract infection (p > 0.05). The prevalence of urinary tract infection was highest in the age group of 40 - 80 year, but this difference was not significant. The prevalence of UTI was higher in patients with diabetes, hypertension, immune deficiency compared with those without these diseases. Suprapubic tenderness, leukocytosis and sepsis are common in urinary tract infections but there was no significant relationship between urinary tract infection and fever. The prevalence of urinary tract infection increased significantly with increasing duration of catheter use (p < 0.05).

Conclusion: The prevalence of UTI was high in patients with urinary catheter admitted to the intensive care units. It is recommended that appropriate strategies to diagnose, treat and prevent unnecessary administration of antibiotics be considered.

Keywords: Infection; Urinary tract; Catheter; Candida; CDC

References

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Citation: Mohsen Savaie., et al. “Catheter Associated Urinary Tract Infection in Intensive Care Units: A Descriptive Study from Ahvaz Golestan Hospital in Iran”.. EC Emergency Medicine and Critical Care 4.10 (2020): 19-26.

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