Current Trends in Nosocomial Associated UTI (NAUTI) in Urology Ward
Naresh Kumar Valecha, Hamzeh Ismailpur, Abdulmunium Alsadi, Fariborz Bagheri, Saeed Ahmed Khan, Mohammad Zuhaib Zafar
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ABSTRACT
Background: Nosocomial associated urinary tract infections are
common, which not only causes morbidity and mortality but also increases cost
of health related expenditure in urology patients.
Such infections are
more difficult to treat because of presence of risk factors e.g. stone, reduced
kidney functions. Limited studies are
available which focus on type of organisms involved in NAUTI and their
presentation in urology departments.
Objective: To determine the
proportion of microorganisms involved in Nosocomial associated urinary tract
infections (NAUTI) and their presentations in urology ward.
Methods: This cross-sectional study was
conducted in Dubai Hospital in Dubai UAE, from 2017-2018. All patients, who
were admitted in urology department with negative urine cultures, were included
in study. Urine cultures were sent at time of discharge and a week after
discharge from hospital. Patients were followed up in outdoor at first and
second week.
Results: Total 475 patients were included in
this study in given time period. 315(66.31%) patients were male and 160(33.68%)
patients were female. On their first follow up after a week,
Urine cultures, which were sent at discharge
time reveals,73(15.36%) patient’s urine cultures were positive, out of them
21(28.76%) were Mixed Bacterial Growth (MBG).
E.coli
was most common organism 20(27.39%) in which 11(15.06%) were ESBL positive,
klebsiela 9(12.32%) in which 4(5.47%) were ESBL positive. Other organisms include
Psuedomonas 4(5.47%), candida 16(21.91%) and enterococcus 3(4.11%). Frequency
of candida was second highest, probably because of use of antibiotics during
admission.
Conclusion: Prevalence of NAUTI
in urology is 19.79% (94/475 patients).
Enterobacterale species were main responsible organisms for NAUTI in Urology
ward. E.coli was most common organism isolated and klebsiela was second
most common.
Key words: Nosocomial
UTI, ESBL UTI, Urology ward