A DESCRIPTIVE REVIEW OF RELATIONSHIP OF URINARY TRACT INFECTIONS WITH HEALTHCARE-ASSOCIATED AND COMMUNITY-ONSET BLOODSTREAM INFECTIONS

Q4 Medicine

Journal of Medical Sciences (Taiwan) Pub Date : 2023-03-27 DOI:10.52764/jms.23.31.1.15

Amina Gul, Shevya Awasthi, Momena Ali, T. Gul

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Abstract

Background: Bloodstream Infections (BSIs) that arise secondary to urinary tract infections (UTIs) are frequently encountered in both community and hospital settings and are associated with significant morbidity, mortality, high healthcare costs and prolonged hospital stays Objective: This descriptive review aims to evaluate available information on the relationship of urinary tract infections with healthcare-associated and community-onset bloodstream infections to get a deeper understanding of improved public health interventions and suggest possibilities for future research. Methods: A literature search was conducted using PubMed and Embase. Articles published during the last 10 years (2010 and 2020) were imported into providence for the initial title and abstract screening. All study abstracts were reviewed by two independent reviewers and were eligible for full-text review if they mentioned urinary tract infection as a source of bloodstream infection. The data obtained were analyzed in Microsoft Excel. Results: Out of 65 articles reviewed for full text, 10 studies were selected. In total 6763 BSI cases were reported. We observed 2075 (30.6%) community-acquired (CA) BSIs compared to 1102 (16.2%) healthcare-associated (HCA) BSIs, and 1484 (21.9%) hospital-acquired (HA) BSIs. UTI was a major source of BSIs in community settings followed by HCA BSIs in most studies. Escherichia. coli was the most common pathogen isolated in patients with CA-BSIs. Hospital Acquired and HCA bacterial infections have the most antimicrobial resistance, compared to CA-infections. Conclusion: Urinary tract Infections are a major source of developing secondary BSIs. Escherichia. coli is a major pathogen in CA-BSIs. Multidrug-resistant organisms accounted for most of the BSIs, especially in hospital settings and among patients receiving health care. Keywords: Bloodstream infection, UTI, Hospital Acquired, Community Acquired

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尿路感染与健康护理相关和社区发病的血液感染关系的描述性综述

背景:继发于尿路感染(uti)的血流感染(bsi)在社区和医院环境中都很常见，并且与显著的发病率、死亡率、高医疗费用和长住院时间相关。这篇描述性综述旨在评估尿路感染与医疗保健相关和社区发病的血流感染之间关系的现有信息，以更深入地了解改进的公共卫生干预措施，并提出未来研究的可能性。方法:利用PubMed和Embase进行文献检索。在过去10年(2010年和2020年)发表的文章被导入普罗维登斯进行初始标题和摘要筛选。所有的研究摘要都由两位独立的审稿人进行审查，如果他们提到尿路感染是血流感染的来源，就有资格进行全文审查。所得数据在Microsoft Excel中进行分析。结果:在全文审阅的65篇文章中，选择了10项研究。总共报告了6763例BSI病例。我们观察到2075例(30.6%)社区获得性(CA)脑梗死，1102例(16.2%)医疗保健相关(HCA)脑梗死，1484例(21.9%)医院获得性(HA)脑梗死。在大多数研究中，尿路感染是社区bsi的主要来源，其次是HCA bsi。大肠。大肠杆菌是CA-BSIs患者中最常见的病原体。与ca感染相比，医院获得性和HCA细菌感染具有最高的抗菌素耐药性。结论:尿路感染是继发性BSIs的主要发病原因。大肠。大肠杆菌是CA-BSIs的主要病原体。耐多药生物占大多数脑损伤，特别是在医院环境和接受医疗保健的患者中。关键词:血流感染，尿路感染，医院获得性，社区获得性

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