导尿管相关尿路感染的发病率、风险因素、致病菌和抗生素敏感性

Rajesh Venkataraman, Gloriya Grifth Manuel, Jeevan Rai N., Shahasanu R. S., Akshay S. R., Eldho Paul, Muhammed Sanib
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引用次数: 0

摘要

背景:最常见的院内感染是导尿管相关性尿路感染(CAUTI),在急诊护理环境中,每天发生 CAUTI 的风险为 3-7%。本研究旨在确定 CAUTI 的发病率、风险因素和致病菌,并了解该病菌目前对抗菌药物的敏感性。研究方法共有 120 名患者参与了在卡纳塔克邦 Adichunchanagiri 医院进行的前瞻性观察研究。审查和评估住院病人的病例表、化验结果和治疗图表为研究提供了所需数据。研究人员使用 Microsoft Excel 输入数据,并使用 SPSS 28 版本分析数据。统计意义以 P 值小于 0.05 为准。结果发现 12.5% 的 HAI 病例与导管的使用有关。本次调查中最常见的微生物病原体是大肠杆菌(41.7%)。根据目前的研究,女性比男性更容易感染尿道炎。在本次调查中发现,潜在的医疗状况与尿道炎密切相关。在 CAUTI 中,发现了对头孢他啶和替加环素的耐药性。结论研究表明,性别、极端年龄、使用抗生素、重症监护室住院时间、糖尿病、免疫抑制药物和留置尿管是导致 CAUTI 的主要风险因素。大肠杆菌是本次研究中最常见的微生物病原体。因此,为了协助医生治疗和管理 CAUTI,需要对抗菌素耐药性模式进行持续监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence, risk factors, causative organism and antibiotic susceptibility of catheter associated urinary tract infections
Background: The most common nosocomial infection is catheter-associated urinary tract infection (CAUTI), with a 3-7% daily risk of developing CAUTI in acute care settings. This study's goal was to identify the prevalence, risk factors, causative organism of CAUTI and understanding the organism's current antimicrobial agent sensitivity profile. Methods: Total 120 patients participated in a prospective and observational study conducted at Adichunchanagiri Hospital, Karnataka. Reviewing and evaluating patient case sheets, laboratory results, and treatment charts of participants who were hospital inpatients provided data needed for the study. Microsoft Excel was used to enter the data and version 28 of SPSS to analyze the data. Statistical significance was determined by using a P-value of less than 0.05. Results: It was discovered that 12.5% of HAI cases were linked to catheter use. The most prevalent microbial agent in the current investigation was E. coli (41.7%). According to the current study, women are more likely than men to get UTIs. An underlying medical condition was found to have a strong correlation with UTIs in the current investigation. For CAUTI, drug resistance to cefotaxime and tigecycline was noted. Conclusions: The study suggested that gender, age extremes, use of antibiotics, length of stay in intensive care unit, diabetes mellitus, immunosuppressive medication, and indwelling urinary devices are the major risk factors for CAUTI. E. coli was the most common microbiological agent in the current study. Therefore, to assist doctors in the treatment and management of CAUTIs, ongoing surveillance of antimicrobial resistance patterns is required.
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