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2012, vol. 140, br. 3-4, str. 184-190
Bolničke infekcije urinarnog trakta u Kliničkom centru u Kragujevcu
aKlinički centar Kragujevac
bUniverzitet u Kragujevcu, Medicinski fakultet

e-adresadrmilenailic@yahoo.com
Ključne reči: bolničke infekcije urinarnog trakta; mokraćni kateter; faktori rizika; rezistencija na antibiotike
Sažetak
Uvod. Infekcije urinarnog trakta su najčešće bolničke infekcije, a čine oko 40% svih infekcija dobijenih tokom bolničkog lečenja. Glavni faktor rizika za nastanak ovih infekcija je nošenje katetera. Cilj rada. Cilj istraživanja bio je da se sagledaju osnovna epidemiološka i etiološka obeležja bolničkih infekcija urinarnog trakta (BIUT) i ispitaju razlike u faktorima rizika između obolelih od BIUT koji su nosili mokraćni kateter i onih kojima on nije postavljen. Metode rada. Istraživanjem su obuhvaćeni bolesnici lečeni u Kliničkom centru u Kragujevcu kod kojih je tokom 2009. godine dijagnostikovana BIUT. Razlike u faktorima rizika za BIUT između bolesnika kojima je postavljen kateter i onima kojima nije ispitane su logističkom regresionom analizom. Rezultati. Prosečna starost 162 bolesnika sa BIUT bila je 66,2±13,5 godina, a broj ispitanika oba pola bio je približno isti (51,2% muškaraca i 48,8% žena). Skoro tri četvrtine bolesnika sa BIUT nosilo je mokraćni kateter, u proseku 12,0±7,7 dana (od jednog do 39 dana). Kod bolesnika s kateterom rizik za nastanak BIUT bio je značajno pozitivno povezan s hitnim prijemom na bolničko lečenje (p=0,0185). Bolesnici bez mokraćnog katetera značajno su češće bolovali od malignih tumora u poređenju sa bolesnicima koji su nosili kateter (p=0,039). Dve posmatrane grupe ispitanika nisu se razlikovale u pogledu drugih faktora rizika. Uzročnici BIUT bili su: Klebsiella spp (37,3%), Pseudomonas aeruginosa (14,1%) i Proteus mirabilis (11,9%). Većina bakterija ispoljila je visok stepen rezistencije na najčešće korišćene antibakterijske preparate (čak i do 100%). Zaključak. U narednom periodu neophodno je definisati nacionalne preporuke za prevenciju i kontrolu BIUT.
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O članku

jezik rada: srpski
vrsta rada: originalan članak
DOI: 10.2298/SARH1204184D
objavljen u SCIndeksu: 22.03.2013.