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Srpski arhiv za celokupno lekarstvo
2012, vol. 140, br. 3-4, str. 184-190
Bolničke infekcije urinarnog trakta u Kliničkom centru u Kragujevcu
Đorđević Zoranaa, Ilić Milenab ORCID
aKlinički centar Kragujevac
bUniverzitet u Kragujevcu, Medicinski fakultet

e-adresa: drmilenailic@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.
Reference

Al-Helali, N.S., Al-Asmary, S.M., Abdel-Fattah, M.M., Al-Jabban, T.M., Al-Bamri, A.M. (2004) Epidemiologic study of nosocomial urinary tract infections in Saudi military hospitals. Infection control and hospital epidemiology, 25(11): 1004-7

Amer, F.A., Mohtady, H.A., el-Behedy Iman, M., Khalil, S., el-Hendy Yasser, A., el-Gindy Eman, A., Salem, H.E. (2004) Bacteria of nosocomial urinary tract infections at a university hospital in Egypt: Identification and associated risk factors. Infection control and hospital epidemiology, 25(11): 895-7

Bouza, E., San, J.R., Muñoz, P., Voss, A., Kluytmans, J. (2001) A European perspective on nosocomial urinary tract infections I. Report on the microbiology workload, etiology and antimicrobial susceptibility (ESGNI-003 study). Clinical Microbiology and Infection, 7(10): 523-531

Brill, A., Ghosh, K., Gunnarsson, C., Rizzo, J., Fullum, T., Maxey, C., Brossette, S. (2008) The effects of laparoscopic cholecystectomy, hysterectomy, and appendectomy on nosocomial infection risks. Surgical endoscopy, 22(4): 1112-8

8

Burke, J.P. (2003) Infection control: A problem for patient safety. N Engl J Med, 348(7): 651-6

Chatterjee, B., Kulathinal, S., Bhargava, A., Jain, Y., Kataria, R. (2009) Antimicrobial resistance stratified by risk factor among Escherichia coli strains isolated from the urinary tract at a rural clinic in Central India. Indian Journal of Medical Microbiology, 27(4): 329

Chiu, N.C., Chung, Y.F., Huang, F.Y. (1997) Pediatric nosocomial fungal infections. Southeast Asian journal of tropical medicine and public health, 28(1): 191-5

Clec'h, C., Schwebel, C., Français, A., Toledano, D., Fosse, J., Garrouste-Orgeas, M., Azoulay, E., Adrie, C., Jamali, S., Descorps-Declere, A., Nakache, D., Timsit, J., Cohen, Y. (2007) Does catheter-associated urinary tract infection increase mortality in critically ill patients?. Infection control and hospital epidemiology, 28(12): 1367-73

3

Drndarević, D., Janković, S. (1998) Bolničke infekcije - definicije. Beograd: Institut za zaštitu zdravlja Srbije 'Dr Milan Jovanović-Batut'

Farajnia, S., Alikhani, M.Y., Ghotaslou, R., Naghili, B., Nakhlband, A. (2009) Causative agents and antimicrobial susceptibilities of urinary tract infections in the northwest of Iran. International Journal of Infectious Diseases, 13(2): 140-144

7

Foxman, B. (2002) Epidemiology of urinary tract infections: Incidence, morbidity, and economic costs. American journal of medicine, 113 Suppl 1A: 5S-13S

1

Garg, S., Prakash, S., Bhatia, N., Daga, M. (2010) Urinary catheterization in medical wards. Journal of Global Infectious Diseases, 2(2): 83

Gastmeier, P., Kampf, G., Wischnewski, N., Schumacher, M., Daschner, F., Rüden, H. (1998) Importance of the surveillance method: National prevalence studies on nosocomial infections and the limits of comparison. Infection control and hospital epidemiology, 19(9): 661-7

1

Haley, R.W., Culver, D.H., White, J.W., Morgan, W.M., Emori, T.G. (1985) The nationwide nosocomial infection rate. A new need for vital statistics. American journal of epidemiology, 121(2): 159-67

Hoban, D.J., Bouchillon, S.K., Johnson, B.M., Johnson, J.L., Dowzicky, M.J. (2005) In vitro activity of tigecycline against 6792 Gram-negative and Gram-positive clinical isolates from the global Tigecycline Evaluation and Surveillance Trial (TEST Program, 2004). Diagnostic microbiology and infectious disease, 52(3): 215-27

3

Horan, T.C., Andrus, M., Dudeck, M.A. (2008) CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. American Journal of Infection Control, 36(5): 309

Ilić, M., Marković-Denić, L. (2010) Bolničke infekcije u Kliničkom centru u Kragujevcu - studija prevalencije. Srpski arhiv za celokupno lekarstvo, vol. 138, br. 5-6, str. 337-342

3

Klevens, R.M., Edwards, J.R., Richards, C., Horan, T.C., Gaynes, R.P., Pollock, D.A., i dr. (2007) Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep, 22:160-6

Lanini, S., Jarvis, W.R., Nicastri, E., Privitera, G., Gesu, G., Marchetti, F., Giuliani, L., Piselli, P., Puro, V., Nisii, C., Ippolito, G. (2009) Healthcare-associated infection in Italy: Annual point-prevalence surveys, 2002-2004. Infection control and hospital epidemiology, 30(7): 659-65

Marina, N.M., Flynn, P.M., Rivera, G.K., Hughes, W.T. (1991) Candida tropicalis and Candida albicans fungemia in children with leukemia. Cancer, 68(3): 594-9

2

Marković-Denić, L., Milić, N., Knežević, T., Radna, grupa studije prevalencije (2007) Druga nacionalna studija prevalencije bolničkih infekcija. Glasnik Zavoda za zaštitu zdravlja Srbije, vol. 79, br. 3-4, str. 5-85

Meares, E.M. (1991) Current patterns in nosocomial urinary tract infections. Urology, 37(3 Suppl): 9-12

Nicolle, L.E. (1993) Urinary tract infections in long-term care facilities. Infection control and hospital epidemiology, 14(4): 220-5

6

Pittet, D., Harbarth, S., Ruef, C., Francioli, P., Sudre, P., Petignat, C., Trampuz, A., Widmer, A. (1999) Prevalence and risk factors for nosocomial infections in four university hospitals in Switzerland. Infect Control Hosp Epidemiol, 20(1): 37-42

1

Platt, R., Polk, B.F., Murdock, B., Rosner, B. (1986) Risk factors for nosocomial urinary tract infection. American journal of epidemiology, 124(6): 977-85

Raffaele, G., Bianco, A., Aiello, M., Pavia, M. (2008) Appropriateness of Use of Indwelling Urinary Tract Catheters in Hospitalized Patients in Italy. Infection Control and Hospital Epidemiology, 29(3): 279-281

Ratanabunjerdkul, H., Wichansawakun, S., Rutjanawech, S., Apisarnthanarak, A. (2006) Catheter-assocoated urinary tract infection: Pathogenesis, diagnosis, risk factors, and prevention. J Infect Dis Antimikrob Agents, 23: 149-59

2

Sartor, C., Delchambre, A., Pascal, L., Drancourt, M., de Micco, P., Sambuc, R. (2005) Assessment of the value of repeated point-prevalence surveys for analyzing the trend in nosocomial infections. Infect Control Hosp Epidemiol, 26(4): 369-73

1

Savas, L., Guvel, S., Onlen, Y., Savas, N., Duran, N. (2006) Nosocomial urinary tract infections: Micro-organisms, antibiotic sensitivities and risk factors. West Indian medical journal, 55(3): 188-93

1

Stamm, W.E. (1991) Catheter-associated urinary tract infections: Epidemiology, pathogenesis, and prevention. Am J Med, 91(3B): 65S-71S

Stickler, D., Morris, N., Moreno, M.C., Sabbuba, N. (1998) Studies on the formation of crystalline bacterial biofilms on urethral catheters. European journal of clinical microbiology & infectious diseases, 17(9): 649-52

2

Tambyah, P.A., Maki, D.G. (2000) Catheter-associated urinary tract infection is rarely symptomatic: A prospective study of 1,497 catheterized patients. Archives of internal medicine, 160(5): 678-82

1

Tambyah, P.A., Knasinski, V., Maki, D.G. (2002) The direct costs of nosocomial catheter-associated urinary tract infection in the era of managed care. Infection control and hospital epidemiology, 23(1): 27-31

Vonberg, R., Behnke, M., Geffers, C., Sohr, D., Ruden, H., Dettenkofer, M., Gastmeier, P. (2006) Device-associated infection rates for non-intensive care unit patients. Infection control and hospital epidemiology, 27(4): 357-61

3

Warren, J.W. (2001) Catheter-associated urinary tract infections. International journal of antimicrobial agents, 17(4): 299-303

3

Warren, J.W. (1997) Catheter-associated urinary tract infections. Infect Dis Clin North Am, 11(3): 609-22
   

O članku

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

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