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Chateter-associated Urinary Tract Infections in Adults
Dilista Piljic1, Humera Porobic-Jahic, Dragan Piljic
1Clinic for Infectious Diseases, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Materia Socio-Medica
|October 30, 2013
Summary
Catheter-associated urinary tract infections (C-UTIs) are common hospital infections. E. coli and ESBL Klebsiella pneumoniae are dominant causes, with C-UTIs showing higher antimicrobial resistance and inadequate therapy.
Area of Science:
- Infectious Diseases
- Urology
- Clinical Microbiology
Background:
- Hospital-acquired urinary tract infections (HAUTIs) constitute 35% of all hospital-acquired infections.
- Approximately 80% of HAUTIs are associated with urinary catheterization.
Purpose of the Study:
- To determine the clinical characteristics of catheter-associated urinary tract infections (C-UTIs).
- To identify the dominant etiologic factors contributing to C-UTIs.
Main Methods:
- Prospective analysis of clinical characteristics in 38 hospitalized patients with C-UTIs.
- Comparison with a control group of 200 patients with community-acquired urinary tract infections (Co-UTIs).
Main Results:
- Symptomatic infections were observed in 57.89% of patients.
- Dominant etiologic factors included E. coli (36.84%) and ESBL Klebsiella pneumoniae (18.42%).
- C-UTIs exhibited higher antimicrobial resistance and more frequent inadequate antimicrobial therapy compared to Co-UTIs.
Conclusions:
- E. coli was a significant etiologic factor in younger women with C-UTIs.
- Initial antimicrobial therapy for C-UTIs should be guided by local etiological data and resistance patterns.
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