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Published on: June 23, 2015
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Risk factors for enterococcal bacteraemia in urology: a multicentre cohort study
Pierre-Marie Roger1,2, Agnès Ferre3, Bruno Abram3
1Infectiologie, Clinique Les Fleurs, 332, Ave Frédéric Mistral, Ollioules, 83190, France. roger@elsan.care.
Summary
Enterococcal bacteraemia (EB) is a significant risk in urology, predominantly affecting males. Transurethral resection of the prostate emerged as a key risk factor for developing EB.
Area of Science:
- Urology
- Infectious Diseases
- Medical Microbiology
Background:
- Enterococcal bacteraemia (EB) poses a significant challenge in healthcare settings.
- Identifying risk factors for EB is crucial for effective prevention and management strategies.
Purpose of the Study:
- To investigate the risk factors associated with enterococcal bacteraemia (EB) in a urological patient cohort.
- To determine the incidence of EB and other bloodstream infections in urology.
Main Methods:
- Prospective study conducted over 18 months across five institutions.
- Analysis of all positive blood cultures (PBC) within the urology departments.
- Logistic regression analysis to identify independent risk factors for EB.
Main Results:
- Out of 176 positive blood cultures, 32 (18%) were identified as EB.
- Enterococcal bacteraemia occurred exclusively in male patients.
- Transurethral resection of the prostate was significantly associated with EB (AOR [95% CI]: 3.75 [1.30-10.78]).
Conclusions:
- Transurethral resection of the prostate is a notable risk factor for enterococcal bacteraemia in urology.
- The exclusive occurrence of EB in males warrants further investigation.
- Findings emphasize the need for targeted preventive measures in male urology patients undergoing specific procedures.
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