Characterization of UTI associated with health

  • Angela Maria Arias Arango Enfermera Especialista en Gerencia en Desarrollo Humano. Enfermera Jefe de Educación del Hospital Pablo Tobón Uribe, Medellín, Colombia. email: aarias@hptu.org.co
  • Monica Patricia Valderrama Maya Enfermera del Comité de Prevención de Infecciones del Hospital Pablo Tobón Uribe, Medellín, Colombia. email: mvalderrama@hptu.org.co
  • Doris Milena Parra Pérez Enfermera de Cirugía del Hospital Pablo Tobón Uribe, Medellín, Colombia. email: dmparra@hptu.org.co
  • Juan Ignacio Marin Zuluaga Médico Internista. Hospital Pablo Tobón Uribe, Medellín, Colombia. email: jmarin@hptu.org.co
  • Luz Maria Mazo Monsalve Enfermera Especialista en Cuidado Crítico en Adultos. Enfermera del Comité de Prevención de Infecciones del Hospital Pablo Tobón Uribe, Medellín, Colombia. email: lmazo@hptu.org.co
  • Claudia Patricia Montoya Zapata Enfermera Magíster en Epidemiología. Hospital Pablo Tobón Uribe, Medellín, Colombia. email: claudiamonza@hotmail.com
Keywords: Urinary tract infections; urinary catheterization; cross infection.

Abstract

Objective. To describe epidemiological, microbiological and clinical characteristics of patients with health care associated urinary tract infection (UTI) in the adult hospitalization services in a fourth level attention hospital in the city of Medellin (Colombia) between 2007 and 2009.

Methodology. Descriptive study. 239 clinical histories of patients with health care associiated UTI diagnosis registered in the Infection Prevention Committee were studied.

Results. 269 episodes of health care associated UTI were analyzed. The average age of the patients was 56±19.2 years. 55.3% of the infections were in women. 69.1% had permanent catheter at the moment of the diagnosis or 7 days previous to it. In 12.4% the indication for the catheter wasn’t appropriate. 308 microorganisms were isolated in the studied cases, being the most frequent ones Escherichia coli (42.2%) and Klebsiella pneumoniae (23.4%). The main complications were secondary bacteremia (9.2%) and septic shock (0.8%).

Conclusion. In an important percentage of patients the evaluation of the indication for putting the catheter wasn’t shown, which can influence the growth of the risk of acquiring urinary infections increasing the use of antibiotics which contributes to an increase in bacteria resistance and health care costs.

|Abstract
= 32 veces | RESUMEN
= 1 veces| RESUMO
= 3 veces| PDF (ESPAÑOL (ESPAÑA))
= 10 veces| PDF (ESPAÑOL)
= 28 veces| PDF (PORTUGUÊS (BRASIL))
= 3 veces| HTML (ESPAÑOL)
= 7 veces| MCORREAHOYOS, ARTICULO ORIGINAL ITU HPTU.DOC
= 0 veces|

Downloads

Download data is not yet available.

References

(1) Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care–associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36(5):309-32

(2) Nodarse R. Visión actualizada de las infecciones intrahospitalarias. Rev Cubana Med Milit. 2002;31(3):201-8

(3) Centers for Disease Control and Prevention. Estimates of Healthcare-Associated Infections. [acceso: agosto 21 de 2009]. Disponible en: http://www.cdc.gov/ncidod/dhqp/hai.html

(4) Yokoe DS, Classen D Improving patient safety through infection control: A new healthcare imperative. Infect Control Hosp Epidemiol. 2008;29(Suppl 1):S3-S11.

(5) Flores MK, Perez ML, Trelles MJ, Malaga G, Loza C, Tapia E. Infección urinaria intrahospitalaria en los servicios de hospitalización de Medicina de un Hospital General. Rev Med Hered. 2008;19(2):44-5.

(6) Cáceres FM, Díaz LA. Incidencia de infección nosocomial, ESE Hospital Universitario Ramón González Valencia, 1995-2000. MedUNAB. 2002;5(13):5-13.

(7) Durán J, Rodríguez LC, Alcala G. Mortalidad e infecciones nosocomiales en dos unidades de cuidados intensivos de la ciudad de Barranquilla (Colombia). Salud Uninorte. 2008;24(1):74-86.

(8) Jiménez JG, Balparda Jk, Castrillo DM, Díaz SY, Echeverri JA, Estrada C, et al. Caracterización epidemiológica de las infecciones nosocomiales en un hospital de tercer nivel de atención de la ciudad de Medellín, Colombia: enero 2005 – junio 2009. Med UPB. 2010;29(1):46-55.

(9) Siegel JD, Rhinehart E, Jackson M, Chiarello L, Healthcare Infection Control Practices Advisory Committee. Management of multidrug-resistant organisms in healthcare settings, CDC. 2006. Am J Infect Control. 2007;35(10 Suppl 2):S165-S93.

(10) Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections CDC. 2009. Infect Control Hosp Epidemiol. 2010;31(4):319-26.

(11) Willson M, Wilde M, Webb ML, Thompson D, Parker D, Harwood J, Callan L, Gray M. Nursing interventions to reduce the risk of catheter-associated urinary tract infection: part 2: staff education, monitoring, and care techniques. J Wound Ostomy Continence Nurs. 2009;36(2):137-54.

(12) Munasinghe RL, Yazdani H, Siddique M, Hafeez W. Appropriateness of use of indwelling urinary catheters in patients admitted to the medical service. Infect Control Hosp Epidemiol. 2001;22(10):647-9.

(13) Díez BL, Ossa R. Cateterismo Uretral: un tema para la reflexión. Invest Educ Enferm. 2005(2):118-37.

(14) Jain P, Parada JP, David A, Smith LG. Overuse Of The Indwelling Urinary Tract Catheter In Hospitalized Medical Pacients. Arch Intern Med. 1995;155(13):1425-9.

(15) Saint S. Clinical and economic consequences of nosocomial catheter-related bacteriuria. AJIC. 2000;28(1):68-75.

Published
2012-04-10
How to Cite
Arias Arango A. M., Valderrama Maya M. P., Parra Pérez D. M., Marin Zuluaga J. I., Mazo Monsalve L. M., & Montoya Zapata C. P. (2012). Characterization of UTI associated with health. Investigación Y Educación En Enfermería, 30(1). Retrieved from https://revistas.udea.edu.co/index.php/iee/article/view/7642
Section
ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS