BACTERIOLOGICAL PROFILE OF CATHETER ASSOCIATED UTI IN ICU PT IN A TERTIARY CARE HOSPITAL

Amit Prakash, Prakash Kumar Mishra, Ranjeet Kumar

Abstract


Introduction:

Catheter associated UTI is  common hospital acquired infection due to widespread use of urinary catheter.

Objectives:

  1. To know the occurrence of CAUTI in ICU of our hospital.  

  2. To know the bacteriological profile and antibiotic sensitivity pattern of the isolates.

Materials and Methods:

All consecutive urine samples of catheterized patient who are admitted in ICU for more than two days have been collected and processed for culture & antibiotic sensitivity.

 

Results: 

In our study 155 samples were processed. Occurrence of CAUTI in our ICU set up was 21 %. Among 155 samples in 33 sample bacteria were isolated . Most common isolates were Escherichia coli (30%) Klebsiella spp. (20%) & Enterobacter spp. (13.3%) followed by Pseudomonas spp. (13.3%), MRSA (9.09%) & Enterococcus (9.09%). Most of the isolates were multidrug resistant.

Conclusion:

Urinary tract of catheterized patient is highly susceptible to infection, when duration of catheterization is prolonged. Isolates are usually multidrug resistant. There should be judicious use of urinary catheterization only when indicated as well as for minimum time interval.


Keywords


urinary catheter, BACTERIOLOGICAL, intensive care units (ICU)

Full Text:

PDF

References


Saint S, Kowalski CP, Kaufman SR, Hofer TP, Kauffman CA, Olmsted RN et al. Preventing Hospital- Acquired Urinary Tract Infection in the United States: A National Study. Clinical Infectious Diseases. 2008; 46:243-50.

Rosser CJ, Bare RL, Meredith JW. Urinary tract infections in the critically ill patient with a urinary catheter. Am J Surg 1999; 177:287-90.

Ong CLY, Ulett GC, Mabett AN, Beatson SA, Webb RI, Monaghan Wet al. Identification of Type 3 Fimbriae in UropathogenicEscherichia coli Reveals a Role in Biofilm Formation. J Bacteriol. 2008; 190(3):1054-63.

Warren JW, Tenney JH, Hoopes JM. A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters. J Infect Dis 1982; 146:719–23.

Warren JW. Catheter-associated urinary tract infections. Infect Dis Clin North Am 1997;11:609-22.

Jacobsen SM, Stickler DJ, Mobley HLT, Shirtliff ME. Complicated Catheter- Associated Urinary Tract Infections Due to Escherichia coli and Proteus mirabilis. ClinMicrobiol Rev. 2008; 21(1):26.

Johnson JR, Delavari P, Azar M. Activities of a Nitrofurazone- Containing Urinary Catheter and a Silver Hydrogel Catheter against Multidrug-Resistant Bacteria Characteristic of Catheter- Associated Urinary Tract Infection. Antimicrob Agents Chemother. 1999; 43(12):2990.

Saint S, Meddings JA, Calfee D, Kowalski CP, Kreln SL. Catheter- Associated Urinary Tract Infection and the Medicine Rule Changes. Ann Intern Med. 2009; 150:877-84.

Garibaldi RA, Burke JP, Dickman ML, Smith CB.Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med 1974; 291:215-9.

Nicolle LE. Catheter-related urinary tract infection. Drugs Aging 2005; 22: 627–39.

Collee JG, Marr W. Culture of bacteria.In: Collee JG, Fraser AG,Marmion BP,Simmons A, editors. Mackie & McCartney Practical Medical Microbiology.14thed.Delhi:Churchill Livingstone;1996:245-361.

Cockerill FR, Wikler MA, Bush K, Dudley MN, Eliopoulos GM, Hardy DJ, et al. Performance standards for antimicrobial susceptibility testing. CLSI. 2019;30(1):40-104.


Refbacks

  • There are currently no refbacks.