Acquired Urinary Tract Infection in the Public Hospital Yazigi Haytham1, Khamees Atiya2, Wakil Houda3,* 1Assistant Professor, Department of Laboratory Medicine, Faculty of Medicine, Tishreen University, Lattakia, Syria 2Assistant Professor, Department of Biochemistry and Microbiology, Faculty of Pharmacy, Tishreen University, Lattakia, Syria 3Postgraduate Student, Department of Biochemistry and Microbiology, Faculty of Pharmacy, Tishreen University, Lattakia, Syria *Corresponding Author E-mail: houda_syr89@hotmail.com
Online published on 18 May, 2019. Abstract Objective The aim of the study was to determine the prevalence of UTIs in Syria, determine micro-organisms responsible for UTI, their antibiotic sensitivities and to describe the risk factors of nosocomial urinary tract infections. Subjects and Methods This was a prospective surveillance study including cases of NUTI in intensive care units and various inpatient clinics. This study was carried out between April 2015 and January 2016 The following information was recorded: patients’ age, gender, presence of urinary catheter, intensive care unit admission, duration of hospital stay, type of organisms isolated and their antimicrobial susceptibility. The diagnosis of NUTI was based on criteria established by the Centers for Disease Control, Atlanta. Mini Api and conventional culture methods were used to determine the causative agents. The agents were isolated on eosin methylene blue agar and blood agar. Statistical analyses of data were by Pearson test and logistic regression. Results In this study, 40(20%) nosocomial urinary tract infections (NUTIs) were determined in 200 patients, 10 NUTI patients (25%) were male and 30 (75%) were female. The most frequently isolated micro-organism was Escherichia coli (38.09%) followed by Streptococcus spp (23.8%), Proteus mirabilis (14.28%), Klebsiella spp (9.52%) and Pseudomonas spp (9.52%). The most effective antibiotics against Gram-negative bacteria were found to be imipenem and levofloxacin. Conclusions This study indicated that to reduce the incidence of NUTI, it was important to take factors that can be managed into consideration (to avoid unnecessary urethral catheterization, to choose narrow spectrum antibiotics according to antibiotic sensitivities, to investigate regularly the causative micro-organisms and their resistance patterns and to update the treatment protocols). Top Keywords Nosocomial infection, urinary tract infection, urinary catheter. Top |