Urinary microbes and postoperative urinary tract infection risk in urogynecologic surgical patients

The aim of this study was to analyze risk factors for postoperative urinary tract infection (UTI) and urinary retention (UR) in patients with colorectal cancer. Using Nationwide Inpatient Sample 2006–2009, a retrospective analysis of surgical patients with colorectal cancer was conducted. Patients were stratified into groups, with or without UTI/UR. The LASSO algorithm for logistic regression identified independent risk factors. A total of 93,931 surgical patients with colorectal cancer were identified. The incidences of UTI and UR were 5.91 and 2.52 per cent, respectively. Overall in-hospital mortality was 2.68 per cent. The UTI group demonstrated significantly higher in-hospital mortality rates compared with those without. Both UTI and UR groups were associated with prolonged hospital stay and increased hospital charge. Multivariate logistic regression analysis revealed age older than 60 years, females, anemia, congestive heart failure, coagulopathy, diabetes with chronic complications, fluid and electrolyte, paralysis, pulmonary circulation disorders, renal failure, and weight loss were independent risk factors of UTI. Age older than 60 years, male gender, rectal and rectosigmoid cancers, and postoperative anastomotic leakage and ileus were independent risk factors for UR. Postoperative UTI increases in-house mortality. Postoperative UTI/UR in patients with colorectal cancer increases length of stay and hospital charges. Knowledge of these specific risk factors for UTI and UR is needed to counsel patients and prevent these complications in this high-risk population.

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The impact of catheter‐based bladder drainage method on urinary tract infection risk in spinal cord injury and neurogenic bladder: A systematic review

Neurourology and Urodynamics ◽

10.1002/nau.24253 ◽

2019 ◽

Vol 39 (2) ◽

pp. 854-862

Author(s):

Ned Kinnear ◽

Dylan Barnett ◽

Michael O'Callaghan ◽

Kym Horsell ◽

Johan Gani ◽

...

Keyword(s):

Systematic Review ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Infection Risk ◽

Bladder Drainage ◽

Cord Injury ◽

The Impact

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The Difference of Nosocomial Urinary Tract Infection Risk Based on Chateterization Urine, Age, and Diabetes Mellitus

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v3i22015.205-216 ◽

2015 ◽

Vol 3 (2) ◽

pp. 205 ◽

Cited By ~ 1

Author(s):

Edel Weisela Permata Sari ◽

Prijono Satyabakti

Keyword(s):

Diabetes Mellitus ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Infection Risk ◽

Case Control ◽

Risk Difference ◽

Independent Variables ◽

Nosocomial Urinary Tract Infection ◽

The Difference

Nosocomial urinary tract infection is common occurs in patients with indwelling urinary chateter. Factors that caused nosocomial urinary tract infection are host, agent, and chateterization urine. The aim of this research was to analyze risk difference nosocomial urinary tract infection based on chateterization urine, age, and diabetes mellitus (DM). This study used case control with sample size 20 for each group. Case sample was patients who diagnosed urinary tract infection, while control sampel was patients who not diagnosed urinary tract infection in Haji Hospital Surabaya on 2013 until 2014. The independent variables were duration of chateterization, frequency of chateterization, age, and DM, while dependent variable was nosocomial urinary tract infection. Those variables was analyze with risk difference (RD) in Epi Info. The result showed that risk difference nosocomial urinary tract infection based on duration of chateterization is RD = 0,52 it means if changing chateter was done every seven days used, it can prevent 0,52 from 0,71 or 73,53% urinary tract infection cases, frequency of chateterization is RD = 0,43956 it means if decrease frequency of chateterization until one time used, it can prevent 0,44 from 0,79 or 55,94% urinary tract infection cases, age is RD = 0,40 it means if insertion of urine catheter as indicated and right procedure in patient with >55 old it can prevent 0,40 from 0,68 or 59,26% urinary tract infection cases, and DM is RD = 0,42 it means if preventing toward DM, it can prevent 0,42 from 0,75 or 55,56% urinary tract infection cases.Keyword: chateterization urine, age, diabetes mellitus, nosocomial urinary tract infection

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Factores asociados y descripción general de infección del tracto urinario en niños

Revista Colombiana Salud Libre ◽

10.18041/1900-7841/rcslibre.2015v10n2.1432 ◽

2015 ◽

Vol 10 (2) ◽

pp. 165-171

Author(s):

Yolanda Mueses Guerrero ◽

John Jamer Paz Montañez ◽

Jaime Manuel Restrepo Restrepo ◽

Roberth Alirio Ortiz Martínez ◽

María Amparo Acosta Aragón

Keyword(s):

Urinary Tract Infection ◽

Risk Factor ◽

Urinary Tract ◽

Tract Infection ◽

Infection Risk

La infección del tracto urinario (ITU) es una patología frecuente en la infancia, reconocida como precipitante de enfermedades agudas y crónicas con un gran índice de morbilidad. Es importante el diagnóstico apropiado para minimizar la instauración de cicatrices renales, falla renal e hipertensión arterial en la edad adulta. Las indicaciones de profilaxis han cambiado en los últimos años. Objetivo: Dar a conocer los conocimientos actuales en patogénesis diagnóstico y manejo posterior en ITU. Metodología: Se realizó una revisión bibliográ- fica entre los años 1995 al 2016, en las bases de datos de Scielo, Elsevier, Pubmed, Redalyc, ScienceDirect, Medwave, Nature Reviews, EBSCO, Naxos, Bases de datos que ofrece la Universidad del Cauca. Se utilizó los términos MeSH y DeSC -“Urinary Tract Infectión, Risk factor, children, diagnostic, treatment”, en inglés y español con un total de 276 documentos. Posteriormente fueron evaluados con los respectivos instrumentos de lectura crítica de artículos así: Consort para ensayos clínicos, Strobe, para estudios observacionales, Prisma para meta-análisis y Agree para guía de práctica clínica, filtrando un total de 58 documentos. Para la gestión de la información se utilizó el programa Mendeley de libre acceso. Resultados: Los conocimientos en ITU en pediatría han avanzado más hacia la prevención de cicatrices y prevención de enfermedades en la etapa adulta. Las indicaciones de profilaxis han cambiado y son más escuetas. Conclusiones: La ITU es frecuente en pediatría. Han cambiado los manejos, por ahora se necesitan más estudios en nuestra población.

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