Assessment of nosocomial urinary tract infections in diabetic patients at a University Hospital in Turkey

2015 ◽  
Vol 3 (2) ◽  
pp. 74
Author(s):  
H. Ilhan ◽  
A. Ilhan ◽  
C. Artuk ◽  
H. Gul ◽  
B. Besirbellioglu
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
University Hospital ◽  
Diabetic Patients ◽  
Tract Infections

URINARY INFECTION AT DEPARTMENT OF UROLOGY OF HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2018 ◽  
pp. 100-108
Author(s):  
Dinh Khanh Le ◽  
Dinh Dam Le ◽  
Khoa Hung Nguyen ◽  
Xuan My Nguyen ◽  
Minh Nhat Vo ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Clinical Manifestations ◽  
University Hospital ◽  
E Coli ◽  
Positive Urine ◽  
Tract Infections

Objectives: To investigate clinical characteristics, bacterial characteristics, drug resistance status in patients with urinary tract infections treated at Department of Urology, Hue University Hospital. Materials and Method: The study was conducted in 474 patients with urological disease treated at Department of Urology, Hue Universiry Hospital from July 2017 to April 2018. Urine culture was done in the patients with urine > 25 Leu/ul who have symptoms of urinary tract disease or infection symptoms. Patients with positive urine cultures were analyzed for clinical and bacterial characteristics. Results: 187/474 (39.5%) patients had symptoms associated with urinary tract infections. 85/474 (17.9%) patients were diagnosed with urinary tract infection. The positive urine culture rate was 45.5%. Symptoms of UTI were varied, and no prominent symptoms. E. coli accounts for the highest proportion (46.67%), followed by, Staphycoccus aureus (10.67%), Pseudomonas aeruginsa (8,0%), Streptococcus faecali and Proteus (2.67%). ESBL - producing E. coli was 69.23%, ESBL producing Enterobacter spp was 33.33%. Gram-negative bacteria are susceptible to meropenem, imipenem, amikacin while gram positive are vancomycin-sensitive. Conclusions: Clinical manifestations of urinary tract infections varied and its typical symptoms are unclear. E.coli is a common bacterium (46.67%). Isolated bacteria have a high rate of resistance to some common antibiotics especially the third generation cephalosporins and quinolones. Most bacteria are resistant to multiple antibiotics at the same time. Gram (+) bacteria are susceptible to vancomycin, and gram (-) bacteria are susceptible to cefoxitin, amikacin, and carbapenem. Key words: urinary tract infection

Urinary Tract Infections in Patients with Type 1 and Type 2 Diabetes: Etiology, Resistance to Antibacterial Chemicals and Virulence Features

2017 ◽  
Vol 68 (3) ◽  
pp. 566-569 ◽  
Author(s):  
Mihaela Magdalena Mitache ◽  
Carmen Curutiu ◽  
Elena Rusu ◽  
Ramona Bahna ◽  
Mara Ditu ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Virulence Factors ◽  
Urinary Tract Infections ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Diabetic Patients ◽  
Disk Diffusion Test ◽  
Tract Infections ◽  
Susceptibility Profiles ◽  
Diabetes Patients

One of the most frequent chronic complications occurred in diabetes patients are the urinary tract infections (UTIs). This study aimed to investigate the incidence of UTIs in a cohort of 93 (47 males: 46 females) diabetic patients, the prevalence of different microbial species involved and their virulence and antibiotic resistance profiles. The identification of the uropathogenic strains in the positive urine samples was performed using conventional methods and API tests. After identification, the antibiotic susceptibility profiles were established by the standardized disk diffusion method and double disk diffusion test was performed for the confirmation of ESBL and inducible AmpC b �lactamase phenotypes. The isolated strains were tested for the production of different cell associated and soluble virulence factors, i.e.: bacterial adherence to cellular substrata (HeLa cells), hemolysins (hemolysis spot, CAMP-like), amylase, caseinase, aesculin hydrolysis, DNA-ase, lipase and lecithinase. In the analyzed group, the total prevalence of UTIs was of 46%, a higher incidence being observed in the female patients (64%). Similar to other studies, the etiology of UTI in the investigated diabetes patients was dominated by E. coli, followed by Klebsiella sp. strains. The isolated strains preserved good susceptibility rates to quinolones and aminoglycosides and revealed important virulence features, related to their capacity to colonize the cellular substratum and to produce soluble virulence factors involved in persistence, colonization and progression of the infectious process. The high percentage of beta-lactam resistant strains (including carbapenem-resistant ones) requires careful surveillance of the dynamics of susceptibility profiles for limiting the emergence of these strains in community.

scholarly journals Urinary tract infections in patients of University Hospital Center of Tirana

2011 ◽  
Vol 5 (S6) ◽  
Author(s):  
G Kasmi ◽  
S Bino ◽  
I Kasmi ◽  
S Tafai ◽  
A Simaku
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
University Hospital ◽  
Tract Infections ◽  
Hospital Center

scholarly journals Changes in bacterial resistance patterns in children with urinary tract infections on antimicrobial prophylaxis at University Hospital in Split

2011 ◽  
Vol 17 (7) ◽  
pp. CR355-CR361 ◽  
Author(s):  
Tanja Ilić ◽  
Sanda Gračan ◽  
Adela Arapović ◽  
Vesna Čapkun ◽  
Mirna Šubat-Dežulović ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Bacterial Resistance ◽  
Antimicrobial Prophylaxis ◽  
University Hospital ◽  
Resistance Patterns ◽  
Tract Infections

scholarly journals Bacteria of Nosocomial Urinary Tract Infections at a University Hospital in Egypt: Identification and Associated Risk Factors

2004 ◽  
Vol 25 (11) ◽  
pp. 895-897 ◽  
Author(s):  
Fatma A. Amer ◽  
Heba A. Mohtady ◽  
Iman M. El-Behedy ◽  
Salem Khalil ◽  
Yasser A. El-Hendy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
University Hospital ◽  
Associated Risk Factors ◽  
Tract Infections

scholarly journals Isolation and Identification of Microbes on Hands and Mobile Phones Causing Urinary Tract Infections

2021 ◽  
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Mobile Phones ◽  
Pathogenic Bacteria ◽  
University Hospital ◽  
Isolation And Identification ◽  
Civil Hospital ◽  
Transmission Cycle ◽  
Tract Infections

Background: Hands and cell phones are the major source of cross-transmission of urinary tract infections. The aim of this study was to isolate, identify and evaluate Gram-negative bacteria from hand and mobile phones. Methods: This study was conducted in visiting area of Civil Hospital Karachi, Pakistan. Analysis was done by 100 wet sterile cotton tipped swabs, 50 each from mobile phones and hands of their owners. Samples were transported in a Cary Blair transport media, Swabs were streaked on Nutrient agar, Blood agar and MacConkey agar. Organisms were identified by cultural, biochemical, and microscopic characteristics. Results: Total samples n=100 was collected from hand and mobile phones samples (50 hand and 50 mobile swabs) from the Dow university Hospital and Civil Hospital Karachi were tested. Six species of bacteria were isolated along with their identification during the research study. The isolated bacteria were Serratia, Klebsiella, Pseudomonas, Proteus, Shigella and Escherichia coli. The participants’ hands showed high bacterial contamination (50%-56%) in comparison to mobile phones. The frequency (%) of bacteria isolated from mobile phone and hand swabs included Serratia, 12 (24%) with the highest quantity and frequently found bacteria. While, the rest of the results reported Escherichia coli 10 (20%), Klebsiella 9 (18%), Pseudomonas 5 (10%), Shigella 4 (8%) and Proteus 10 (20%) respectively. Conclusion: Patient attendants in hospitals and visitors are more susceptible to nosocomial infections through exchange of mobile phones n=12(24%). Therefore, hygienic practice of hands cleaning while mobile using may help to break the transmission cycle of pathogenic bacteria.

scholarly journals Health vigilance concerning female urinary tract infections: Epidemiological profile and antibiotic resistance

2021 ◽  
Vol 319 ◽  
pp. 01009
Author(s):  
Soumaia Farih ◽  
Abderrazak Saddari ◽  
Benhamza Noussaiba ◽  
Adnane Araab ◽  
Loubna Yacoubi ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Health Care Team ◽  
University Hospital ◽  
Effective Control ◽  
Bacterial Strains ◽  
E Coli ◽  
Epidemiological Profile ◽  
Tract Infections ◽  
Female Urinary Tract

The objectives of our work were to establish the epidemiological and bacteriological profile of female urinary tract infection at the Mohammed VI University Hospital of Oujda (Morocco), and then to study the drug resistance of the bacterial strains isolated. This is a retrospective study over 36 months including urine samples from patients hospitalized or consulting at the CHU Mohamed VI of Oujda (Morocco). Urines were processed according to the recommendations of the Medical Microbiology Reference (REMIC) and the EUCAST (European Committee on Antimicrobial Susceptibility Testing). We collected 12556 requests for CBEU from different departments. At the top of the list was the emergency department with a rate of 37% (n= 4666) followed by outpatient clinics (33.1%; n=4226). 5% (n=630) of the CBEU were positive. Escherichia coli (E. coli ) dominated the epidemiological profile with a rate of 72.50% (n=482). E. coli was resistant to penicillins in 69.50% (n=299) of cases, protected penicillins in 34.80% (n=149), third generation cephalosporins (C3G) in 9% (n=38), fluoroquinolones in 17.5% (n=73), Trimethoprim-Sulfamethoxazole in 46% (n=196) of cases and gentamicin in 12% (n=51) of cases. None of the strains were resistant to carbapenems. Awareness-raising on the proper use of antibiotics, issuing national recommendations for the treatment of urinary tract infections in order to standardize therapeutic regimens. Effective control of these infections requires a global prevention strategy that implies close collaboration between epidemiologists, clinicians, bacteriologists, hygienists and the health care team.

Sign in / Sign up

Export Citation Format

Share Document