scholarly journals CORRELATION OF COMPLETE MEDICAL INFORMATION WITH ACCURACY DIAGNOSIS CODE OF URINARY TRACT INFECTION AT SEBELAS MARET HOSPITAL

2020 ◽  
Vol 9 (1) ◽  
pp. 78-82
Author(s):  
LINDA WIDYA NINGRUM
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Medical Record ◽  
Medical Information ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
University Hospital ◽  
Diagnosis Code ◽  
Cross Sectional

Accuracy Code Diagnosis is the accuracy of the diagnosis code based on ICD-10 by the coding officer on the medical record document by examining the results of the diagnosis written by doctors and medical personnel. This type of research is observational analytic with cross sectional approach. In this study the population used was inpatient medical record documents with a diagnosis of urinary tract infection as many as 229. The sample used was 146 by using a simple random sampling technique. The percentage of accuracy of the diagnosis code of urinary tract infection in inpatient medical record documents at Sebelas Maret University Hospital was 129 (88,36%) documents and 17 (11,64%) inaccuracies of documents. The percentage of completeness of medical information from 146 documents studied was 78 (53,42%) documents while the incomplete category was 68 (46,58%) documents. The results of calculations using SPSS with the Chi Square statistical test results are 4.459 while the value of p = 0,035 with an error level of 0,05 so that the value of p 0,05. The conclusion is corelatin the completeness of medical information with the accuracy of the urinary tract infection diagnosis code is rejected.

scholarly journals Urinary tract infection in patients with chronic kidney disease under conservative treatment

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Graciana Maria de Moraes Coutinho ◽  
Emanuela Cardoso da Silva ◽  
Cássia Regina Vancini Campanharo ◽  
Angélica Gonçalves Silva Belasco ◽  
Cassiane Dezoti da Fonseca ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Kidney Disease ◽  
Tract Infection ◽  
Conservative Treatment ◽  
University Hospital ◽  
Cross Sectional ◽  
Associated Risk Factors

ABSTRACT Objectives: to assess the prevalence and associated risk factors for urinary tract infection in patients with chronic kidney disease under conservative treatment and identify the microorganisms isolated in the urine of these patients and the staging of chronic kidney disease. Methods: a cross-sectional, analytical study carried out at the Conservative Treatment Outpatient Clinic of a university hospital in the city of São Paulo. Results: the prevalence of urinary tract infection is 22%. The risk factors Diabetes Mellitus, hypertension, heart disease, neoplasms and thyroid and autoimmune diseases stand out in the infected group (p < 0.001). Most of the microorganisms found in urine cultures (87.9%) were Gram-negative, being Escherichia coli (50.70%), followed by Klebsiella pneumoniae (23.1%) and Enterococcus spp. (9.7%). Conclusions: the findings of this investigation reveal the intrinsic association between risk factors and microorganisms for the development of urinary tract infection.

scholarly journals The Compliance of Hospital Nurse in the Prevention of Urinary Tract Infection in Surabaya, Indonesia

2021 ◽  
Vol 9 (1) ◽  
pp. 18
Author(s):  
Ainun Azizah Ramdhani ◽  
Nur Annisha Karunia Latief ◽  
Fariani Syahrul ◽  
Dwiono Mudjianto
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Simple Random Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
Background Factors ◽  
Compliance Behavior ◽  
Employment Duration

Background: Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common infections in the hospital. In order to prevent and control CAUTI incidence, nurses are required to implement bundles of prevention. However, the lack of nurses’ compliance behavior in implementing the CAUTI bundle prevention was found. Objective: This study analyzes the nurse’s compliance behavior in implementing CAUTI prevention using the Theory of Planned Behavior (TPB) approach. Methods: This study was an analytical descriptive study with a cross-sectional design. Nurses who work in ICU, ICCU, HCU, and in-patient unit of the hospital were set as study population and taken as samples using simple random sampling. Background factors (age, education, knowledge, employment duration, career levels), attitudes, subjective norms, Perceived Behavior Control (PBC), and intention were determined as independent variables. In contrast, nurses’ compliance behavior in CAUTI prevention bundle implementation was determined as the dependent variable. Data were collected using a questionnaire and analyzed using logistic regression with a significance level of α < 0.05. Results: Among 111 nurses, most of them are in the age of 26-45 years (80.1%), has worked as a nurse for 8-13 years (29.7%), reach career level at Clinical Nurse 3 (51.4%), and have good knowledge about CAUTI prevention bundle (83.8%). The employment duration and career levels are background factors that correlate the most to the TPB factors. The nurses’ compliance behavior is influenced by attitude, subjective norm, PBC, and intention (P Value= 0.000). Multivariate analysis shows that intention is associated with nurses’ compliance behavior and increases nurses’ commitment to implement CAUTI prevention bundle (P Value= 0.033, OR= 6.46). Conclusion: The intention simultaneously influences the nurses’ compliance behavior.

scholarly journals Frequency of E coli and its sensitivity to nitrofurantion in patients with urinary tract infection

2021 ◽  
Vol 29 (02) ◽  
Author(s):  
Hamza Ali Khan ◽  
Shah Umam ◽  
Muhammad Yousaf ◽  
Ahmar Rashid ◽  
Ghulam Abbas ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Operational Definition ◽  
Ethical Review ◽  
Care Hospital ◽  
Cross Sectional ◽  
E Coli

Background: Urinary tract infection (UTI) is one of the most common bacterial illnesses in adults and is one of the most common indications for antibiotics. This study is conducted to determine frequency of E-Coli and its sensitivity to nitrofurantoin in patients with urinary tract infection. Materials and Methods: The study was conducted at a tertiary care hospital of District Peshawar, i.e. Khyber Teaching Hospital (KTH), after reviewed and approved by the Committee for Ethical Review of Research involving Human Subjects of KTH. Non-random consecutive sampling technique was used for the collection of data and data collection was completed in 06 months’ time i.e. from 20th February to 19th August 2018. The survey was conducted as a descriptive cross-sectional study using open Epi calculator, keeping confidence interval of 95%, sample size calculated is 148. Urine samples were collected in sterile containers and was sent to laboratory for routine examination, culture and sensitivity. A colony 105 or more was considered E Coli growth. Nitrofurantoin was used to check the sensitivity for organisms as per operational definition. All the tests and examinations were carried out under the supervision of experienced medical specialist and microbiologist. RESULTS: In this study, 148 patients were studied. Average age was 41.86 years + 11.62SD. E coli was found in 91(61.5%) of patients out of total 148 patients. Among UTI patients 78(85.7%) were sensitive to Nitrofurantoin. CONCLUSION: High prevalence of drug-resistant urinary tract pathogens, particularly to Nitrofurantoin suggests cautious use of antibiotic therapy for the treatment of UTI

scholarly journals Hubungan Kepatuhan Perawat Melaksanakan Standar Prosedur Operasional Perawatan Kateter Menetap Dengan Angka Kejadian Infeksi Saluran Kemih

2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Maria Karolina Selano ◽  
Ranis Nyadin Panjaitan ◽  
Sofyan Budi Raharjo
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Random Sampling ◽  
Descriptive Analysis ◽  
Simple Random Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Exact Test ◽  
Operational Procedure

ABSTRAKKepatuhan adalah perilaku positif yang diperlihatkan seseorang saat mengarah ke tujuan terapeutik yang ditentukan bersama. Kejadian ISK merupakan 40% dari seluruh infeksi nosokomial dan 80% infeksi saluran kemih terjadi sesudah instrumentasi, terutama oleh kateterisasi. Pelaksanaan pencegahan infeksi nosokomial oleh perawat berkaitan dengan kepatuhan. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan perawat dalam menjalankan standar prosedur operasional perawatan kateter dengan angka kejadian infeksi saluran kemih. Desain penelitian yang digunakan deskriptif analitik dengan pendekatan cross sectional. Tehnik pengambilan sampel menggunakan proportional simple random sampling dengan jumlah sampel sebanyak 51 responden. Alat ukur menggunakan lembar observasi. Analisis data menggunakan uji alternatif fisher’s exact test.Kejadian ISK adalah 11 (21,6%) pasien, sementara pasien yang tidak mengalami ISK adalah sebanyak 40 responden (78,4%). Tingkat kepatuhan SPO perawatan kateter tinggi sebanyak 12  responden (23,5%), tingkat kepatuhan SPO perawatan kateter sedang sebanyak 39 responden (64,7%). Hasil uji fisher didapatkan p value = 0,048 (<0,05). Dari hasil penelitian didapatkan adanya hubungan yang signifikan antara kepatuhan perawat dalam menjalankan standar prosedur operasional perawatan kateter dengan angka kejadian infeksi saluran kemih. Kata Kunci : Kepatuhan perawat, SPO, perawatan kateter, ISK. ABSTRACTCompliance is defined as the positive action done by someone to achieve a desired theuraphetic result which has been designated together. Urinary tract infection cases account for 40% of nosocomical infection figure and 80% of the urinary tract infection occur after instrumentation, especially catheterization. The implementation of nosocomical infection prevention done by the nurses depends on their compliance towards the procedure. This research aims to find out the relationship between the nurses’ compliance towards the standard operational procedure of catheter treatment with the figure of urinary tract infection cases. This research utilizes the descriptive analysis research design coupled with cross sectional approach. The researchers use proportional simple random sampling as the sampling method; the number of samples is 51 respondents. To get and measure the responses, the researchers use observation sheet. The data obtained is then analyzed with the fisher’s exact test alternative test.Urinary tract infection cases happen in 11 patients (21.6%) while the other 40 patients (78.4%) do not have such infection. The number of nurses who highly comply towards the standard operational procedure of catheter treatment is 12 (23.5%) and nurses who show mediocre compliance towards the standard operational procedure are 39 (76,5%). The fisher’s test comes out the p value to be 0.048 (<0.05). The research found out that there is a significant correlation between the nurses’ compliance in carrying out the standard operational procedure of catheter treatment with the number of urinary tract infection cases. Keywords: Nurses’ compliance, Standard Operational Procedure, catheter treatment, urinary tract infection.

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

scholarly journals The Prevalence of Bacterial Pathogens associated with Urinary Tract Infection (UTI) among Patients attending Kam Medical Consult Clinic, Uganda.

2021 ◽  
Author(s):  
◽  
Gerald Turyatunga
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Bacterial Pathogens ◽  
Clinical Signs ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Etiological Agents ◽  
Tract Infections

Background: A urinary tract infection (UTIs) is a common type of infection caused by bacteria that travel up the urethra to the bladder. Globally, it is reported that 150 million people are diagnosed with a UTI annually, costing the world economy over 6 million US dollars in treatment and work loss. Studies conducted in the in-patients pediatric ward of Muhimbili Hospital in Tanzania and Mulago National Referral Hospital in Uganda between five to ten years reported the prevalence of UTI to be 16.8% and 14.6% respectively. On average at Kam Medical Consult Clinic, patients who turn up in the laboratory are about 20%, and 50% of patients present with recurring UTIs clinically. Therefore,  there is a need to establish and investigate the prevalence of bacterial pathogens associated with UTI and multiple pathogens that are not known. Methodology: The cross-sectional study was carried out at Kam medical consult clinic (KMCC) located in Kafeero zone Mulago II Kawempe division. The study population was adults and children presenting with symptoms of urinary tract infection. 120 Midstream urine Samples were collected from patients presenting clinical signs of UTI. The diagnosis was done through macroscopy dry chemistry, microscopy, and culture. Results Among the sampled population, 33% of males had urinary tract infections while 67% of females had urinary tract infections.  88.5% were outpatients while 11.5 % were in-patients The overall prevalence of UTI among patients was 63.3% with children aged (1-10) having a prevalence of 5.8 %. Conclusion and recommendation: E.coli is an etiological agent causing UTIs in male and female patients presenting UTI at Kam Medical Consult Clinic. Other etiological agents included Klebsiella, Coliform, Enterococcus species, staphylococcus aureus, pseudomonas species, and candida species. There is a need to monitor the profile of etiological bacteria of UTI through culture and sensitivity regularly. 

scholarly journals Predictors of Surgical site infections among patients undergoing open urological surgery at a Tertiary hospital, Tanzania: A cross sectional study

2019 ◽  
Author(s):  
Joel Paschal Manyahi ◽  
Upendo Kibwana ◽  
Victor Sensa ◽  
Sydney C Yongolo ◽  
Eligius Lyamuya
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Surgical Site Infections ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Urological Surgery ◽  
Contaminated Wound ◽  
Wound Class

Abstract Background Surgical site infection (SSI) is one of the major hospital acquired infections highly associated with prolonged hospitalization, morbidity and mortality. In open urological surgeries, little is known on magnitude and factors associated with development of SSI. Methods and Materials This was a cross-sectional prospective observational study performed between August 2015 and March 2016 at Muhimbili National hospital (MNH), Dar es Salaam, Tanzania. All patients who underwent open urological surgery and met inclusion criteria were consecutively enrolled, and followed up for 30 days. Patients´ and operative characteristics were recorded using standard structured questionnaires. Wound/ pus swabs were collected from patients with clinical evidence of SSI for bacteriological processing. Data analysis was performed using SPSS version 20. Results Of 182 patients who underwent open urological surgery, 22% developed SSI. Pre-operative urinary tract infection (aOR 9.73, 95%CI 3.93-24.09, p<0.001) and contaminated wound class (aOR 24.997, 95%CI 2.58-242.42, p = 0.005) were independent predictors for development of SSI. Shaving within 30 hrs before surgical procedure was found to be protective for developing SSI (aOR 0.26, 95%CI 0.09-0.79, p = 0.02). Escherichia coli (20/40) was the most predominant pathogen in SSI followed by Klebsiella pneumoniae (7/40) and S. aureus (6/40). Gram-negative bacteria were highly resistant to ceftriaxone, gentamicin, amoxicillin-clavulanic acid and trimethoprim-sulfamethoxazole. Conclusion SSI was high in open urological interventions. Pre-operative urinary tract infection and contaminated wound class predicted SSI. Bacteria causing SSI were highly resistant to commonly used antibiotics.

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