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沙特阿拉伯王国哈伊勒市一家三级医院重症监护病房患者的导管相关性尿路感染

Catheter-Associated Urinary Tract Infection in Intensive Care Unit Patients at a Tertiary Care Hospital, Hail, Kingdom of Saudi Arabia.

作者信息

Saleem Mohd, Syed Khaja Azharuddin Sajid, Hossain Ashfaque, Alenazi Fahaad, Said Kamaleldin B, Moursi Soha Abdallah, Almalaq Homoud Abdulmohsin, Mohamed Hamza, Rakha Ehab, Mishra Sunit Kumar

机构信息

Department of Pathology, College of Medicine, University of Hail, Hail 55211, Saudi Arabia.

Department of Medical Microbiology and Immunology, RAK Medical and Health Sciences University, Ras Al Khaimah 11172, United Arab Emirates.

出版信息

Diagnostics (Basel). 2022 Jul 12;12(7):1695. doi: 10.3390/diagnostics12071695.

Abstract

Catheter-associated urinary tract infections (CAUTIs) are some of the most common hospital-acquired infections (HAIs). Prolonged hospitalization, invasive devices such as catheters, and irrational use of antimicrobial agents are believed to be the major causes of high rates of HAIs. Infections such as pyelonephritis, urethritis, cystitis, and prostatitis are the main concerns in catheterized ICU patients. In these cases, Gram-negative bacteria are the most common bacteria. The present study was undertaken to determine the frequency, antibiograms, disease pattern, and risk factors involved in providing an advocacy recommendation to prevent CAUTI. A total of 1078 patients were admitted to the hospital ICU, out of which healthcare-associated infection was reported in 316 patients. CAUTI was reported only in 70 patients. (20%) was the predominant isolate, with (3%) and (3%) species being the least common isolates in this study. The present study provides CAUTI incidence rates in a tertiary care hospital in Hail, Saudi Arabia. Furthermore, information on the risk factors of common associated CAUTI causative organisms and their antibiogram patterns are also presented. This study provides vital information that can be used to formulate an effective antibiotic stewardship program that can be implemented throughout the kingdom.

摘要

导尿管相关尿路感染(CAUTIs)是一些最常见的医院获得性感染(HAIs)。长期住院、诸如导尿管之类的侵入性器械以及抗菌药物的不合理使用被认为是医院获得性感染高发生率的主要原因。肾盂肾炎、尿道炎、膀胱炎和前列腺炎等感染是导尿的重症监护病房患者的主要关注点。在这些病例中,革兰氏阴性菌是最常见的细菌。本研究旨在确定频率、抗菌谱、疾病模式以及涉及提供预防CAUTI的倡导性建议的风险因素。共有1078名患者入住医院重症监护病房,其中316名患者报告有医疗保健相关感染。仅70名患者报告有CAUTI。(20%)是主要分离株,(3%)和(3%)种是本研究中最不常见的分离株。本研究提供了沙特阿拉伯海勒一家三级护理医院的CAUTI发病率。此外,还介绍了常见相关CAUTI病原体的风险因素及其抗菌谱模式的信息。本研究提供了重要信息,可用于制定一项可在全国实施的有效抗生素管理计划。

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