Urinary tract infections in hospitalized patients

Introduction: Urinary Tract Infections (UTI) are an important cause of morbidity in the community, constituting one of the main reasons for hospitalization, and the fourth cause of healthcare-associated infection. The objectives of this study were to determine the frequency of community-acquired UTI...

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Autores principales: Peñaranda, Gabriela Estefanía, Suasnabar, David Francisco, Foia, Esteban, Finello, Malena, Ellena Leon, María Fabiana, Panchuk, Ana, Dominella, Fernando, Hernandez, Daniela, Cometto, María Aldana, Vázquez, Sofía Mariela, Amuchástegui, Tomás, Albertini, Ricardo Arturo, Saad, Emanuel José
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020
Materias:
urinary tract infections
urinary catheters
community-acquired infections
cross infection
anti-infective agents
Urinary tract infections
infecciones urinarias
catéteres urinarios
infecciones comunitarias adquiridas
infección hospitalaria
antiinfecciosos
infecções urinárias
cateteres urinários
infecções comunitárias adquiridas
infecção hospitalar
anti-infecciosos
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/26331
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-26331
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Inglés
format Artículo revista
topic urinary tract infections
urinary catheters
community-acquired infections
cross infection
anti-infective agents
Urinary tract infections
infecciones urinarias
catéteres urinarios
infecciones comunitarias adquiridas
infección hospitalaria
antiinfecciosos
infecções urinárias
cateteres urinários
infecções comunitárias adquiridas
infecção hospitalar
anti-infecciosos
spellingShingle urinary tract infections
urinary catheters
community-acquired infections
cross infection
anti-infective agents
Urinary tract infections
infecciones urinarias
catéteres urinarios
infecciones comunitarias adquiridas
infección hospitalaria
antiinfecciosos
infecções urinárias
cateteres urinários
infecções comunitárias adquiridas
infecção hospitalar
anti-infecciosos
Peñaranda, Gabriela Estefanía
Suasnabar, David Francisco
Foia, Esteban
Finello, Malena
Ellena Leon, María Fabiana
Panchuk, Ana
Dominella, Fernando
Hernandez, Daniela
Cometto, María Aldana
Vázquez, Sofía Mariela
Amuchástegui, Tomás
Albertini, Ricardo Arturo
Saad, Emanuel José
Urinary tract infections in hospitalized patients
topic_facet urinary tract infections
urinary catheters
community-acquired infections
cross infection
anti-infective agents
Urinary tract infections
infecciones urinarias
catéteres urinarios
infecciones comunitarias adquiridas
infección hospitalaria
antiinfecciosos
infecções urinárias
cateteres urinários
infecções comunitárias adquiridas
infecção hospitalar
anti-infecciosos
author Peñaranda, Gabriela Estefanía
Suasnabar, David Francisco
Foia, Esteban
Finello, Malena
Ellena Leon, María Fabiana
Panchuk, Ana
Dominella, Fernando
Hernandez, Daniela
Cometto, María Aldana
Vázquez, Sofía Mariela
Amuchástegui, Tomás
Albertini, Ricardo Arturo
Saad, Emanuel José
author_facet Peñaranda, Gabriela Estefanía
Suasnabar, David Francisco
Foia, Esteban
Finello, Malena
Ellena Leon, María Fabiana
Panchuk, Ana
Dominella, Fernando
Hernandez, Daniela
Cometto, María Aldana
Vázquez, Sofía Mariela
Amuchástegui, Tomás
Albertini, Ricardo Arturo
Saad, Emanuel José
author_sort Peñaranda, Gabriela Estefanía
title Urinary tract infections in hospitalized patients
title_short Urinary tract infections in hospitalized patients
title_full Urinary tract infections in hospitalized patients
title_fullStr Urinary tract infections in hospitalized patients
title_full_unstemmed Urinary tract infections in hospitalized patients
title_sort urinary tract infections in hospitalized patients
description Introduction: Urinary Tract Infections (UTI) are an important cause of morbidity in the community, constituting one of the main reasons for hospitalization, and the fourth cause of healthcare-associated infection. The objectives of this study were to determine the frequency of community-acquired UTI (CA-UTI) with need of hospitalization and healthcare-associated UTI (HA-UTI), their risk factors, etiologic agents and their antimicrobial susceptibility spectrum. Methods: A prospective and analytic study was conducted, in which all admissions regarding CA-UTI with need of hospitalization and HA-UTI were evaluated during the period between 2016 and 2017 in two university hospitals. Results: A total of 279 episodes of UTI in hospitalized patients were identified and, among those, 178 episodes corresponded to CA-UTI and 101 to HA-UTI. On average, patients were 60 years old in both groups. HA-UTI were more frequently associated with kidney transplant, recurrent UTI and chronic kidney disease compared with CA-UTI. The instrumentation of urinary tract within the previous month was more frequent in HA-UTI (75.2% vs 32.6%, p<0.001). Escherichia coli was the most frequent isolated microorganism (62.9% in CA-UTI and 56.4% in HA-UTI), followed by Klebsiella pneumoniae and Pseudomonas aeruginosa. A total of 101 multidrug resistant microorganisms were isolated, of which 53.5% were CA-UTI, and were associated with male patients, use of antimicrobials within the previous three months, chronic kidney disease and recurrent UTI. Main conclusion: It is of great importance for the institutions to identify the local antimicrobial susceptibility spectrum of UTI in order to stablish adequate empiric treatments.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2020
url https://revistas.unc.edu.ar/index.php/med/article/view/26331
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spelling I10-R327-article-263312024-08-27T18:26:58Z Urinary tract infections in hospitalized patients Infecciones urinarias en pacientes hospitalizados Infecções urinárias em pacientes hospitalizados Peñaranda, Gabriela Estefanía Suasnabar, David Francisco Foia, Esteban Finello, Malena Ellena Leon, María Fabiana Panchuk, Ana Dominella, Fernando Hernandez, Daniela Cometto, María Aldana Vázquez, Sofía Mariela Amuchástegui, Tomás Albertini, Ricardo Arturo Saad, Emanuel José urinary tract infections urinary catheters community-acquired infections cross infection anti-infective agents Urinary tract infections infecciones urinarias catéteres urinarios infecciones comunitarias adquiridas infección hospitalaria antiinfecciosos infecções urinárias cateteres urinários infecções comunitárias adquiridas infecção hospitalar anti-infecciosos Introduction: Urinary Tract Infections (UTI) are an important cause of morbidity in the community, constituting one of the main reasons for hospitalization, and the fourth cause of healthcare-associated infection. The objectives of this study were to determine the frequency of community-acquired UTI (CA-UTI) with need of hospitalization and healthcare-associated UTI (HA-UTI), their risk factors, etiologic agents and their antimicrobial susceptibility spectrum. Methods: A prospective and analytic study was conducted, in which all admissions regarding CA-UTI with need of hospitalization and HA-UTI were evaluated during the period between 2016 and 2017 in two university hospitals. Results: A total of 279 episodes of UTI in hospitalized patients were identified and, among those, 178 episodes corresponded to CA-UTI and 101 to HA-UTI. On average, patients were 60 years old in both groups. HA-UTI were more frequently associated with kidney transplant, recurrent UTI and chronic kidney disease compared with CA-UTI. The instrumentation of urinary tract within the previous month was more frequent in HA-UTI (75.2% vs 32.6%, p<0.001). Escherichia coli was the most frequent isolated microorganism (62.9% in CA-UTI and 56.4% in HA-UTI), followed by Klebsiella pneumoniae and Pseudomonas aeruginosa. A total of 101 multidrug resistant microorganisms were isolated, of which 53.5% were CA-UTI, and were associated with male patients, use of antimicrobials within the previous three months, chronic kidney disease and recurrent UTI. Main conclusion: It is of great importance for the institutions to identify the local antimicrobial susceptibility spectrum of UTI in order to stablish adequate empiric treatments. Introducción: Las infecciones del tracto urinario (ITU) constituyen una importante causa de morbilidad, representando uno de los principales motivos de hospitalización y la cuarta causa de infecciones asociadas a la atención sanitaria. Nuestros objetivos fueron determinar la frecuencia de ITU adquirida en la comunidad (ITU-AC) que requirieron hospitalización e ITU asociadas a la atención sanitaria (ITU-AAS), sus factores de riesgo, agentes etiológicos y espectros susceptibilidad antimicrobiana. Métodos: Estudio prospectivo y analítico donde se evaluaron todos los episodios de ITU-AC que requirieron internación e ITU-AAS durante el período de noviembre de 2016 a noviembre de 2017 en dos hospitales universitarios. Resultados: Se identificaron 279 episodios de ITU en pacientes hospitalizados, de los cuales 178 correspondieron a ITU-AC. En ambos grupos, el promedio de edad fue de 60 años, existiendo una mayor proporción de mujeres. Las ITU-AC se asociaron más frecuentemente al antecedente de trasplante renal, ITU recurrente y enfermedad renal crónica, respecto a ITU-AAS. La instrumentación de la vía urinaria en el último mes fue más frecuente en las ITU-AAS (75,2% vs 32,6%, p<0,001). El microorganismo más frecuente fue Escherichia coli (62,9% de ITU-AC y 56,4% de ITU-AAS), seguido por Klebsiella pneumoniae y Pseudomonas aeruginosa. Se aislaron 101 gérmenes multirresistentes de los cuales el 53,5% eran ITU-AC, y se asociaron a hombres, uso de antimicrobianos en los tres meses previos, enfermedad renal crónica e ITU recurrente. Conclusión: Es de gran importancia para las instituciones conocer el espectro de susceptibilidad antimicrobiana de las ITU para establecer tratamientos empíricos adecuados. Introdução: As infecções do trato urinário (ITUs) constituem um importante causa de morbidade, elas representam um dos principais motivos de hospitalização e são a quarta causa de infecções associadas à assistência à saúde. Nossos objetivos foram: determinar a frequência de ITUs adquiridas na comunidade (ITUs-AC) que requereram hospitalização e a frequência de ITUs associadas à assistência à saúde (ITUs-AAS), seus fatores de risco, seus agentes etiológicos e os espectros de susceptibilidade antimicrobiana. Métodos: Trata-se de um estudo prospectivo e analítico no qual foram avaliados todos os episódios de ITU-AC que requereram hospitalização bem como os de ITUs-AAS no período compreendido entre os 2016 e 2017 em dois hospitais. Resultados: Foram identificados 279 episódios de ITU em pacientes hospitalizados, dos quais 178 corresponderam a ITU-AC. Em ambos os grupos a média etária foi de 60 anos. As ITUs-AC estiveram associadas com maior frequência a transplante renal prévio, a ITU recorrente e a doença renal crônica, no que se refere às ITUs-AAS. A instrumentação das vias urinárias foi mais frequente no último mês no caso das ITUs-AAS (75,2% vs 32,6%, p<0,001). O microrganismo mais frequente foi Escherichia coli (62,9% das ITUs-AC e 56,4% das ITUs-AAS), seguido por Klebsiella pneumoniae y Pseudomonas aeruginosa. Foram isolados 101 germes multirresistentes, dos quais 53,5% eram ITUs-AC e associaram-se a pacientes masculinos, ao uso de antimicrobianos prévio, a doença renal crônica e a ITU recorrente. Conclusão: Resulta de grande importância para as instituições conhecer o espectro de susceptibilidade antimicrobiana das ITUs para estabelecer tratamentos empíricos adequados. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-12-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26331 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 4 (2020); 265-271 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 4 (2020); 265-271 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 4 (2020); 265-271 1853-0605 0014-6722 10.31053/1853.0605.v77.n4 eng https://revistas.unc.edu.ar/index.php/med/article/view/26331/31770 https://revistas.unc.edu.ar/index.php/med/article/view/26331/31771 Derechos de autor 2020 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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