Đặc điểm nhiễm khuẩn tiết niệu trên người bệnh có đặt thông tiểu tại Trung tâm Liền vết thương, Bệnh viện Bỏng Quốc gia Lê Hữu Trác

Abstract

catheterization. Identification of pathogens and antibiotic resistance of bacteria.
Subjects and methods: Retrospective and prospective cross-sectional descriptive studies on 21 patients with urinary catheterization diagnosed with catheter-associated urinary tract infections according to standards.
Results: In 21 patients, the incidence of urinary tract infections in male patients 13/21 (61.9%) was higher than in female patients 8/21 (38.1%). Duration of catheterization more than 07 days accounts for a high rate of 13/21 (61.9%). Spinal cord injury is the most common disease 11/21 (52.38%). The main clinical symptoms are fever > 380C and cloudy urine through catheter 17/21 (80.95%). Gram-negative bacteria accounted for 80.95% of which E. coli was most common with the rate of 11/21 (52.38%). The results of antibiogram showed that E. coli was mostly resistant to antibiotics, still susceptible to Imipenem, Meropenem, Amikacin, Ticar + clav.
Conclusion: The rate of catheterization urinary tract infections (CAUTI) among men was higher than women. The main clinical symptoms were fever > 380C and cloudy urine through a catheter. The main pathogen isolated was Gram-negative bacteria. The most common pathogens isolated were E. coli. E. coli bacteria which resistant to almost antibiotics.