Objective: In this study it was aimed to re- search whether or not there is a difference in pathogens that cause urinary tract infections (UTIs) for patients using urinary catheters be- tween patients admitted to our hospitals intensive care unit (ICU) and using home care services
Material and Methods: Urine culture sam- ples of patients with urinary catheters who were admitted to reanimation department of our Hos- pital between January-June 2018 and used home care services between January 2017-June 2018, were scanned from data processing database and patients with proliferation were included to the study. The difference between groups were evalu- ated with z-Test using Minitab and significance level (a) was settled as %5.
Results: The pathogen that caused urinary tract infection the most at ICU was candida spp. (%40,92). The pathogens after candida were, E. coli (%23,3) and Enterococcus spp. (%10,02) in that order. The most proliferating pathogen for patients that used home care services was differing from the patients in ICU as E.coli (%56,6). Candida spp. was the second most prevalent factor (%13,3). The patients with candida at ICU was higher than the patients that used home care services with statistical significance(Z=-6,51,p=0,001). On the other hand, E.coli for patients using home care services was higher than the patients in ICU with statistical significance (Z=5,53,p=0,001). ESBL positive E.coli and Klesebiella spp. had antibiotic resistance to beta lactam group antibiotics such as cefuroxime, cefazolin and ampicillin. Most sensi- tive antibiotics were amikacin and cefepime.
Conclusion: The study shows that the patho- gens, which develop due to urinary catheter appli- cation and causing UTIs, can vary due to patient’s condition, environment, antibiotic use, existing diseases, organ failures and hygiene. Also the antibiotics, which pathogens that cause UTIs are sensitive-resistant to, are similar in the country.
Keywords: Urinary tract infection, intensive care unit, home health care services, candida
Abstract
Objective: In this study it was aimed to re- search whether or not there is a difference in pathogens that cause urinary tract infections (UTIs) for patients using urinary catheters be- tween patients admitted to our hospitals intensive care unit (ICU) and using home care services
Material and Methods: Urine culture sam- ples of patients with urinary catheters who were admitted to reanimation department of our Hos- pital between January-June 2018 and used home care services between January 2017-June 2018, were scanned from data processing database and patients with proliferation were included to the study. The difference between groups were evalu- ated with z-Test using Minitab and significance level (a) was settled as %5.
Results: The pathogen that caused urinary tract infection the most at ICU was candida spp. (%40,92). The pathogens after candida were, E. coli (%23,3) and Enterococcus spp. (%10,02) in that order. The most proliferating pathogen for patients that used home care services was differing from the patients in ICU as E.coli (%56,6). Candida spp. was the second most prevalent factor (%13,3). The patients with candida at ICU was higher than the patients that used home care services with statistical significance(Z=-6,51,p=0,001). On the other hand, E.coli for patients using home care services was higher than the patients in ICU with statistical significance (Z=5,53,p=0,001). ESBL positive E.coli and Klesebiella spp. had antibiotic resistance to beta lactam group antibiotics such as cefuroxime, cefazolin and ampicillin. Most sensi- tive antibiotics were amikacin and cefepime.
Conclusion: The study shows that the patho- gens, which develop due to urinary catheter appli- cation and causing UTIs, can vary due to patient’s condition, environment, antibiotic use, existing diseases, organ failures and hygiene. Also the antibiotics, which pathogens that cause UTIs are sensitive-resistant to, are similar in the country.
Keywords: Urinary tract infection, intensive care unit, home health care services, candida