تعيين فراواني و عوامل ايجادكننده عفونت هاي ادراري بيمارستاني در بيماران بستري شده در بيمارستان امام خميني اروميه در سال 1379

STUDY OF FREQVENCY AND CAUSING FACTORS OF URINARY TRACT INFECTIONS IN IMAM KHOMEINI HOSPITAL IN URMIA

Introduction : Urinary tract infection is the most common infection that is acquired after manipulating the urinary tract in hospital and the aim of this descriptive study is to determine the frequency of hospital acquired urinary tract infection and drug resistance. Methods & Materials : All of the patients who hospitalized in diffrent wards of Imam Khomeini hospital during the year of 2000 were selected for urinalysis and urine culture at third day (expect for patients who had urinary tract infection). Results : 946 patients were studied. 46 of them (4.8%) developed to have hospital urinary infection (5.7% of males and 3.8% of females). The most common microorganism was E.Coli (28.2%) and drug resistance to ampicilline and co-trimoxazole was reported 85% and 68% respectively. 64.4% of patients recieved one or more types of preventive antibiotic and 38 patients (82.5%) had urinary catheter. Discussion : Irregular prescription of antibiotics for preventing of hospital infection increase the risk of drug resistance. Although E.Coli was the most common cause of hospital urinary tract infection (28.2%), pseudomanas aeruginosa was the second and the most dangerous organism of hospitals urinary infection (26%). The continuous education of correct and suitable insertion of catheters could decrease the frequency of urinary tract infection, effectively.