Epidemiologic Study of Nosocomial Urinary Tract Infections in Saudi Military Hospitals

Al-Helali, Nabil S.; Al-Asmary, Saeed M.; Abdel-Fattah, Moataz M.; Al-Jabban, Tawfiq M.; Al-Bamri, Abdel-latif M.

doi:10.1086/502336

Cited by 12 publications

(9 citation statements)

References 13 publications

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“…Duration of catheterization longer than 5 days was an independent predictor for CAUTIs. Our results support the findings from other studies, which found that higher risk of CAUTI was associated with prolonged duration of catheterization [11,15]. Urinary catheterization beyond 6 days increases the risk of acquiring the CAUTI (RR = 5.1-6.8); by day 30 of indwelling, the infection is near universal [13].…”

Section: Discussionsupporting

confidence: 91%

Risk factors for hospital-acquired urinary tract infection: a case–control study

2010

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The objective is to assess risk factors and microbiological aspects of hospital-acquired urinary tract infection (HAUTI) on six wards of a general regional hospital in Serbia. A case-control study was nested within prospective cohort HAUTIs study conducted from January 1 to December 31, 2007. Three controls were identified for each patient with HAUTI, being chronologically the next three patients surveyed who did not develop HAUTI. The patients and controls were matched by sex and age (±5 years). Assessment of 8,467 patients during the study period revealed HAUTI in 125 (116 symptomatic and 9 asymptomatic). The overall incidence rate of HAUTI was 14.8 cases/1,000 admissions. The mean age (range) of cases and controls was 64.9 (18-85) and 65.2 (17-86), respectively. Multivariate logistic regression analysis showed that duration of catheterization >5 days (OR = 51.91; 95% CI = 23.46-114.82) and the ASA score (OR = 13.42; 95% CI = 2.14-84.30) were independently associated with increased risk of HAUTIs. The most frequently isolated Gram-negative bacteria were Enterobacter, Klebsiella sp., Proteus mirabilis and Escherichia coli. Enterococcus sp. was the most frequent Gram-positive bacteria.

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Section: Discussionsupporting

confidence: 91%

Risk factors for hospital-acquired urinary tract infection: a case–control study

2010

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“…4,22 Three studies were undertaken in the middle-income countries of Brazil, 24 India 23 and Egypt. 39 Two studies 23,34 involved paediatric populations, with the remaining 21 papers addressing adult populations, including patients from general wards, 4,20,22,26,28,36,37,39,41 patients in intensive care units (ICUs), 29e31,33,38,40 surgical patients, 35 stroke patients, 32 orthopaedic patients, 27 hip fracture admissions, 21 spinal injury patients 25 and renal transplant patients. 24 The CASP scores for the three caseecontrol studies ranged from nine 22 to six, 20 whilst the prevalence studies, using the adjusted CASP cohort study tool, scored between five 4,37 and 11 36 out of 12.…”

Section: Resultsmentioning

confidence: 99%

Risk factors for healthcare-associated urinary tract infection and their applications in surveillance using hospital administrative data: a systematic review

King

Álvarez

Holmes

et al. 2012

Journal of Hospital Infection

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“…Recently, we have reported that nosocomial urinary tract infection "NUTI" was the most common reported infection. We studied related risk factors [17], and recommended reducing the NUTI rate at Al-Hada Armed Forces Hospital. The findings of the current study could be a reflection of these recommendations (shorter duration of catheter use, more attention to catheter hygiene, increased antibiotic use).…”

Section: Discussionmentioning

confidence: 99%

Surveillance of Nosocomial Infections at a Saudi Arabian Military Hospital for a One-Year Period

Abdel-Fattah

2008

International Journal of Infectious Diseases

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The objectives of the current study are to define how many and what kind of nosocomial infections are occurring, what are the causative microbes and what kind of drugs can be used in treatment of infection at Al-Hada Armed Forces Hospital, Taif, Saudi Arabia during the year 2004. A prospective study was implemented for all cases admitted at Al-Hada Armed Forces Hospital during the period 1st January, 2004 till 31st December, 2004 and which developed infection. Determination of nosocomial infections was performed using standardized CDC criteria. A total of 1382 patients had developed infection during hospital admission and were included in the study. Of them, 668 (48.3%) had nosocomial infection and 714 (51.7%) had community-acquired infection. Among those who developed nosocomial infections, 216 (32.3%), 172 (25.7%) and 124 (18.6%) had respiratory tract (RTI), urinary tract (UTI) and blood stream infections (BSI) respectively. Surgical site infection (SSI) was reported in 86 cases (12.9%). The overall nosocomial infection rate along the study period was 4.98 per 100 discharged patients. Gram-positive organisms were reported in 31.8%. MRSA (Methicillin-resistant S. aureus) was the commonest (10.2%), followed by coagulase negative staphylococci (8.5%) and MSSA (Methicillin-susceptible S. aureus, 7.4%). While Gram-negative organisms were reported in 66.2%, E. coli was the commonest (22.3%), followed by Pseudomonas aeruginosa (17.6%) and Klebsiella pneumoniae (9.9%). Acinetobacter spp. and MRSA were highly sensitive to Imipenem (88.6%) and Vancomycin (98.5%) respectively. E. coli were highly sensitive to most of the antimicrobial agents except ampicillin (26.6%). Conclusions: Pneumonia, urinary tract infections, and blood stream infections made up the great majority of nosocomial infections. There is a need for further risk assessment associated with main types of infection.

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Epidemiologic Study of Nosocomial Urinary Tract Infections in Saudi Military Hospitals

Cited by 12 publications

References 13 publications

Risk factors for hospital-acquired urinary tract infection: a case–control study

Risk factors for hospital-acquired urinary tract infection: a case–control study

Risk factors for healthcare-associated urinary tract infection and their applications in surveillance using hospital administrative data: a systematic review

Surveillance of Nosocomial Infections at a Saudi Arabian Military Hospital for a One-Year Period

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