Epidemiological profile of nosocomial urinary infection in university hospital of Campina Grande (PB)
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Abstract
Introduction: The urinary tract infection (UTI) is the most frequent nosocomial infection. Objective: This study aims to categorize and identify issues related to nosocomial urinary tract infection (NUTI) at the Hospital Universitário Alcides Carneiro (HUAC), in Campina Grande (PB), delineating a profile of patients with this diagnosis during hospitalization from January to July of 2012 in the wards hospital (general medicine, cardiology, endocrinology, pulmonology and infectious diseases). Methods: We analyzed 436 medical records pertaining to admissions. The research based on quantitative and qualitative data is characterized by a descriptive study. Variables examined included age, sex, ward, length of hospitalization, indwelling catheter (IC) and duration, diagnostic tests, evolution to NUTI, drugs used as initial empirical therapy, agents isolated from urine culture and antimicrobial susceptibility of isolated pathogens. Results: It was identified in the evolution to NUTI 12.61% of hospitalizations, predominantly among elderly patients and those with SVD, beyond the supremacy of Escherichia coli among pathogens and their rate of fluoroquinolone resistance in 50%. Conclusion: The strains of E. coli isolated showed sensitivity to cephalosporins 2nd and 3rd generations, amikacin and meropenem. The isolated strains of Klebsiella pneumoniae, second most common pathogen, were only sensitive to cefoxitin and meropenem. Fluoroquinolones were, in our research, the most prescribed as empiric therapy, which may explain the high rates of resistance encountered, making then unsuitable for use empirical treatment of new cases.
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