Bacteriological study of Hospital-acquired urinary tract infections in Erbil city

Aza Bahadeen Taha

doi:10.15218/zjms.2011.020

Authors

Aza Bahadeen Taha Department of Basic Sciences, College of Nursing, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2011.020

Keywords:

Urinary tract infections, Hospital-acquired, Bacteria, Susceptibility

Abstract

Background and objectives: Urinary tract infections are amongst the most common infections, Hospital-acquired urinary tract infection increases not only morbidity and mortality but also hospital costs. The objectives of this study were to determine bacteria responsible for hospital-acquired urinary tract infection, their antibiotic sensitivities and to describe the risk factors of the infection.

Methods: All urine samples fulfilling the criteria for significant bacteriuria were included in the study. Isolation and identification of bacteria was performed by standard method and susceptibility testing was determined by disk diffusion method.

Results: Out of 290 patients, 133 (45.86%) have acquired hospital-acquired urinary tract infection. Older age, hospitalization and catheterization were risk factors of the infection. Escherichia coli (51.70%) and Klebsiella pneumoniae (16.33%) represented the most common isolates. The most bacteria isolates were sensitive to ciprofloxacin, rifampin and trimethoprim + sulphamethoxazole.

Conclusions: To prevent hospital-acquired urinary tract infections, important factors must be taken into consideration, for example: avoid unnecessary urethral catheterization, choose narrow spectrum antibiotics according to antibiotic sensitivities, and investigate regularly the causative bacteria and their susceptibility patterns

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References

Melzack R, Wall PD. Pain mechanisms; a new theory. Science 1965;150 (699):971-9. Available from: http://www.medscape.com/medline/abstract/5320816.

Jensen JE, Conn RR, Hazelrigg G, Hewett JE. "The use of transcutaneous neural stimulation and isokinetic testing in arthroscopic knee surgery". Am J Sports Med 1985; 13 (1):2733. Available from: http://ajs.sagepub.com/cgi/content/abstract/13/1/27.

Johnson M, Martinson, M. "Efficacy of electrical nerve stimulation for chronic musculoskeletal pain: A meta-analysis of randomized controlled trials". Pain 2007; 130 (1): 157–65. Available from: http://www.painjournalonline.com3959(07)00073-5/abstract.

Nnoaham KE, Kumbang J. Transcutaneous electrical nerve stimulation (TENS) for chronic pain. Cochrane Database Syst Rev. 2008;7:16. Available from: http://www.medscape.com/medline/abstract/18646088.

Fernandez-Del-Olmo M, Alvarez-Sauco M, Koch G, et al. How repeatable are the physiological effects of TENS?. Clin Neurophysiol. 2008;119 (8):1834-9.

Robertson V, Ward A, Low J, Reed A. Electrotherapy Explained: Principles and Practice, 4th ed. Philadelphia: Butterworth-Heinemann (Elsevier); 2006. Available from http://www.us.elsevierhealth.com/product.jsp?isbn=9780750688437.

Robinson AJ, Snyder-Mackler L. Clinical Electrophysiology: Electrotherapy and Electrophysiologic Testing. 3rd ed. USA: Lippincott Williams & Wilkins; 2007.

Duggan A W. Foong FW. Bicuculine and spinal inhibition produced by dorsal column stimulation in the cat. Pain 1985; 22; 249-59.

Johnson MI, Ashton CH, Thompson JW, An in-depth study on long term users of transcutaneous electrical nerve stimulation (TENS). Implications for clinical use of TENS. Pain 1991; 44; 221- 29.

Hughes G., Lichstein P., Whitlock D., harker C. Response of plasma beta-endorphins to trancutaneous electrical nerve stimulation in healthy subjects; Physical Therapy 1984; 64 (7): 1062-6.

Garrison. DW and Foreman R. D. Effect of prolonged transcutaneous electrical nerve stimulation (TENS) and variation of stimulation variable on dorsal horn cell activity. Pain. 1996; 6: 87-94.

Sandkühler J. Long-lasting analgesia following TENS and acupuncture: Spinal mechanisms beyond gate control. In: Proceedings of the 9th World Congress on Pain, Progress in Pain Research and Management, Vol.16. Devor M, Rowbotham MC, Wiesenfeld-Hallin Z, eds. Seattle: IASP Press; 2000. P. 359–369.

Johnson MI, Ashton CH, Thompson JW. An in-depth study of long-term users of transcutaneous electrical nerve stimulation (TENS). Implications for clinical use of TENS. Pain. 1991; 44(3):221-9.

Cheing GL, Hui-Chan CW. Transcutaneous electrical nerve stimulation: nonparallel antinociceptive effects on chronic clinical pain and acute experimental pain. Arch Phys Med Rehabil. 1999; 80(3): 305-12.

Bjordal JM, Johnson MI, Ljunggreen AE. "Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta-analysis with assessment of optimal treatment parameters for postoperative pain". Eur J Pain 2003; 7 (2): 181–8.

Rakel B, Frantz R. "Effectiveness of transcutaneous electrical nerve stimulation on postoperative pain with movement". J Pain 2003; 4 (8): 455–64.

Thorsen SW, Lumsden SG, Trigeminal neuralgia; sudden and long term remission with transcutaneous electrical nerve stimulation. Physiol Ther 1997; 20: 415-9.