Abstract
Introduction: Urinary tract infections (UTIs) are second most common hospital acquired infections. There are multiple risk factors for UTIs. Patients with gynecological malignancies undergoing treatment are more predisposed for getting UTIs as they have multiple risk factors including prolong duration of urinary catheterization. Objective: This retrospective study was done to find the incidence and risk factors related to the occurrence of urinary tract infections (UTIs) inpost-surgerygynecological cancer patients. Methods: Data of Ninety two women was collected and reviewed with domains covering known risk factors for the occurrence of urinary tract infections. Bacteriuria was defined as > 105 colony-forming units per milliliter. Results: 38% of women had UTI post-operatively. Among them, 71.4% infections were Escherichia coli. Catheter in situ for 7 days duration was found to be highly significant in the occurrence of UTI (p<0.01; OR 2.62). A positive correlation was found between the duration of the catheter in situ and type of UTI (P < 0.01). Conclusions: Urinary catheterization is known to be related to hospital-acquired infection, and risk can be reduced by a shorter duration of catheterization post surgery. Gynecologists need to be more aware of this risk and identify women who are more likely to be catheterized for longer and use preventive strategies for managing infection, such as silver nitrite-lined catheters.
Highlights
Urinary tract infections (UTIs) are second most common hospital acquired infections
E.coli (71.4%, n=25) was the commonest UTI followed by Candida (5.7%, n = 2), Coliforms (5.7%, n = 2), Proteus (5.7%, n = 2), Pseudomonas aeruginosa (5.7%, n = 2), Citrobacter freundii (2.9%, n = 1), and Enterobacter spp. (2.9%,n = 1)
Our study found that an individual was 2.62 times more likely to develop a UTI postoperatively if they were catheterized for >7 days, which is in concurrence with literature [8]
Summary
Urinary tract infections (UTIs) are second most common hospital acquired infections. There are multiple risk factors for UTIs. Objective: This retrospective study was done to find the incidence and risk factors related to the occurrence of urinary tract infections (UTIs) inpost-surgerygy necological cancer patients. Methods: Data of Ninety two women was collected and reviewed with domains covering known risk factors for the occurrence of urinary tract infections. Conclusions: Urinary catheterization is known to be related to hospital-acquired infection, and risk can be reduced by a shorter duration of catheterization post surgery. UTIs (19.7%) are second only to gastrointestinal infections of total HAIs. Nosocomial infections increases the morbidity and mortality, their prevention should be a priority for healthcare professionals.Urinary tract infections, severity of underlying disease, increased age, duration of catheterrization and type of hospital service (medicine/ general surgery) have been found to be significantly correlated with increased morbidity and mortality in patients [3]. Patients treated for gynecological cancers often have these characteristics and often have an indwelling urinary
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