Abstract
Objective: Describe the epidemiological, clinical and bacteriological characteristics of urinary tract infections (ITUs) in the department of infectious and tropical diseases of the University Hospital of Ténon in Paris.Patients et methods : This was a retrospective study carried out on October 25, 2016 in the Department of Infectious and Tropical Diseases in the University Hospital of Ténon in Paris. Included were all hospitalized patients who underwent cytobacteriological examination of urine (CBEU) significant leukocyturia and positive uroculture.Results : Four patients have been accounted for out of a total of 28 hospitalized patients, representing a hospital prevalence of 14%. Their ages varied between 22 and 82 years. The urinary signs were present in a single patient, and were represented by dysuria and lumbar pain in a febrile context. The bacteria isolated by the cytobacteriological examination of the urine (CBEU) were represented by E. coli (2) including 1 producer of expanded spectrum betalactamase (ESBL), P. aeruginosa (1), and phenotype K. pneumoniae (1) both of them wild-type. Conclusion : ITUs appear to be relatively common in the infectious disease department in Tenon Hospital. These infections were almost always associated with other comorbidities. They were rarely accompanied by signs of urinary appeal, hence the interest of their systematic research in the context of any septic workup.Key words: Bacteria, infections of the urinary tract, Paris
Highlights
Les infections du tractus urinaire regroupent un ensemble hétérogène d’infections du tractus urinaire [1,2]
The bacteria isolated by the cytobacteriological examination of the urine (CBEU) were represented by E. coli (2) including 1 producer of expanded spectrum betalactamase (ESBL), P. aeruginosa (1), and phenotype K. pneumoniae (1) both of them wild-type
They were rarely accompanied by signs of urinary appeal, the interest of their systematic research in the context of any septic workup
Summary
Les infections du tractus urinaire regroupent un ensemble hétérogène d’infections du tractus urinaire [1,2]. Leur prévalence augmente avec l’activité sexuelle et l’âge chez la femme, tandis que chez l’homme, leur fréquence augmente après 50 ans, en relation avec la pathologie prostatique [3,4,5,6]. La connaissance du profil épidémio-clinique et bactériologique de ces infections est indispensable en milieu hospitalier pour une prise en charge efficiente. La connaissance des particularités cliniques mais aussi le suivi de la sensibilité des bactéries responsables qui est en constante évolution est indispensable. C’est pourquoi, nous avons mené cette étude rétrospective de recueil des données chez des patients hospitalisés avec comme objectif de décrire le profil épidémiologique clinique et bactériologique de ces infections dans le service des maladies infectieuses et tropicales de l’hôpital Tenon à Paris
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