Sondayla İlişkili İdrar Yolu Enfeksiyonları: Farklı Hasta Popülasyonlarında Üreyen Patojenlerin ve Antibiyotik Dirençlerinin Değerlendirilmesi

Abstract

Objective: In this study it was aimed to research whether or not there is a difference in pathogens that cause urinary tract infections (UTIs) for patients using urinary catheters between patients admitted to our hospitals intensive care unit (ICU) and using home care services Material-Method: Urine culture samples of patients with urinary catheters who were admitted to reanimation department of our Hospital between January-June 2018 and used home care services between January 2017-June 2018, were scanned from data processing database and patients with proliferation were included to the study. The difference between groups were evaluated with z-Test using Minitab and significance level (a) was settled as %5. Findings: The pathogen that caused urinary tract infection the most at ICU was candida spp. (%40,92). The pathogens after candida were, E. coli (%23,3) and Enterococcus spp. (%10,02) in that order. The most proliferating pathogen for patients that used home care services was differing from the patients in ICU as E.coli (%56,6). Candida spp. was the second most prevalent factor (%13,3). The patients with candida at ICU was higher than the patients that used home care services with statistical significance(Z=-6,51,p=0,001). On the other hand, E.coli for patients using home care services was higher than the patients in ICU with statistical significance (Z=5,53,p=0,001). ESBL positive E.coli and Klesebiella spp. had antibiotic resistance to beta lactam group antibiotics such as cefuroxime, cefazolin and ampicillin. Most sensitive antibiotics were amikacin and cefepime. Result: The study shows that the pathogens, which develop due to urinary catheter application and causing UTIs, can vary due to patient’s condition, environment, antibiotic use, existing diseases, organ failures and hygiene. Also the antibiotics, which pathogens that cause UTIs are sensitive-resistant to, are similar in the country.