Hospital-acquired urinary tract infection point prevalence in Turkey: Differences in risk factors among patient groups

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dc.contributor.authorTasbakan, Meltem Isikgoz
dc.contributor.authorDurusoy, Raika
dc.contributor.authorPullukcu, Husnu
dc.contributor.authorSipahi, Oguz Resat
dc.contributor.authorUlusoy, Sercan
dc.date.accessioned2019-10-27T22:07:11Z
dc.date.available2019-10-27T22:07:11Z
dc.date.issued2013
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: The aim of this study was to determine the point prevalence of nosocomial urinary tract infections (UTIs) and to investigate risk factors for pathogen type (E. coli vs. others) and extended-spectrum beta-lactamase (ESBL) positivity among nosocomial UTI patients. Methods: A questionnaire consisting of 44 questions on demographic data and risk factors of UTI cases was sent to 51 tertiary care hospitals. Univariate and multivariate analyses were conducted. Results: The overall prevalence of UTI was 1.82% (483/26534). The prevalence of UTI was higher in intensive care units (ICUs) with 6.77% versus 1.45% outside ICUs. Hospitals of the Ministry of Health (compared to university hospitals), hospitals in less developed provinces and hospitals with bed capacity < 500 had higher UTI prevalence. Patients without a urinary catheter were more likely to have received immunosuppressive therapy, current corticosteroid use, renal transplantation and uterine prolapsus and less likely to have another infection outside the urinary tract, as compared to catheterized patients. Among the 422 culture-positive patients, the most common pathogen was E. coli (45.5%). The risk factors increasing the likelihood of E. coli in urine culture were being female, history of urinary tract operation, no use of antibiotics in the preceding three months and infection outside the urinary tract. There were 247 patients with E. coli or Klebsiella spp. positive in culture. Among these, 61% (n=151) were ESBL-positive. Among patients having E. coli/Klebsiella positive in culture, antibiotic use in the preceding three months and history of urinary tract operation were the independent risk factors significantly increasing the risk of ESBL. Conclusions: The reasons underlying the high prevalence of nosocomial UTIs, and a better understanding of the risk factors might lead to improved control of these infections.en_US
dc.identifier.doi10.1186/1476-0711-12-31en_US
dc.identifier.issn1476-0711
dc.identifier.pmid24188193en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/1476-0711-12-31
dc.identifier.urihttps://hdl.handle.net/11454/48968
dc.identifier.volume12en_US
dc.identifier.wosWOS:000328149000001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofAnnals of Clinical Microbiology and Antimicrobialsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectUrinary tract infectionen_US
dc.subjectNosocomial infectionsen_US
dc.subjectEscherichia colien_US
dc.subjectPoint prevalenceen_US
dc.subjectEpidemiologyen_US
dc.titleHospital-acquired urinary tract infection point prevalence in Turkey: Differences in risk factors among patient groupsen_US
dc.typeArticleen_US

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