ANTIBIOTIC SUSCEPTIBILITY PATTERNS, RISK FACTORS, AND OUTCOMES OF URINARY TRACT INFECTIONS CAUSED BY ENTEROCOCCUS SPECIES IN HOSPITAL KUALA LUMPUR FROM JANUARY 2020 UNTIL DECEMBER 2020

Autor: N. Mohd Noor, R. Hamat, R. Ibrahim
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Infectious Diseases, Vol 130, Iss , Pp S118-S119 (2023)
Druh dokumentu: article
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2023.04.293
Popis: Intro: Urinary tract infection is a common bacterial infection affecting 150 million people worldwide.More than 30 percent of all bacterial isolates causing UTI in hospitalised patients are of the Enteroccus species, which have grown increasingly prevalent among all bacteria causing UTI (Totsika, M et al, 2012) Methods: This was a cross sectional study performed using retrospective secondary data collected through laboratory information system (LIS) Findings: Patients with diabetes mellitus(n=100/305, 32.8%)had the highest percentage of having urinary tract infection caused by Enterococcus species followed by urine catheterization (n=74/305,24.3%),exposure to broad spectrum antibiotic (n=57/305,18.7%), chronic kidney disease (n=28/305,9.2%), malignancy (n=27/305, 8.9%), stroke (n=18/305, 5.9%), stroke (n=12/212, 5.7%),urogenital procedure (1005, 3.4%) and long term medication such as steroid (n=9/305, 3.0%) . Majority of the patients with Enterococcus species isolates from urine C&S (n=168/305, 55.1%) stayed>14 days in hospital while the remaining patients (n=137/305, 44.9%) stayed 14 days (OR= 2.036, 95% CI: 7.659 (1.667-35.195), p< 0.009) and exposure to broad spectrum antibiotics (OR= 17.21, 95% CI: 10.236 (4.17-25.129), p14 days, exposure to broad spectrum antibiotic and usage of urinary catheterization.Therefore, UTI culture assessment of hospitalized patients having those risk factors are necessary particularly to reduce mortality, to avoid spread of resistant bacteria in hospitals, and to minimize the number of patients receiving unnecessary treatment with broad- spectrum antibiotic.
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