Prevalence of nosocomial urinary tract infection in PICU of referral children hospital in Iran
Abstract
Objectives: To determine the prevalence of the occurrence, risk factors and microbiology for acquiring UTIs in the PICU of one of the main referral children hospital in Iran.
Methodology: A surveillance study was conducted among all children admitted to PICU in the Mofid children hospital in Tehran between July 2007 and July 2008.
Results: During the one year, 428 patients were admitted to PICU for 48 hours or more and a total of 31(7.2%) acquired UTIs, yielding an overall incidence density, of 11 per 1000 PICU days. One bacteremic (4.3%) ICU-acquired UTIs occurred. Mean hospital staying in UTI patients was 22 days comparing with 7 days in other patients (P value < 0.001) but mortality rate difference was not significant (P value=0.2). The most common organisms isolated were Escherichia coli (30.4%), Kelebsiellapneumoniae(30.4%) and Candida albicans(21.7%).
Conclusions: Monitoring of a PICU-acquired UTI is important in critically ill patients. The results of this study offer a reliable measure of the prevalence of nosocomial UTIs at hospitals in Iran and provide a baseline for future studies.
Methodology: A surveillance study was conducted among all children admitted to PICU in the Mofid children hospital in Tehran between July 2007 and July 2008.
Results: During the one year, 428 patients were admitted to PICU for 48 hours or more and a total of 31(7.2%) acquired UTIs, yielding an overall incidence density, of 11 per 1000 PICU days. One bacteremic (4.3%) ICU-acquired UTIs occurred. Mean hospital staying in UTI patients was 22 days comparing with 7 days in other patients (P value < 0.001) but mortality rate difference was not significant (P value=0.2). The most common organisms isolated were Escherichia coli (30.4%), Kelebsiellapneumoniae(30.4%) and Candida albicans(21.7%).
Conclusions: Monitoring of a PICU-acquired UTI is important in critically ill patients. The results of this study offer a reliable measure of the prevalence of nosocomial UTIs at hospitals in Iran and provide a baseline for future studies.
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