Prevalence of catheter associated urinary tract infections among patients hospitalised at the Nyeri county referral hospital
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Date
2014-09-26
Authors
Cheche, Peris Wangari
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Urinary tract infection, a type of health care infection is the most common nosocomial infection
accounting for up to 40% of infections reported by acute hospitals and approximately 18% to
25% of all nosocomial bacteremias. Up to 80% of urinary tract infections are associated with the
presence of an indwelling catheter. Catheter associated urinary tract infections can result in
increased morbidity, mortality, hospital cost, and length of stay. The infections are caused by
Gram negative bacteria, Gram positive bacteria and Candida species. The infections are treated
by common antimicrobial agents which include: Cotrimoxazole, Amoxylin, Gentamycin,
Augmentin, Ceftriaxone, Erythromycin, Nalixidic acid and nitrofurantoin. However multiple
drug resistance has been a problem in controlling the infections. The aim of this study will be to
isolate and identify microorganisms causing the infections, their antimicrobial resistance levels
and the influence of the catheters duration, age and gender of the patient on the infections at the
Nyeri County Referral Hospital. In this study 175 patients will be enrolled. About 10 ml of urine
will be collected and cultured using standard conventional methods. The isolated
microorganisms will be identified using their colonial morphology, Gram stain and confirmed by
biochemical tests. The antimicrobial susceptibility of the isolates will be tested using the disk
diffusion method according to the Clinical and Laboratory standard institute (CLSI). Data
collected will be analyzed using statistical package for social sciences (SPSS) 20.0 and would be
used in future by clinicians in the management of patients with catheters as well as in making
decisions on antibiotic prescriptions .
Description
school of Pure and Applied Sciences