Urinary tract colonization and infection in critically ill patients

被引:9
作者
Lopez, M. J.
Cortes, J. A. [1 ]
机构
[1] Univ Nacl Colombia, Fac Med, Dept Med, Bogota, Colombia
关键词
Intensive Care Units; Cross-infections; Urinary tract infections; Bacteruria; INTENSIVE-CARE-UNIT; CATHETER-ASSOCIATED BACTERIURIA; RISK-FACTORS; RANDOMIZED-TRIAL; ICU PATIENTS; CONTROL-CONSORTIUM; DRAINAGE SYSTEMS; ASYMPTOMATIC BACTERIURIA; NOSOCOMIAL INFECTIONS; HOSPITALIZED-PATIENTS;
D O I
10.1016/j.medin.2011.06.007
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Urinary tract infections (UTIs) account for 20-50% of all hospital-acquired infections occurring in the intensive care unit ((CU). In some reports UTI was found to be more frequent than hospital-acquired pneumonia and intravascular device bacteremia, with a greater incidence in developing countries. The risk factors associated with the appearance of UTI include the severity of illness at the time of admission to the ICU, female status, prolonged urinary catheterization or a longer ICU stay and poor urinary catheter management - mainly disconnection of the closed system. about the present study offers data on the epidemiology of UTI in the ICU, the identified risk factors, etiology, diagnosis, impact upon morbidity and mortality, and the measures to prevent its appearance. (C) 2011 Elsevier Espana, S.L. and SEMICYUC. All rights reserved.
引用
收藏
页码:143 / 151
页数:9
相关论文
共 56 条
  • [1] Building a benchmark through active surveillance of intensive care unit-acquired infections: the Italian network SPIN-UTI
    Agodi, A.
    Auxilia, F.
    Barchitta, M.
    Brusaferro, S.
    D'Alessandro, D.
    Montagna, M. T.
    Orsi, G. B.
    Pasquarella, C.
    Torregrossa, V.
    Suetens, C.
    Mura, I.
    [J]. JOURNAL OF HOSPITAL INFECTION, 2010, 74 (03) : 258 - 265
  • [2] Evolution of closed urinary drainage systems use and associated factors in Spanish hospitals
    Allepuz-Palau, A
    Rosselló-Urgell, J
    Vaqué-Rafart, J
    Hermosilla-Pérez, E
    Arribas-Liorente, JL
    Sánchez-Payá, J
    Lizán-García, M
    [J]. JOURNAL OF HOSPITAL INFECTION, 2004, 57 (04) : 332 - 338
  • [3] Álvarez-Lerma F., 2007, Med. Intensiva, V31, P6
  • [4] Candiduria in critically ill patients admitted to intensive care medical units
    Alvarez-Lerma, F
    Nolla-Salas, J
    León, C
    Palomar, M
    Jordá, R
    Carrasco, N
    Bobillo, F
    [J]. INTENSIVE CARE MEDICINE, 2003, 29 (07) : 1069 - 1076
  • [5] Epidemiology of intensive care unit-acquired urinary tract infections
    Bagshaw, SM
    Laupland, KB
    [J]. CURRENT OPINION IN INFECTIOUS DISEASES, 2006, 19 (01) : 67 - 71
  • [6] Hydrogel/silver ion-coated urinary catheter reduces nosocomial urinary tract infection rates in intensive care unit patients: A multicenter study
    Bologna, RA
    Tu, LM
    Polansky, M
    Fraimow, HD
    Gordon, DA
    Whitmore, KE
    [J]. UROLOGY, 1999, 54 (06) : 982 - 987
  • [7] Infections following major heart surgery in European intensive care units:: there is room for improvement (ESGNI 007 Study)
    Bouza, E.
    Hortal, J.
    Munoz, P.
    Perez, M. J.
    Riesgo, M. J.
    Hiesmayr, M.
    [J]. JOURNAL OF HOSPITAL INFECTION, 2006, 63 (04) : 399 - 405
  • [8] Hydrophilic Catheters Versus Noncoated Catheters for Reducing the Incidence of Urinary Tract Infections: A Randomized Controlled Trial
    Cardenas, Diana D.
    Hoffman, Jeanne M.
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2009, 90 (10): : 1668 - 1671
  • [9] Discordance between perception and treatment practices associated with intensive care unit-acquired bacteriuria and funguria: A Canadian physician survey
    Chant, Clarence
    Dos Santos, Claudia C.
    Saccucci, Paola
    Smith, Orla M.
    Marshall, John C.
    Friedrich, Jan O.
    [J]. CRITICAL CARE MEDICINE, 2008, 36 (04) : 1158 - 1167
  • [10] Relationship of catheter-associated urinary tract infection to mortality and length of stay in critically ill patients: A systematic review and meta-analysis of observational studies
    Chant, Clarence
    Smith, Orla M.
    Marshall, John C.
    Friedrich, Jan O.
    [J]. CRITICAL CARE MEDICINE, 2011, 39 (05) : 1167 - 1173