Characteristics of uropathogens in outpatient catheter-associated urinary tract infections

• Main Authors: Maja Anušić, Neda Jarža-Davila, Jasna Knežević, Ana Mlinarić-Džepina, Jasmina Vraneš
• Format: Article
• Language: English
• Published: Medical Association of Zenica-Doboj Canton 2010-02-01
• Series: Medicinski Glasnik
• Subjects: urinary catheters; urinary tract infections; antibiotic resistance
• Online Access: http://www.ljkzedo.com.ba/medglasnik/vol71/MGvol71_13.pdf

During the two years period the prevalence of uropathogens responsible for catheter-associated urinary tract infection (CAUTI) in outpatients was investigated including their differences in antimicrobial susceptibility according to the age and gender. Indwelling urinary catheter(IUC)constitutes 0.3% of all processed urine samples.Significant bacteriuria was found in 92.5% of IUC,and polimicrobial ethiology in 63.2%. The most CAUTI (79.3%) was found in elderly male patients (>65 years). The most frequently isolateduropathogens were Esherichia coli and other Enterobacteriaceae, Pseudomonas aeruginosa, and enterococci. The very high resistance of all Enterobacteriaceae to beta-lactams, fluoroquinolones, and co trimoxazole was observed with significantly much higher fluoroquinolone (p<0.01) and co-trimoxazole (p<0.05) resistance in elderly male patients as compared with younger ones.