Md. Shamsul Islam1, A.F.M Nazmul Islam2, Nasrin Akter3, Premananda Das4,
Mohammad. Zabed Jillul Bari5, Md. Abdur Rouf Munna6
1. Medical officer, Department of Hematology, Sylhet M.A.G Osmani Medical College, Sylhet,
2. Professor & Head, Department of Medicine, North East Medical College and Hospital, Sylhet.
3. Associate Professor, Department of Pharmacology, North East Medical College, Sylhet.
4. Associate Professor, Department of Microbiology, Sylhet MAG Osmani Medical College Hospital, Sylhet.
5. Assistant Professor. Department of Medicine, Sylhet MAG Osmani Medical College Hospital, Sylhet.
6. Assistant Registrar, Department of Medicine, Sylhet MAG Osmani Medical College Hospital, Sylhet.
Abstract
Nosocomial infections are defined as infections that occur within 48 to 72 hours after admission and u week after discharge; they do not include previously contacted or incubated infections at the admission time. Urinary tract infection (UTI) is one of the most common forms of nosocomial infection and urinary catheterization is the most frequent predisposing factor. These infections cause considerable. morbidity and mortality and confer a great financial burden on the medical care system. The objective of this study is to determine the frequency of nosocomial urinary tract infections in catheterized patients. This Cross-sectional observational study was conducted at the department of Medicine, Sylhet MA.G. Osmani Medical College Hospital (SOMCH). In this study total 80 patients were included. Mean age was 45.87±18.25 years, ranging from 13 to 90 years. Overall frequency of female and male were 63% and 37% The most common indication of catheterization was smoke (33.8%) followed in second by poisoning (23.8%). The frequency of catheter associated nosocomial UTI was present in 39% patients and Escherichia coli was the most common isolated organism in culture followed by Klebsiella sp and Pseudomonas ap. Early recognition of complications and arresting their progression, especially in the high-risk patient, are essential.
Key Words: Nosocomial Infection, Urinary Tract Infection, Indwelling Urinary Catheters.