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Research Article | Volume 2 Issue :2 (, 2012) | Pages 31 - 40
Risk Factors Associated with Funguria in Nosocomial Septic Patients at Surgical Intensive Care Unit
Under a Creative Commons license
Open Access
Published
June 25, 2012
Abstract
Background: Candida spp rarely encountered in urine is in healthy people with structurally normal urinary tract. However, It is of common occurrence in hospitalized patients.The current study to detect the risk factors of funguria in nosocomial septic patients in surgical ICU. Patients and methods:A Cross sectional study included nosocomial patients with septic criteria after 7 days of admission at surgical ICU. Presence and duration of risk factors of funguria (urinary bladder Catheter, central vein catheter, mechanical ventilation, total parenteral nutrition, diabetes mellitus, chemotherapy, surgical operation, burns, immunosuppression, trauma and organ transplantation) were recorded. Results: Diabetes mellitus was found in (35.5%), followed by hypertension and ischemic heart disease in (32.3% & 19.4%) respectively, COPD and Hepatic disease were found in 9.7% and 3.2% of the studied patients respectively. There was a significant difference in age and sex in relation to occurrence of funguria that was statistically higher among females and older patients. There was a highly statistically significance funguria in DM, HTN and IHD respectively. No significance difference in COPD and Hepatic diseases.All patients were catheterized by UBC and CVC. Patients on mechanical ventilation, on parenteral nutrition, DM and Surgical operation were statistically more susceptible to funguria. Conclusion: Funguria commonly affected those above 40 years of age among surgical ICU patients. Females were more commonly affected than males. Pseudomonas aeruginosa was the most recurrent causative organism Urinary bladder catheter and central vein catheter were the most frequently detected risk factor, followed by parenteral nutrition and mechanical ventilation.
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