A retrospective study of urinary tract infections in post-operative gynae-oncology patients in a tertiary care hospital of Chhattisgarh

Monika Jindal, Rekha Ratnani

Abstract


Introduction: Urinary tract infections (UTIs) are second most common hospital acquired infections. There are multiple risk factors for UTIs. Patients with gynecological malignancies undergoing treatment are more predisposed for getting UTIs as they have multiple risk factors including prolong duration of urinary catheterization. Objective: This retrospective study was done to find the incidence and risk factors related to the occurrence of urinary tract infections (UTIs) inpost-surgerygy necological cancer patients. Methods: Data of Ninety two women was collected and reviewed with domains covering known risk factors for the occurrence of urinary tract infections. Bacteriuria was defined as > 105 colony-forming units per milliliter. Results: 38% of women had UTI post-operatively. Among them, 71.4% infections were Escherichia coli. Catheter in situ for 7 days duration was found to be highly significant in the occurrence of UTI (p<0.01; OR 2.62). A positive correlation was found between the duration of the catheter in situ and type of UTI (P < 0.01). Conclusions: Urinary catheterization is known to be related to hospital-acquired infection, and risk can be reduced by a shorter duration of catheterization post surgery. Gynecologists need to be more aware of this risk and identify women who are more likely to be catheterized for longer and use preventive strategies for managing infection, such as silver nitrite-lined catheters.

 


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References


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