Medicus, Vol. 15 No. 2_UG infekcije, 2006.
Review article
Nosocomial Urinary Tract Infections and Urosepsis
Bruno Baršić
Abstract
Urinary tract infections are the most common
nosocomial infections. The most important risk factor for acquisition
of nosocomial urinary tract infection (NUTI) is urinary
bladder catheterization. Therefore, the incidence of NUTI should
be continuously monitored. Monitoring is expressed as a
number of NUTI episodes per 1000 days of catheterization. The
prevalence of NUTI in intensive care units is 8-21%. The most
common causative agents are gram-negative bacteria. The most
common is asymptomatic bacteriuria, it develops in about 30%
of patients. Cystitis develops in about 26% of patients, and
pyelonephritis in about 20% of patients. Urosepsis is most often
acquired in an outpatient setting. This article also provides
defi nitions and CDC criteria with regard to individual categories
of nosocomial urinary tract infections and basic guidelines for
treatment and prevention.
Keywords
nosocomial urinary tract infections; diagnostic criteria; treatment; prevention
Hrčak ID:
18150
URI
Publication date:
29.12.2006.
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