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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 1  |  Page : 22-26

Profile of urinary tract infection in a rural tertiary care hospital: Two-year cross-sectional study


1 Department of Medicine, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India
2 Department of Community Medicine, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India
3 Department of Physiology, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India

Correspondence Address:
Dr. Shilpa Bawankule
Department of Medicine, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_87_18

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Aim: The aim of this study was to study the profile of urinary tract infection (UTI) in patients admitted to the medicine department. Settings and Design: This was a cross-sectional study done in a rural tertiary care hospital conducted for a period of 2 years from September 2016 to September 2018. Materials and Methods: All the patients who were admitted (irrespective of the diagnosis at the time of admission) with onset of fever after 48 h of admission, and patients with catheter-associated UTI (CAUTI) and non-CAUTI were defined using the Centers for Disease Control and Prevention guidelines. Statistical Analysis: Statistical analysis was done using descriptive and inferential statistics using Chi-square test and Student's unpaired t-test, and software used in the analysis were SPSS 22.0 version (IBM, USA) and GraphPad Prism 6.0 version (Graphpad software, Inc. California, USA) and P < 0.05 is considered as level of significance. Results: Eighty-four patients developed UTI, the most common organism causing UTI was Escherichia coli. The risk factors associated with CAUTI were higher age, prolonged duration of catheterization, diabetes, and chronic kidney disease. The risk factors associated with non-CAUTI were higher age and benign prostate hyperplasia. The risk factors associated with mortality were prolonged duration of catheterization and diabetes. Twelve patients (14.28%) with CAUTI succumbed in the ICU to their primary illness. Conclusions: Diabetic and elderly patients are at high risk of developing UTI and patients with CAUTI had higher mortality and morbidity.


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