Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis

Detalhes bibliográficos
Autor(a) principal: Carraro-Eduardo,José Carlos
Data de Publicação: 2015
Outros Autores: Alves,Daniela da Silva, Hinden,Ingrid Ellis, Toledano,Ivan Penaloza, Freitas,Sarah Gomes, Mondino,Pedro Juan José, Moraes,José Rodrigo de, Faria,Carlos Augusto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000600517
Resumo: ABSTRACT CONTEXT AND OBJECTIVES: Urinary tract infections are the most common cause of hospital-acquired infections, and the use of indwelling urinary catheters is a predisposing factor for their development. The aims of this study were to estimate the frequency of pre and postoperative bacteriuria, identify the microorganisms involved, count the colony-forming units, determine the antibiotic sensitivity profile and compare the results from pre and postoperative urinalyses among women undergoing gynecological surgery with implantation of a urinary catheter. DESIGN AND SETTING: Non-controlled prospective observational single-cohort epidemiological study carried out at a university hospital. METHODS: Urine samples were collected before and 24 hours after catheterization for urinalysis, culturing and antibiotic sensitivity testing. Pre and postoperative urinalyses were compared using Wilcoxon and McNemar non-parametric tests. RESULTS: Fifty-one women participated in the study. Escherichia coligrew in six preoperative samples (11.8%) and Klebsiella pneumoniae in one (1.9%), but bacterial growth did not occur in any postoperative sample. Urinalysis showed lower number of pus cells in the postoperative urine samples (P < 0.05). There were no differences in red blood cell counts or in the nitrite and leukocyte esterase tests, between the samples. CONCLUSION: Bacteriuria was found in 13.7% of the preoperative samples. Gram-negative bacteria sensitive to most antibiotics were identified. In the postoperative samples, no bacterial growth was observed. Urinalysis only showed significant reduction of leukocyturia in the postoperative period.
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spelling Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxisUrinary tract infectionsBacteriuriaUrinary catheterizationAntibiotic prophylaxisGynecologic surgical proceduresABSTRACT CONTEXT AND OBJECTIVES: Urinary tract infections are the most common cause of hospital-acquired infections, and the use of indwelling urinary catheters is a predisposing factor for their development. The aims of this study were to estimate the frequency of pre and postoperative bacteriuria, identify the microorganisms involved, count the colony-forming units, determine the antibiotic sensitivity profile and compare the results from pre and postoperative urinalyses among women undergoing gynecological surgery with implantation of a urinary catheter. DESIGN AND SETTING: Non-controlled prospective observational single-cohort epidemiological study carried out at a university hospital. METHODS: Urine samples were collected before and 24 hours after catheterization for urinalysis, culturing and antibiotic sensitivity testing. Pre and postoperative urinalyses were compared using Wilcoxon and McNemar non-parametric tests. RESULTS: Fifty-one women participated in the study. Escherichia coligrew in six preoperative samples (11.8%) and Klebsiella pneumoniae in one (1.9%), but bacterial growth did not occur in any postoperative sample. Urinalysis showed lower number of pus cells in the postoperative urine samples (P < 0.05). There were no differences in red blood cell counts or in the nitrite and leukocyte esterase tests, between the samples. CONCLUSION: Bacteriuria was found in 13.7% of the preoperative samples. Gram-negative bacteria sensitive to most antibiotics were identified. In the postoperative samples, no bacterial growth was observed. Urinalysis only showed significant reduction of leukocyturia in the postoperative period.Associação Paulista de Medicina - APM2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000600517Sao Paulo Medical Journal v.133 n.6 2015reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2014.9071412info:eu-repo/semantics/openAccessCarraro-Eduardo,José CarlosAlves,Daniela da SilvaHinden,Ingrid EllisToledano,Ivan PenalozaFreitas,Sarah GomesMondino,Pedro Juan JoséMoraes,José Rodrigo deFaria,Carlos Augustoeng2016-01-06T00:00:00Zoai:scielo:S1516-31802015000600517Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2016-01-06T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
title Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
spellingShingle Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
Carraro-Eduardo,José Carlos
Urinary tract infections
Bacteriuria
Urinary catheterization
Antibiotic prophylaxis
Gynecologic surgical procedures
title_short Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
title_full Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
title_fullStr Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
title_full_unstemmed Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
title_sort Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis
author Carraro-Eduardo,José Carlos
author_facet Carraro-Eduardo,José Carlos
Alves,Daniela da Silva
Hinden,Ingrid Ellis
Toledano,Ivan Penaloza
Freitas,Sarah Gomes
Mondino,Pedro Juan José
Moraes,José Rodrigo de
Faria,Carlos Augusto
author_role author
author2 Alves,Daniela da Silva
Hinden,Ingrid Ellis
Toledano,Ivan Penaloza
Freitas,Sarah Gomes
Mondino,Pedro Juan José
Moraes,José Rodrigo de
Faria,Carlos Augusto
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carraro-Eduardo,José Carlos
Alves,Daniela da Silva
Hinden,Ingrid Ellis
Toledano,Ivan Penaloza
Freitas,Sarah Gomes
Mondino,Pedro Juan José
Moraes,José Rodrigo de
Faria,Carlos Augusto
dc.subject.por.fl_str_mv Urinary tract infections
Bacteriuria
Urinary catheterization
Antibiotic prophylaxis
Gynecologic surgical procedures
topic Urinary tract infections
Bacteriuria
Urinary catheterization
Antibiotic prophylaxis
Gynecologic surgical procedures
description ABSTRACT CONTEXT AND OBJECTIVES: Urinary tract infections are the most common cause of hospital-acquired infections, and the use of indwelling urinary catheters is a predisposing factor for their development. The aims of this study were to estimate the frequency of pre and postoperative bacteriuria, identify the microorganisms involved, count the colony-forming units, determine the antibiotic sensitivity profile and compare the results from pre and postoperative urinalyses among women undergoing gynecological surgery with implantation of a urinary catheter. DESIGN AND SETTING: Non-controlled prospective observational single-cohort epidemiological study carried out at a university hospital. METHODS: Urine samples were collected before and 24 hours after catheterization for urinalysis, culturing and antibiotic sensitivity testing. Pre and postoperative urinalyses were compared using Wilcoxon and McNemar non-parametric tests. RESULTS: Fifty-one women participated in the study. Escherichia coligrew in six preoperative samples (11.8%) and Klebsiella pneumoniae in one (1.9%), but bacterial growth did not occur in any postoperative sample. Urinalysis showed lower number of pus cells in the postoperative urine samples (P < 0.05). There were no differences in red blood cell counts or in the nitrite and leukocyte esterase tests, between the samples. CONCLUSION: Bacteriuria was found in 13.7% of the preoperative samples. Gram-negative bacteria sensitive to most antibiotics were identified. In the postoperative samples, no bacterial growth was observed. Urinalysis only showed significant reduction of leukocyturia in the postoperative period.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000600517
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802015000600517
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-3180.2014.9071412
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.133 n.6 2015
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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