[Nosocomial infections in an urological department. Incidence and etiological factors].
The authors report a prospective study with active request of data for nosocomial infections (NI) in an urological department during six months. From 453 patients, 43 developed an NI (incidence = 9.5%): urinary tract infections (53.5%), bloodstream infections (16.3%), lower respiratory tract infections (7%), surgical wound infections (2.3%) and sepsis syndrome (20.9%). For microorganisms, most often Pseudomonas aeruginosa (22.5%) and E. coli (20%) were encountered. Other microorganisms were the next-ones: Staphylococcus aureus (15%), Staphylococcus epidermidis (7.5%), Acinetobacter baumanii (7.5%), Streptococcus group D (7.5%), Klebsiella pneumoniae (7.5%), Candida albicans (2.5%) and others (10%). Urological interventions with a high risk of NI were cystectomy with intestinal urinary diversion (68.7%), pyeloplasty for ureteropelvic junction obstruction (40%) and percutaneous nephrolitothomy (30%). Even if the last two interventions classically do not have a high risk of NI, we think that their antibioprophylaxis is recommended.
de Jong
Z
Z
Service de Chirurgie Uro-Andrologique, CHU Rangueil, Tøulouse.
Arsicault
C
C
Massip
P
P
Pontonnier
F
F
Bastide
R
R
Plante
P
P
Chabanon
G
G
Pascali
P
P
Tico
P
P
D000368:Aged; D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000382:microbiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D011552:Pseudomonas Infections / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D018805:Sepsis / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D013203:Staphylococcal Infections / Q000382:microbiology; D013210:Staphylococcus / Q000302:isolation & purification; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology
Infections nosocomiales dans un service d'urologie. Incidence et facteurs étiologiques.