[Nosocomial urinary infections].
The concept of nosocomial urinary tract infection now corresponds to a precise definition. It is generally related to bladder catheterization, constitutes the most frequent form of nosocomial infection (30 to 50% of infections), and represents the third most frequent portal of entry of bacteraemia. The organism most frequently isolated is Escherichia coli; but the flora is changing and the ecological distribution is continually modified. Despite their usually benign nature, these nosocomial infections can nevertheless influence hospital mortality; they increase the hospital stay by an average of 2.5 days and their treatment represents a large share of the antibiotic budget. Prevention of these infections is therefore essential, with particular emphasis on simple and universally accessible measures: very precise indications for vesical catheterization, use of closed circuit drainage, maximal asepsis when handling catheters, after washing the hands.
Butreau-Lemaire
M
M
Service d'Urologie, CMC Foch, Suresnes, France.
Botto
H
H
D000328:Adult; D000900:Anti-Bacterial Agents / Q000191:economics / Q000627:therapeutic use; D016470:Bacteremia / Q000209:etiology; D003428:Cross Infection / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D017052:Hospital Mortality; D006801:Humans; D007231:Infant, Newborn; D017053:Infection Control; D012307:Risk Factors; D014546:Urinary Catheterization / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*
D000900:Anti-Bacterial Agents