title: Chateter-associated Urinary Tract Infections in Adults.
abstract: BACKGROUND
  Hospital-acquired Urinary tract infections make 35% of all the hospital-acquired infections, and about 80% of them are related to the catheterization of the urinary bladder.
  
  
  OBJECTIVE
  To determine clinical characteristics and dominant etiologic factors of Urinary Tract Infections associated with urinary catheter (C-UTIs).
  
  
  METHODS
  Determined clinical characteristics of C-UTIs were prospectively analyzed on 38 hospitalized patients in the Clinic for Infectious Diseases at the University Clinical Centre Tuzla, from January 1(st) 2011 to December 31(st) 2011. The control group constituted of 200 patients with community-acquired Urinary Tract Infections (Co-UTIs) hospitalized in the same period.
  
  
  RESULTS
  It was registered on 22 (57.89%) of symptomatic infections, 14 (36.84%) asymptomatic bacteriuria and 2 (5.26%) other C-UTIs. Dominant etiologic factors were: E. coli, caused 14 (36.84%), Extended-Spectrum Beta-lactamase producing (ESBL) Klebsiella pneumoniae 7 (18.42%), Enterococcus faecium and Candida spp. 3 (7.89%) of C-UTIs. E. coli was significantly most common etiologic factor of C-UTIs in younger women (p=0.04). E. coli from C-UTIS showed significantly higher resistance to antimicrobial drugs. Inadequate antimicrobial therapy was significantly more common prescribed to patients from C-UTIs. Lethal outcome was significantly most common associated with certain clinical and laboratory findings.
  
  
  CONCLUSIONS
  Initial antimicrobial therapy of those serious infections should be based on data from those research.
authors.affiliation: Clinic for Infectious Diseases, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Dilista
authors.initials: D
authors.lastname: Piljic
authors.forename: Humera
authors.initials: H
authors.lastname: Porobic-Jahic
authors.forename: Dragan
authors.initials: D
authors.lastname: Piljic
authors.forename: Sead
authors.initials: S
authors.lastname: Ahmetagic
authors.forename: Rahima
authors.initials: R
authors.lastname: Jahic
keywords: Catheter.; Infections; Urinary tract