TITLE:
Catheter Induced Urinary Tract Infection: Post Surgical Prevalence with Curative and Preventive Management
AUTHORS:
Chowdhury Md. Navim Kabir
KEYWORDS:
Biofilm, Bacteriuria, Laparotomy, Hysterectomy, Total Knee Replacement, Coagulase, Suprapubic Pain
JOURNAL NAME:
Open Access Library Journal,
Vol.9 No.12,
December
20,
2022
ABSTRACT: Urinary Tract Infection (UTI) is one of the most common infective diseases nowadays. There are many factors like clinical, anatomical, and environmental that triggered this disease. In gender differentiation, women are more prone to UTI than men though male UTI is not a rare issue overall. But above all, the impact of clinical factors on UTI has been proven to disease aggravating undoubtedly. Different recent scientific surveys showed organisms that expand nosocomial infection prevalence, are mostly inducers of UTI. So, perspective nosocomial UTI is rising day by day. Bi-channel or tri-channel urinary catheter insertion is a common part of clinical procedure mostly for those who have pathologies in the urethra like impaction of stones or any obstruction in the ureter. Emergency urinary catheterization is common in road traffic accidents in the presence or absence of urethral injury. In postoperative thoracic, abdominal surgery insertion of a catheter is not uncommon. How long this catheter is needed to be inserted is depend upon some factors. So, the duration of a catheter is a burning question. Objective: Postoperative urinary catheterization duration is not the same in all cases. Patients who needed to insert a catheter and keep it for a long time and how this duration effect UTI prevalence is the main objective. Method: 49 patients were the object of our cross-sectional study. They were inserted into urinary catheters for different durations in the postoperative period. At first, we started with 52 patients, but 3 of them have been excluded due to previous UTI diagnosis which might occur result in errors. Direct questionnaire about their comorbidities history, drug history, and operation history with catheterization history where applicable. They were informed about the research and cordially participated in the research. Results and Discussion: Here, we observed 49 patients of Islami Bank Central Hospital who had a catheterization history. 31 of them were operated by laparoscopic procedure and 6 of them were UTI diagnosed with a hospitalization history of 1 - 2 days. 8 patients had a history of post-Caesarean hospitalization, and 3 had been diagnosed with UTI during culture. Average hospitalization here 2 days. In a vaginal hysterectomy, 3 of 4 patients diagnosed with UTI had a 6-day average history of hospitalization. The rest of the patients was female and voluntarily used to resist urinary urgency at different times. They were not UTI diagnosed but along with postoperative hospitalization history and anatomical affiliation stimulated the infection process. Prolonged hospital staying is a rising etiology for urinary tract infection is the ultimate proof from this research.