Author/Authors :
Tabatabaei, SA shahid beheshti university of medical sciences - Mofid’s Children Hospital, تهران, ايران , Fahimzad, A shahid beheshti university of medical sciences - Pediatric Infections Research Center, تهران, ايران , Shirvani, F shahid beheshti university of medical sciences - Pediatric Infections Research Center, تهران, ايران , Naderi, M Mofid Children Hospital, Tehran , Talebian, M Mofid Children Hospital, ايران
Abstract :
Objectives: To determine the prevalence of the occurrence, risk factors and microbiology for acquiring UTIs in the PICU of one of the main referral children hospital in Iran. Methodology: A surveillance study was conducted among all children admitted to PICU in the Mofid children hospital in Tehran between July 2007 and July 2008. Results: During the one year, 428 patients were admitted to PICU for 48 hours or more and a total of 31(7.2%) acquired UTIs, yielding an overall incidence density, of 11 per 1000 PICU days. One bacteremic (4.3%) ICU-acquired UTIs occurred. Mean hospital staying in UTI patients was 22 days comparing with 7 days in other patients (P value 0.001) but mortality rate difference was not significant (P value=0.2). The most common organisms isolated were Escherichia coli (30.4%), Kelebsiellapneumoniae(30.4%) and Candida albicans(21.7%). Conclusions: Monitoring of a PICU-acquired UTI is important in critically ill patients. The results of this study offer a reliable measure of the prevalence of nosocomial UTIs at hospitals in Iran and provide a baseline for future studies.
