Assessment of Risk Factors, Treatment and Hospital Stay in Complicated Urinary Tract Infections in Men Caused by Pseudomonas: A Case-Control Study

Abstract

Increases in hospital stay and antibiotic treatment duration were thought to be associated with recurrent infection frequency and high antibiotics resistance in Pseudomonas related UTIs. Introduction Urinary tract infections (UTIs) constitute more than 30% of the nosocomial infections (1). Besides causing prolonging of hospital stay and increase in health expenditures, it also leads to bacteremia and mortality in case of improper empiric therapy (2). [...]it is important to determine agents early and start proper empiric therapy as soon as possible. Existence of urinary catheter, history of urological intervention, long hospital stay, male sex and existence of disease causing debility are risk factors for nosocomial UTI development (3). Logistic regression analysis was conducted with nephrolithiasis, recurrent UTI, prostatic hypertrophy, diabetes mellitus, internal and external catheter which were determined as risk factors. According to the result of logistic regression analysis, it was found that recurrent UTI increased complicated UTI risk 2.97 (95% confidence interval: 1.45-6.09) fold (p=0.003). Demir T, Buyukguclu T. Evaluation of the in vitro activity of fosfomycin tromethamine against Gram-negative bacterial strains recovered from community- and hospital-acquired urinary tract infections in Turkey. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. [European and Asian guidelines on management and prevention of catheter-associated urinary tract infections].