“DESARROLLO DE INFECCIONES DE VIAS URINARIAS PRESENTES EN PACIENTES CON SONDA VESICAL POR MAS DE 48 HORAS EN CUIDADOS INTENSIVOS”

Abstract

Introduction: Urinary tract infections represent about 40% of nosocomial infections, and they are considered as the second or third cause of nosocomial infection in intensive care units. Urinary tract infection associated with bladder catheter Is the first cause of secondary infection in relation to health care, here the first, second and third level care centers are included. In turn, approximately 20% of hospital-associated bacteremias come from the urinary tract with a 10% mortality, and in the ICU represent the second or third cause of infections. Objective: To determine the relationship between the presence of bladder catheter for more than 48 hours, with the increase of urinary tract infection in patients admitted to the ICU of the Hospital Teodoro Maldonado Carbo during the period from June 2016 to January 2017. Method: The present study is a retrospective, descriptive and quantitative approach where it is desired to demonstrate the relationship between IVU and prolonged use of the bladder catheter. Instruments: It was done through direct observation, analysis of clinical histories of each patient and as a working tool were used a form, data were processed and analyzed using Microsoft Word, Excel and SPSS program. Results: Of a total of 100 patients admitted to the ICU and who met the inclusion criteria, 43% developed an UTI associated with a bladder catheter. Escherichia coli was the pathogen causing 37% of UTI, showing an amikacin sensitivity of 81%. Among the risk factors to be emphasized is to remain more than 96 hours with bladder catheter, female gender and age> 65 years. Conclusion: The use of a bladder catheter for more than 48 hours is a gateway that facilitates urinary tract infections. The results in the present study are similar to those