Urology and andrology

doi: 10.25005/2074-0581-2019-21-4-638-642
FACTORS OF SPREADING THE NOSOCOMIAL URINARY TRACT INFECTION

Kh.Kh. Rizoev1, D.A. Rakhimov2, M.S. Talabzoda3

1Department of Urology, «Madadi Akbar» Clinical Hospital, Dushanbe, Republic of Tajikistan
2Republican Research and Clinical Center of Urology, Dushanbe, Republic of Tajikistan
3Department of Epidemiology and Infectious Diseases, Tajik National University, Dushanbe, Republic of Tajikistan

Objective: Exploring the factors which contributes the spreading the nosocomial urinary tract infection (NUTI).

Methods: Random sampling method analyzed 248 medical cards of patients with benign prostatic hyperplasia for 2016-2018. 154 of them were underwent open adenomectomy, and 94 – transurethral resection of the prostate (TURP). The prevalence of NUTI was studied depending on the patient’s age, duration of surgery, duration preoperative period and duration of bladder catheterization.

Results: In 31 cases, the NUTI was identified, which amounted to 12.5%. After the open adenomectomy, the NUTI had 21 observations (13.6%), and after the TURP – in 10 cases (10.6%). The most typical manifestations of NUTI were: urethritis – 32.2%, postoperative wound suppuration – 25.8%, cystitis – 19.3%. It has been found that the frequency of development of NUTI is influenced by the duration of the preoperative period. Thus, among patients who had no more than 2 days of preoperative surgery, the NUTI was 5 times less common than patients with a longer preoperative period, with a frequency of 5.0% and 26.1%, respectively (р<0.001). Statistically significant differences in the frequency of NUTI was found, depending on the duration of catheterization of the bladder: at the terms of catheterization up to 6 days and more than 6 days frequency of NUTI was 6.5% and 22.6% respectively (р<0.001).

Conclusion: The most frequent clinical manifestations of NUTI were the suppuration of postoperative wound and urethritis. The main factors influencing the spread of NUTI are the duration of the preoperative period and the duration of bladder catheterization.

Keywords: Benign prostatic hyperplasia, open adenomectomy, transurethral resection of the prostate, urinary infection tract, nosocomial infection.

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Authors' information:


Rizoev Khayriddin Khayrullaevich
Candidate of Medical Sciences, Head of the Department of Urology, «Madadi Akbar» Clinical Hospital
ORCID ID: 0000-0002-1572-9289
SPIN: 7648-0341
E-mail: hai_riz@mail.ru

Rakhimov Dilshod Abdufattoevich
Candidate of Medical Sciences, Research Fellow, Republican Urology Research and Clinical Center
ORCID ID: 0000-0003-4825-9700
SPIN: 6051-7586
E-mail: dilik0102@mail.ru

Talabzoda Muhammadali Sayf
Doctor of Medical Sciences, Professor, Department of Epidemiology and Infectious Diseases, Tajik National University
ORCID ID: 0000-0001-7755-1482
SPIN: 4571-9800
E-mail: m.talabov@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Rizoev Khayriddin Khayrullaevich
Candidate of Medical Sciences, Head of the Department of Urology, «Madadi Akbar» Clinical Hospital

734025, Republic of Tajikistan, Dushanbe, Ayni str., 14a

Tel.: +992 (985) 419091

E-mail: hai_riz@mail.ru

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