Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit

Document Type : Original Article

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Abstract

Background: Nosocomial candida infections had emerged as an increasing problem in the last years. Candidemia is late-onset ICU-acquired infection associated with high mortality.
Objective: The aim of the present study was to prevent and control of funguria in nosocomial septic patients in surgical ICU.
Patients and methods: The study was conducted in surgical Intensive Care Units (ICU) Zagazig University on 31 nosocomial patients with septic criteria after 7 days of admission in surgical ICU. Demographic features, underlying disease and concomitant infections were recorded for each patient during a period of 6 months.
 Results: Among the studied 31 patients 23 (74.2%) of them were admitted for damage control laparotomy (DCL), due to road traffic accident (29.03%), (12.9%) were operated upon due to chronic subdural hematoma (SDH) or subarachnoid hemorrhage (SAH), (9.6%) of the studied patients were admitted with SAH due to gunshot and (22.5) of the studied patients due to metabolic acidosis. The most concomitant diseases was diabetes mellitus in (35.5%) of studied patients, followed by hypertension and ischemic heart disease in (32.3% and 19.4%) respectively, other concomitant diseases as chronic obstructive pulmonary disease (COPD) and hepatic disease were found in 9.7% and 3.2% of the studied patients respectively. Funguria was positive in (41.9) of studied patients, negative in (58.1) of them and no fungemia among the patients with positive funguria.
Conclusion: The incidence of funguria among surgical ICU patients was high in our study. Pseudomonas aeruginosa was the most frequent causative organism followed by acinetobacter baumannii and Klebsiella pneumonia.
 

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The Egyptian Journal of Hospital Medicine
Volume 87, Issue 1
April 2022
Pages 1608-1612

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