Ahmed, M., Aldeen, S., Amr, G., Salem, A. (2022). Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit. The Egyptian Journal of Hospital Medicine, 87(1), 1608-1612. doi: 10.21608/ejhm.2022.227007
Mohammad Elzanaty Ahmed; Sahar Mohammad Saad Aldeen; Ghada Elsayed Amr; Abdel Monem Abdel Aziz Salem. "Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit". The Egyptian Journal of Hospital Medicine, 87, 1, 2022, 1608-1612. doi: 10.21608/ejhm.2022.227007
Ahmed, M., Aldeen, S., Amr, G., Salem, A. (2022). 'Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit', The Egyptian Journal of Hospital Medicine, 87(1), pp. 1608-1612. doi: 10.21608/ejhm.2022.227007
Ahmed, M., Aldeen, S., Amr, G., Salem, A. Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit. The Egyptian Journal of Hospital Medicine, 2022; 87(1): 1608-1612. doi: 10.21608/ejhm.2022.227007
Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit
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.