1. Risk Factors Of Urinary Tract Infections Caused By Extended-Spectrum β-Lactamase-Producing Escherichia Coli In Inpatients At A Tertiary Hospital In Surabaya, Indonesia.
- Author
-
Wuwuti, Ishak S., Kuntaman, and Wasito, Eddy Bagus
- Subjects
- *
ESCHERICHIA coli , *STATISTICS , *HOSPITAL patients , *CONFIDENCE intervals , *URINARY tract infections , *CROSS-sectional method , *TERTIARY care , *ACQUISITION of data , *RISK assessment , *ESCHERICHIA coli diseases , *MEDICAL records , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *DISEASE prevalence , *URINALYSIS , *ODDS ratio , *DATA analysis software , *DRUG resistance in microorganisms , *DISEASE risk factors , *DISEASE complications - Abstract
The incidence of urinary tract infections (UTIs) caused by extended-spectrum beta-lactamase (ESBL) producing Escherichia coli (E. coli) bacteria has become a global problem and has increased in recent years. The purpose of this study was to analyze the risk factors for the incidence of UTI in inpatients at Dr. Soetomo General Academic Hospital, Surabaya. This research was an analytic descriptive study. Specimens were sent to the Clinical Microbiology Laboratory using sterile containers and processed according to standard laboratory procedures. It resulted in ESBL-producing E. coli that were used as a case group and non ESBL-producing E. coli as a control group. The identification and testing of antibiotic susceptibility were carried out using the BD Phoenix™ Automated Microbiology System. Ninety-four bacterial isolates were collected, consisting of 54 (57.4%) ESBL-producing E. coli bacteria and 40 (42.6%) non ESBL-producing E. coli bacteria. Recurrent UTIs (OR = 4.31; ρ =0.002; 95% CI = 1.68-11.04) and catheter use (ρ = 0.049; OR = 4.250; 95% CI = 1.050-17.210) were used as independent risk factors caused by ESBL-producing E. coli bacteria. Recurrent UTIs and catheter use were dependent risk factors caused by ESBL-producing E. coli bacteria. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF