Abstract

• This study attempted to identify important problems of the factors related to the indwelling catheter with closed drainage and to enhance recognization of Urinary Tract Infection management to protect patients with indwelling catheter fromUTI. We selected the 58 patients with indwelling catheter with closed drainage from med-surg. intensive care units, and general neurological and neuro-surgical ward, in one hospital in Pusan, Korea from May 30 to October 15, 1993. Patients were examined by urinary analysis before inserting catheter and then by urine cultures three times. The obtained data was analized using an SPSS/PC+ The statistical analyses employed here was the frequency, percentage and x2-tests. 1. Analyses for Indwelling Catheter induced UTI and infection rates were found to be presented in patients related to the factors of being on antibiotic drugs(x2=14.105, p=.000) and the duration of the indwelling catheter(x2=58.0, p=.000), both of which were found to affect the UTI. 2. UTI rates according to the duration of the indwelling catheter were high 8.6% for the 2nd day, 27.6 for the 4th day, and 36.2% for the 7th day, and as the duration for the indwelling catheter was longer, UTI rates were higher. 3. The UTI rates according to the duration of the indwelling catheter related ro factors, on the 7th day, were high- 52.0% for women, 37.0% for more than 50 years in ages, 30.0% for patients under surgery, 33.3% for altered mental states outsides the alert, 76.7% for patients not given antibiotic drugs, 36.4% for less than 3500cc of fluids intakes, it was found that these affected to increase the UTI. 4. Causative organisms of UTI were found; E.Coli appears the most than all other isolated organisms in women and Klebsiella and Pseudomonas in men. For antibiotic susceptibility of causative organisms, all causative organisms were found to be susceptible to Sul-cefoperazone, Trim-prim, and unasyn and Pseudomonas mostly not susceptible.

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