THỰC TRẠNG NHIỄM KHUẨN TIẾT NIỆU LIÊN QUAN ỐNG THÔNG BÀNG QUANG TẠI KHOA HỒI SỨC CẤP CỨU – BỆNH VIỆN K

Abstract

Objective: To study the incidence rate, clinical characteristics, and laboratory features of catheter-associated urinary tract infections (CAUTI) in cancer patients. Research subjects and methods: The study involved 274 cancer patients admitted to the Emergency and Intensive Care Department at Vietnam National Cancer Hospital, who had indwelling urinary catheters, from March 2022 to November 2022. Results: The average age was 61.4 ± 17.9 years; 60.2% were male. The incidence rate was 7.4 patients per 1000 catheter days; 71.4% of the patients with CAUTI were male. Among the CAUTI group, the average duration of catheterization was 10.5 days, with most infections detected between the 9th and 12th days. The primary symptoms were fever (57.1%), pain (28.6%), and dysuria (14.3%). The average leukocyte count in urine was 260 ± 200.7 cells/ml, and in blood, it was 13.1 ± 3.1 G/l. 57.2% of patients had positive urinary nitrites. Procalcitonin levels were elevated (> 0.5 ng/ml) in 66.7% of patients. None of the patients with hospital-acquired CAUTI developed bacteremia or septic shock. Conclusion: The incidence rate of CAUTI in the Intensive Care Unit at K Hospital is 7.4 patients per 1000 catheter days. The main symptoms include fever, pain, and dysuria, with increased leukocyte counts in urine and blood. None of the patients experienced complications such as bacteremia or septic shock.