Nosocomial urinary tract infections in intensive care units in two tertiary hospital

Abstract

Background: Nosocomial urinary tract infections is a real public health problem due to their impact on morbidity, mortality, and healthcare costs. There are few studies that have examined their characteristics, especially in an intensive care setting. We are attempting to study their characteristics in two tertiary military hospitals in Morocco.

Methods: This is a retrospective study conducted over 34 months in the intensive care unit (ICU) of the Moulay Imail Military hospital in Meknes (MIMH) and the 5th CMC in Errachidia.

Results: We identified 122 cases of nosocomial urinary tract infection (NUN), with 90 cases in the first hospital and 32 in the second, with an incidence of 7.15% and 12.26%, respectively.

Conclusions: This work highlights the complexity and heterogeneity of NUI in intensive care; the risk factors found in our study were urinary catheterization and local practices, both in terms of prevention and antibiotic therapy. Controlling these infections therefore requires a tailored approach, combining rigorous reinforcement of urinary catheter prevention bundles and rational antibiotic therapy programs adapted to the specific microbial ecology of each institution.

Keywords: Urinary tract infection, nosocomial infection, urinary catheterization