BACTERAEMIA FOLLOWING ENDOSCOPIC AND ENDOUROLOGICAL PROCEDURES IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 2
Abstract
A total of 250 consecutive patients attending the Urology department of a tertiary care hospital of Punjab were studied to investigate the incidence, microbial causes, duration and risk factors of bacteraemia following various endoscopic and endourological procedures. Bacteraemia was observed in 30.4% (76/250)of patients. Although, it was observed after minor procedures like cathetrisation and cystoscopy, but it was most common after prostatic surgery TUR-P (42.8%). It occurred within one hour of procedure in most of the patients and had a transitory life of few hours. No case developed symptomatic blood stream infection. Pre-operative bacteriuria was present in 47.2% of patients and 39.5% had similar organisms in blood and urine. Statistical concordance between the blood and urine isolates was insignificant (p=0.14). Most common organism causing bacteraemia was coagulase negative staphylococci followed by Esch. coli and pseudomonas. All these organisms showed resistance to all the first line drugs.
Authors and Affiliations
Rajinder Paul Jindal, Renu Bansal
Keywords
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