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227007

Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit

Article

Last updated: 24 Dec 2024

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Abstract

Background: Nosocomial candida infections had emerged as an increasing problem in the last years. Candidemia is late-onset ICU-acquired infection associated with high mortality. Objective: The aim of the present study was to prevent and control of funguria in nosocomial septic patients in surgical ICU. Patients and methods: The study was conducted in surgical Intensive Care Units (ICU) Zagazig University on 31 nosocomial patients with septic criteria after 7 days of admission in surgical ICU. Demographic features, underlying disease and concomitant infections were recorded for each patient during a period of 6 months.  Results: Among the studied 31 patients 23 (74.2%) of them were admitted for damage control laparotomy (DCL), due to road traffic accident (29.03%), (12.9%) were operated upon due to chronic subdural hematoma (SDH) or subarachnoid hemorrhage (SAH), (9.6%) of the studied patients were admitted with SAH due to gunshot and (22.5) of the studied patients due to metabolic acidosis. The most concomitant diseases was diabetes mellitus in (35.5%) of studied patients, followed by hypertension and ischemic heart disease in (32.3% and 19.4%) respectively, other concomitant diseases as chronic obstructive pulmonary disease (COPD) and hepatic disease were found in 9.7% and 3.2% of the studied patients respectively. Funguria was positive in (41.9) of studied patients, negative in (58.1) of them and no fungemia among the patients with positive funguria. Conclusion: The incidence of funguria among surgical ICU patients was high in our study. Pseudomonas aeruginosa was the most frequent causative organism followed by acinetobacter baumannii and Klebsiella pneumonia.  

DOI

10.21608/ejhm.2022.227007

Keywords

Funguria, ICU, Nosocomial Septic Patients

Authors

First Name

Mohammad Elzanaty

Last Name

Ahmed

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Email

drmohamedzanaty81@gmail.com

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Orcid

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First Name

Sahar Mohammad Saad

Last Name

Aldeen

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ghada Elsayed

Last Name

Amr

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Abdel Monem Abdel Aziz

Last Name

Salem

MiddleName

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Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-03-25

Publish Date

2022-04-01

Page Start

1,608

Page End

1,612

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_227007.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=227007

Order

104

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Incidence and Risk Factors of Funguria in Nosocomial Septic Patients in Surgical Intensive Care Unit

Details

Type

Article

Created At

22 Jan 2023