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Epidemiology of Hospital-Acquired Urinary Tract–Related Bloodstream Infection at a University Hospital

Published online by Cambridge University Press:  31 March 2016

Robert Chang*
Affiliation:
Division of General Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan Hospital Outcomes Program of Excellence (HOPE) and the Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Hospital, Ann Arbor, Michigan
M. Todd Greene
Affiliation:
Division of General Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan Hospital Outcomes Program of Excellence (HOPE) and the Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Hospital, Ann Arbor, Michigan
Carol E. Chenoweth
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan Department of Infection Control and Epidemiology, University of Michigan Health System, Ann Arbor, Michigan
Latoya Kuhn
Affiliation:
Hospital Outcomes Program of Excellence (HOPE) and the Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Hospital, Ann Arbor, Michigan
Emily Shuman
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan
Mary A. M. Rogers
Affiliation:
Division of General Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan Hospital Outcomes Program of Excellence (HOPE) and the Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Hospital, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
Division of General Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan Hospital Outcomes Program of Excellence (HOPE) and the Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Hospital, Ann Arbor, Michigan Department of Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Department of Veterans Affairs Hospital, Ann Arbor, Michigan
*
University of Michigan Health System, 3116 Taubman Center, Box 0276, 1500 East Medical Center Drive, Ann Arbor, MI 48109 (robchang@med.umich.edu)

Abstract

Little is known about the epidemiology of nosocomial urinary tract-related bloodstream infection. In a case series from an academic medical center, Enterococcus (28.7%) and Candida (19.6%) species were the predominant microorganisms, which suggests a potential shift from gram-negative microorganisms. A case-fatality rate of 32.8% highlights the severity of this condition.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1.Chenoweth, CE, Saint, S. Urinary tract infection. Infect Dis Clin N Am 2011;25:103115.Google Scholar
2.Saint, S, Meddings, JA, Calfee, D, Kowalski, CP, Krein, SL. Catheter-associated urinary tract infection and the Medicare rule changes. Ann Intern Med 2009;150(12):877884.Google Scholar
3.Lipsky, BA, Ireton, RC, Fihn, SD, Hackett, R, Berger, RE. Diagnosis of bacteriuria in men: specimen collection and culture interpretation. J Infect Dis 1987;155(5):847854.CrossRefGoogle ScholarPubMed
4.Jerkeman, M, Braconier, JH. Bacteremic and non-bacteremic febrile urinary tract infection: a review of 168 hospital-treated patients. Infection 1992;20(3):143145.CrossRefGoogle ScholarPubMed
5.Krieger, JN, Kaiser, DL, Wenzel, RP. Urinary tract etiology of bloodstream infections in hospitalized patients. J Infect Dis 1983;148(1): 5762.Google Scholar
6.Saint, S, Kaufman, SR, Rogers, MA, Baker, PD, Boyko, EJ, Lipsky, BA. Risk factors for nosocomial urinary tract-related bacteremia: a case-control study. Am J Infect Control 2006;34(7):401407.Google Scholar
7.Bouza, E, San Juan, R, Munoz, P, Voss, A, Kluytmans, J; on behalf of the Co-operative Group of the European Study Group on Nosocomial Infections (ESGNI). A European perspective on nosocomial urinary tract infections. I. Report on the microbiology workload, etiology and antimicrobial susceptibility. Clin Microbiol Infect 2001;7(10):523531.Google Scholar
8.Bishara, J, Leibovici, L, Huminer, D, et al. Five-year prospective study of bacteraemic urinary tract infection in a single institution. Eur J Clin Microbiol Infect Dis 1997;16:563567.Google Scholar
9.Carmeli, Y, Eliopoulos, GM, Samore, MH. Antecedent treatment with different antibiotic agents as a risk factor for vancomycin-resistant Enterococcus. Emerg Infect Dis 2002;8:802807.Google Scholar