Clinical Investigation

Retrospective Investigation of Inpatients With Urinary Infection in an University Medical Center

  • Çetin Turan
  • Güliz Uyar Güleç
  • Pelin Gencer Oruç
  • Meryem Özlem Saylak
  • Ayşe Sadiye Sert
  • Mustafa Bülent Ertuğrul
  • Serkan Öncü
  • Serhan Sakarya

Received Date: 17.06.2009 Accepted Date: 12.07.2010 Meandros Med Dent J 2011;12(1):31-35

OBJECTIVE:

It was aimed to evaluate the diagnostic and therapeutic approaches to urinary infections by retrospectively investigating the data belonged to inpatients with urinary infection treated in the clinic of Infectious Diseases and Clinical Microbiology of Adnan Menderes University Medical Center.

MATERIALS and METHODS:

107 patients (73 female and 34 male) treated in the Clinic of Infectious Diseases and Clinical Microbiology of Adnan Menderes University Medical Center between 01.01.2001 and 01.01.2009 were retrospectively investigated.

RESULTS:

The most commonly observed symptoms in the patients were fever, dysuria and costovertebral angle tenderness. Germinal reproduction was detected in the urinary and blood cultures in a ratio of 68.2% and 35.7%, respectively. E.coli was the most commonly detected microorganism in the blood and urine cultures. While 74.7 % of the patients (n=79) were treated by empiric antibiotics due to urgency, 25,3 % of the patients were treated based on culture and antibiogram results. Ceftriaxone was the first choice in the empiric treatment (n=65; 83%).

CONCLUSION:

We observed that the rate of starting to therapy empirically was higher. That's why it is important to determine the starting criteria of empiric treatment.

Keywords: Urinary system infection, retrospective