Risk Factors Associated with Funguria in Nosocomial Septic Patients at Surgical Intensive Care Unit

Abstract

Background:Candida spp rarely encountered in urine is in healthy people with
structurally normal urinary tract. However, It is of common occurrence in hospitalized
patients.The current study to detect the risk factors of funguria in nosocomial septic
patients in surgical ICU.Patients and methods:A Cross sectional study included
nosocomial patients with septic criteria after 7 days of admission at surgical
ICU.Presence and duration of risk factors of funguria (urinary bladder Catheter,
central vein catheter, mechanical ventilation,total parenteral nutrition, diabetes
mellitus, chemotherapy, surgical operation, burns, immunosuppression, trauma and
organ transplantation) were recorded.Results:Diabetes mellitus was found in (35.5%),
followed by hypertension and Ischemic heart disease in (32.3% & 19.4%)
respectively, COPD and Hepatic disease were found in 9.7% and 3.2% of the studied
patients respectively.There was a significant difference in age and sex in relation to
occurrence of funguria that was statistically higher among females and older patients.
There was a highly statistically significance funguria in DM, HTN and IHD
respectively. No significance difference in COPD and Hepatic diseases.All patients
were catheterized by UBC and CVC. Patients on mechanical ventilation, on parenteral
nutrition, DM and Surgical operation were statistically more susceptible to funguria.
Conclusion:Funguria commonly affected those above 40 years of age among surgical
ICU patients. Females were more commonly affected than males. Pseudomonas
aeruginosa was the most recurrent causative organism Urinary bladder catheter and
central vein catheter were the most frequently detected risk factor, followed by
parenteral nutrition and mechanical ventilation.