832 - Healthcare associated urinary tract infections in rehabilitation unit of University hospital of Sahloul

This study aims to determine the prevalence, the risk factors, and the treatment of NUTIs in the rehabilitation unit of university hospital of Sahloul.

Design:

It’s a cross sectional study about patients hospitalized from august to November of 2022 in the rehabilitation unit of University hospital of Sahloul in Sousse that presented a NUTI.

Results:

In our study of 20 participants, 40% were males and 60% were females.

Most patients (55%) were transferred from another department to the rehabilitation unit, 35% were admitted directly to our unitand 10% were referred from another hospital.

We received 30% of the patients from the orthopedics unit, 15% from the general surgery unit, 5% from the neurosurgery unit, 15% from the cardiology unit and 5% from the internal medecine department. Urinary tract instrumentation can be considered as a risk factor as half of our patients had a urinary catheter and 20 % had an intermittent catherization.

All of our patients were urine culture and sensitivity positive.

We found 7 different germs in the urinary tract, the most common was the Klebsiella pneumoniae in 40% of the cases, followed by Escherichia coli (25%). 80% of our patients had fever, 60% had urinary signs, and 80% had a biological inflammatory syndrome.

Conclusions: The findings of this study suggest that urinary tract infections are prevalent among catheterized patients, particularly those transferred from surgical departments. Females were found to be at a higher risk compared to males. Klebsiella pneumoniae was more frequently associated with urinary tract infections.