Occurrence of urinary infection in patients psychiatrics of an institution of long permanence

Abstract

The infections of the urinary treatment (ITU) they represent the largest number of infections hospitalares today, approximately 40% of these, and they are more common than the breathing infections. The risks for acquisition of ITU are use of probe delay vesical (SVD), people with nervous system disorders who lose bladder control, diabetes, diaphragm use, pregnant women, preservative use with spermicidal, congenital abnormalities of the urinary treatment, urinary obstruction and estrogen deficiency. This study had for objects to identify the occurrence and microorganism causal of urinary infection in psychiatric population of a government hospital of great load of the interior of the State of Sao Paulo. Of a total of 57 patients detected with picture of urinary infection, 53 individuals (97%) they belonged to the masculine sex and 4 individuals (7%) to the feminine sex. The prevail of the masculine sex feels for the report of the hospital where took place the study. The age group of larger incidence of urinary infection happened among 51 to 80 years (73,7% of the studied population). 100% of the urinary infections were diagnosed by exam laboratorial of the type it urinates routine and only 15,8% of the sample the urine culture it was submitted. Of the total of accomplished cultures 55,5% of the infections were caused by Escherichia coli and 33,3% by Enterobacter sp. E.coli was susceptible the ceftriaxona (100%), gentamicina (100%) and amicacina (83,3%) and it was resistant the ampicilina and cefadroxil. Enterobacter sp presented susceptible the gentamicina (100%), ceftriaxona (100%), garamicina (100%), penicillin G (66,7), cefalotina (66,7%), ciprofloxacina (66,7%) and norfloxacina (66,7%) and it was resistant the nitrofurantoína, rifampicina, ampicilina, eritromicina and amoxacilina.