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KMID : 0371919880010010121
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Journal of Wonju College of Medicine
1988 Volume.1 No. 1 p.121 ~ p.128
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The Usefulness of Slime Production Test in Patients with Long-term Urinary Catheterization
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Abstract
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Recently the incidence of infectious disease is decreased, and hospital infection become the major infectious disease.
Nosocomial infections are a serious medical problem that gives rise to increased hospital cost and morbidity. Some of these infections are avoid able by proper technique and discontamination.
Hospital infections are primarily detectable by chart review, however there is little information on hospital infection control and surveillance activity to to detect avoidable infections.
Long term urinary catheterizastion, a common management technique for urinary incontinence or retension, is always complicated by polymicrobial urinary tract infection. Slime production has been shown to play the major role in catheter associated urinary tract infection.
We collected isolates from foley catheter tip culture from different patients with urinary catheterization in Wonju Christian hospital. All isolates were tested for identification, antimicrobial susceptibility, and slime production.
Our data indicates as the followings:
1. Enterococci, coagulase-negative staphylococci, and Pseudomonas are the most common isolates.
2. Slime producing strains are susceptible to aminoglycosides and penicillin derivatives, especially AMK, CEP and AMP.
3. Slime positivity is higher as the indwelling duration is longer, infection is suggestive, urethral injury is present.
We concluded that microbiologic tests as identification, antimicrobial susceptibility test must be done routinely on the isolates from the patients with urinary catheterization which is slime positive. And the result of susceptibility test should be applied on the patients with long term urinary catheterizaton.
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