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 Original Articles |
| The Catheterization and Urinary Tract Infection |
| Kwang Hyun Lee, Jae Ha Choi, Choon Suk Kee, Chong Moo Lee, Hee Young Chung |
| Catholic Medical College, Seoul, Korea |
Vol.3 Num.1 (p87~91)
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A clinical evalution was made on patients with urinary tract infection following urinary instrumentation for diagnosis and treatment. 60 patients included n this study necessitated a short or long term urinary catheterization with Foley's catheters. These patients were hospitalized at St. Mary's Hospital, Catholic Medical College, during the period of January through August, 1970 for this study.
Regular urine samples for culture were obtained every other day.
The results were as follows:
1. Growth of micro-organi는 on culture showed statistically a slight increase in female as compared with male (27:21). 40 of 60 patients(66.7%) turned out to be positive on culture. 26 of 60 patients were females in whom 19 patients were positive on culture (73.1%). 34 of 69 patients were males in whom 21 patients were positive on culture (61.8%). Mixed infections were observed only in females. 16 of 25 patients (64%) with "negative" on first culture became positive on the second.
2. 8 cases of mixed infections were observed such as klebsiella and E. coli, or E. coli and enterococcus, ect (13.3%).
3. Most of micro-organisms recovered by culture were gram negative (92.8%). Klebsiella predominated (50%) and E. coli relatively common (27.1%).
4. On sensitivity tests to the various antibiotics, 25% of E. coli was sensitive to kanamycin and 10.7% to tetracycline and chloramphenicol. Klebsiella was also sensitive to kanamycin (15.2%) and chloramphenicol (10.5%), while some klebsiella strains were resistant to all tested antibiotics(23.7%).
In general, most of the other micro-organisms showed sensitivity to either kanamycin and chlorampenicol.
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