Prevalence of nosocomial urinary tract infection in PICU of referral children hospital in Iran

Objectives: to determine the prevalence of the occurrence, risk factors and microbiology for acquiring utis in the picu of one of the main referral children hospital in iran. methodology: a surveillance study was conducted among all children admitted to picu in the mofid children hospital in tehran between july 2007 and july 2008. results: during the one year, 428 patients were admitted to picu for 48 hours or more and a total of 31(7.2%) acquired utis, yielding an overall incidence density, of 11 per 1000 picu days. one bacteremic (4.3%) icu-acquired utis occurred. mean hospital staying in uti patients was 22 days comparing with 7 days in other patients (p value<0.001) but mortality rate difference was not significant (p value=0.2). the most common organisms isolated were escherichia coli (30.4%), kelebsiellapneumoniae(30.4%) and candida albicans(21.7%). conclusions: monitoring of a picu-acquired uti is important in critically ill patients. the results of this study offer a reliable measure of the prevalence of nosocomial utis at hospitals in iran and provide a baseline for future studies.