ABSTRACT
To describe the consequences of uretheral catheterization in terms of the incidence of catheter related infection, duration of catheterization relation with UTI and changes in microbiologic pathogens. May 2006 to August 2006. Only 214 were included in final analysis, 28 were excluded from the study because these patients expired before the observable endpoint, these were critically ill. Adult patients in whom are indwelling foley's catheter was inserted with past 24 hours at the Emergency Room, Urology Wards, male and female surgical wards, medical wards, orthopedics wards, gynaecology wards, pediatrics wards, neurosurgery wards and ICU of Nishtar Hospital, Multan and Bakhtawar Amin Memorial Trust Hospital, Multan were included in the study. Out of 110 patients who acquired UTI, [83 single bacterial infection, 16 with pure candidal infection, 6 with double bacterial infection and 5 with both bacteria and yeast]. Majority of the isolated organisms were gram negative bacilli [66.9%]. E. coli being the most common [27] followed by Kiebsiella SP [26]. Other gram negative organisms isolated were acinetobactor SP [12], pseudomonas aeruginaosa [8], Enterobactor SP [6] and proteus Sp [2]. Ninteen [15.7%] were gram positive organisms, Enterococcus [9], coagulase negative staphococcus [7] and staphylococcus aureus [3]. Candida spieces were recovered in 17.4% of isolates. Fifty five percent of E. coli were isolated at 2 days post-catheterization while majority of the other organisms were isolated at more than 2 days after catheterization