Nosocomial urinary tract infection. Risk factors, rates and trends

This report aims at both estimation of the rates of overall nosocomial and urinary tract infection [UTI] and their linear trends as well as studying the potential risk factors of patients admitted to Al-Hada, Rehab and Prince Sultan military hospitals and developed nosocomial UTIs [NUTIs]. A case-control study on 206 discharged patients with confirmed UTI and 618 controls without UTI was caried out between August 2001 through to July 2003 to study risk factors for nosocomial UTI as well as hospital records during the period [1998-2002] were reviewed for calculation of the overall annual nosocomial infection and nosocomial UTI rates. Multiple logistic regression analysis showed that duration of hospital stay, unit of admission, history of diabetes mellitus or debilitating diseases, and duration and number of urinary catheters were independently associated with increased risk of NUTIs. The mean incidence rate of overall nosocomial infection along the study period [1998-2002] was 2.82, while the mean incidence rate of UTI nosocomial infection was 0.85 per 100 discharged patients. Urinary tract infection represents approximately 31.7% of overall nosocomial infection throughout the study period. Urinary tract infections comprise approximately one third of nosocomial infections. The results, thus, indicated that to reduce the incidence of UTI nosocomial infection, it was important to take factors that can be managed into consideration. Therefore, the involved persons should pay more attention and set practical and effective guidelines for the hospital

Pattern of erectile dysfunction in Jeddah city

The aim of this study was to determine the demographic features of erectile dysfunction patients attending different specialized clinics in Jeddah city, and to identify possible risk factors associated with erectile dysfunction problem. All newly erectile dysfunction patients [n=388] who attended 6 andrology and urology clinics within a period of 3 months were subjected to a modified structural interview questionnaire to collect demographic data and risk factors for erectile dysfunction. The study revealed the following results among erectile dysfunction patients; Saudi patients constituted [81%]. The age ranged from 20-86 years with mean age of 43.23 +/- 12.56 years, 73% were married with one wife, 23.5% married with two wives, and 8% were single. About one-half [43%] were less than secondary education level. Retired patients constituted [13%] of all patients. Lack of exercise was the most frequent risk factor among 82% of patients, followed by smoking [56%], use of regular medication [44%], diabetes [30%], hypertension [15%], history of pelvic surgery [14%] alcoholism [13%], and drug addict [8%]. Erectile dysfunction is a problem of not only old age but also of middle and young age. This might be attributed to the high frequency of some risk factors such as diabetes mellitus, hypertension, smoking, alcohol consumption, and drug addiction. This finding may reflect the necessity for construction of prevention strategies