Özet:

Objective: Micturating cystourethrogram is an important tool to assess vesicoureteral reflux and bladder anatomy. The catheters that are being used during micturating cystourethrogram procedures are one of the risk factors that directly cause urinary tract infections. The aim of this study is to assess the effect of urinary catheterization on forming urinary tract infections. METHODS: One hundred two patients (62 boys, 40 girls) which were being evaluated in Celal Bayar University Hafsa Sultan Hospital Pediatric Nephrology policlinic due to recurrent urinary tract infections and underwent micturating cystourethrogram procedure between July 2010-2012 were included in the study. Urine cultures were taken from all patients before and two days after micturating cystourethrogram. Results: Two points nine percent of the urine cultures taken right before micturating cystourethrogram procedures and 11.7% of urine cultures taken right after micturating cystourethrogram procedures were positive for significant bacteriuria. Gender has no significant influence (p=0,07) over catheter-associated urinary tract infection. We have seen a significant relationship between catheter-associated urinary tract infection and age when the patients were divided into two groups as the age of five and under with above it (p=0,01). Escherichia Coli was the major pathogen that grows on urine cultures taken both before and after micturating cystourethrogram procedures. CONCLUSION: Following the sterilization guidelines on situations that require urinary catheterization and developing new diagnostic procedures that can replace micturating cystourethrogram which it is still the gold standard in vesicoureteral reflux diagnosis would be effective on preventing catheter-associated urinary tract infection.

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