Catheter-Associated Urinary Tract Infections at the inpatient unit at Burapha University Hospital
Keywords:
Urinary catheterization, Catheter-associated urinary tract infection (CAUTI), Catheter-associated asymptomatic bacteriuriaAbstract
Background: Catheter-associated urinary tract infection (CAUTI) is one of the most common hospital-acquired infections, which causes longer hospital stays and complications.
Objective: To determine the incidence of catheter-associated urinary tract infection in the inpatient department at Burapha University Hospital and its associated factors.
Material and Methods: A prospective study was conducted between December 2022 and
September 2023. The sample group consisted of patients admitted to the inpatient department of Burapha University Hospital, aged over 18 years, who had an indwelling urinary catheter for more than 2 days. A total of 220 patients underwent urinalysis and urine culture on days 1, 5, 7, 10, 14 and every subsequent 7 days, 48 hours after the urinary catheter was removed.
Basic data were analyzed using descriptive statistics; continuous data were compared using either the Student’s t-test or Mann-Whitney U test. Categorical data were analyzed using the Chi-square test or Fisher’s exact test.
Result: The sample group had an average age of 63.06 ± 18.23 years. Catheter associated asymptomatic bacteriuria was found in 20% of the total population. Incidences specific to catheter-associated urinary tract infections was 7.7%. Risk factors included advanced age, chronic kidney disease, solid tumors, longer length of hospital stay, admission to the intensive
care unit, and intubation for ≥ 96 hours. Additional rish factors included the duration for which the urinary catheter was in place. the frequency of changing the urinary catheter beyond a 14 day period, and the presence of wounds around the perineum. Finally, an important risk factor was the prolonged duration time of retained Foley’s catheter (OR 1.23, 95% CI 1.01 to 1.49, p = 0.036).
Conclusion: The incidence of inpatients’ CAUTI at Burapha University Hospital was 7.7%. The prolonged indwelling catheter was associated with an increased risk of urinary tract infections from catheterization.
References
Gould C. Infect Control Hosp Epidemiol. 2010; 31: 319-26.
Warren JW, Platt R, Thomas RJ. Antibiotic irrigation and catheter-associated urinarytract infections. N Engl J Med. 1978; 299: 570.
Haley RW, Hooton TM, Culver DH. Nosocomial infections in U.S. hospitals, 1975-76: estimated frequency by selected characteristics of patients. Am J Med. 1981; 70: 947.
Tambyah PA, Maki DG. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1,497 catheterized patients. Arch Intern Med. 2000; 160: 678.
Saint S. Clinical and economic consequences of nosocomial catheterrelated bacteriuria. Am J Infect Control. 2000; 28: 68.
Leuck AM, Wright D, Ellingson L. Complications of Foley catheters--is infection the greatest risk?. J Urol. 2012; 187: 1662.
Dudeck MA, Weiner LM, Allen-Bridson K, Malpiedi PJ, Peterson KD, Pollock DA, et al. National Healthcare Safety Network (NHSN) report, data summary for 2012, Device-associated module. Am J Infect Control. 2013; 41: 1148-66. doi: 10.1016/j.ajic.2013.09.002. PMID: 24274911; PMCID: PMC4629786.
Bat-Erdene I, Gupta D, Belkebir S, Rajhans P. International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module. Am J Infect Control. 2020; 48: 423-32.
Kotikula I, Chaiwarith R. Epidemiology of catheter-associated urinary tract infections at Maharaj Nakorn Chiang Mai Hospital, Northern Thailand. Southeast Asian J Trop Med Public Health. 2018; 49: 113-22.
Anothayanonth Y. Factors that affecting catheter-associated urinary tract infection in tertiary hospital. Journal of the Police Nurses. 2020; 12: 48-57.
Platt R, Polk BF, Murdock B, Rosner B. Risk factors for nosocomial urinary tract infection. Am J Epidemiol. 1986; 124: 977.
Wald HL, Ma A, Bratzler DW, Kramer AM. Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data. Arch Surg. 2008; 143: 551.
Kunin CM, McCormack RC. Prevention of catheter-induced urinary-tract infections by sterile closed drainage. N Engl J Med. 1966; 274: 1155.
Hooton TM, Bradley SF, Cardenas DD, Colgan R, Geerlings SE, Rice JC, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis. 2010; 50: 625-63.
Hariati, H, Tarigan R. Risk factors analysis for catheter-associated urinary tract infection in Medan, Indonesia. J Med Sci: 2019; 7: 3189-94.
Anggi A, Wijaya D. Ramayani R. Risk factors for catheter-associated urinary tract infection and uropathogen bacterial profile in the intensive care unit in hospital in Medan, Indonesia. J Med Sci. 2019; 20: 3488-92.
Kanjanawasri S, Gulgusol N, Manapatanasatien T, Punjamawat A. Factors affecting urinary tract infection in foley catheter retained patients in King Narai Hospital. J Med Assoc Thai. 2019; 102: 100-5.
Weiner LM, Webb AK, Limbago B. Antimicrobial-resistant pathogens associated with healthcare associated infections: summary of data reported to the national healthcare safety network at the centers for disease control and prevention, 2011-2014. Infect Control Hosp Epidemiol. 2016; 37: 1288.
Charoenrat N, Phithaksilp M, Jaidee W. Effects of applying Clinical Practice Guidelines for Antibiotic prescriptions for acute upper respiratory tract infection, acute diarrhea and simple wounds in the Outpatient Department and Emergency Room at Bangpakong Hospital in Chachoengsao province of Thailand. Bu J Med. 2023; 11: 40-53.
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