FACTORS THAT AFFECTING CATHETER – ASSOCIATED URINARY TRACT INFECTION IN TERTIARY HOSPITAL
Keywords:catheter-associated urinary tract infection, indwelling catheterization, factors affecting urinary infection
A retrospective analytic study was conducted to determine factors associated with catheter-associated urinary tract infection (CAUTI) in inpatient departments, Police General Hospital. Two hundred medical records of patient with urinary catheter insertion between January and December 2019 were reviewed retrospectively. Content validity index (CVI) of data collection form developed by the researcher was .94. Statistical analysis included percentage, mean, and standard deviation. Chi-square test was used to analyze factors associated with CAUTI urinary tract infection. Binary logistic regression analysis was used to predict the probability OR chance of CAUTI.
Result: The rate of CAUTI was 23.32 per 1,000 catheter-days. A logistic regression analysis showed that kidney diseases (OR = 2.95, 95% CI = 1.49 - 5.85, p = .00), diabetes mellitus (OR = 2.46, 95% CI = 1.28 - 4.71, p = .01) and increase one week catheter-days had 1.30 times OR 29.8 percentage (OR = 1.30, 95% CI = 1.15 - 1.47, p = .00) were important factors associated with CAUTI. The equations for prediction with 70.50 % correction.
Suggestion: Apart from strictly adherence to CAUTI prevention guideline, health personnel should manage comorbidities especially kidney diseases and diabetes mellitus appropriately, also re-evaluate of the necessity for urethral catheter insertion to reduce the number of catheter-days.
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