RAZ R, CHAZAN B, KRASNIANSKI S, TEITLER N; Interscience Conference on Antimicrobial Agents and Chemotherapy (41st : 2001 : Chicago, Ill.).
Abstr Intersci Conf Antimicrob Agents Chemother Intersci Conf Antimicrob Agents Chemother. 2001 Dec 16-19; 41: abstract no. L-1061.
Infectious Diseases Unit, HaEmek Medical Center, Afula, Israel
BACKGROUND: Catheter associated urinary tract infection (CAUTI) is the most common nosocomial infection. Our objectives were to estimate the prevalence of catheterized patients in our community teaching hospital, and to determine what factors are associated with the risk of bacteriuria. Materials & METHODS: A bi-monthly point-prevalence study and a survey of all catheterized adult patients were performed prospectively. Patient age, gender, admitting ward, hospital location of catheterization, cause and duration of catheterization, and appearance of CAUTI, were recorded and analyzed. RESULTS: The catheterization prevalence was 6.4%, 2.5 times more in Surgery than in Medicine wards(12.3% vs. 5.3%), and lowest in Obstetrics and Gynecology (2.3% and 3.7%). Surgery and Medicine had most catheterized patients, 95% of whom were catheterized to evaluate hemodynamic changes and diuresis. Catheters were left inserted for 7.4 +/- 7.9 days. Bacteriuria developed in 74 patients (23.3%), asymptomatic in 75.6% of them and symptomatic 24.3%. In Internal Medicine, bacteriuria occurred in 54% of catheterized patients, more (p<0.001) than in patients catheterized in the emergency department (15%) or the operating room (12.9%). Catheterization in bacteriuria-free patients lasted 5.5 +/- 5.6 d, in contrast to 13.4 +/- 11.2 d in CAUTI patients (p<0.001). Patients who underwent >1 catheterizations had more bacteriuria than those catheterized only once (p<0.0001). Univariate and multivariate analyses showed that extended (<5 d) and repeated catheterizations were significantly associated with CAUTI. CONCLUSIONS: CAUTI was associated only with long or multiple catheterizations. Efforts should be directed at the shortening catheter use, and increase personnel awareness.
Publication Types:
Keywords:
- Adult
- Bacteriuria
- Catheterization
- Cross Infection
- Hospitals, Community
- Hospitals, Teaching
- Humans
- Risk Factors
- Urinary Catheterization
- Urinary Tract Infections
Other ID:
UI: 102270631
From Meeting Abstracts