Catheter Associated Urinary Tract Infection (Cauti) in Medical Ward, and Icu KFHH During Year 2017.

Abstract

Background: Catheter-associated urinary tract infection (CAUTI) is one of the most common hospital acquired infection. Objectives: determining the risk factors, causes and frequency of CAUTI among infected cases with CAUTI in King Fahad Hofuf hospital and to provide local evidence-based recommendations for prevention of CAUTI. Methods: It is a prospective surveillance study of CAUTI. The study was carried out at the Medical ward in King Fahad Hofuf hospital (KFHH) from May to August 2017. The study included all adult patients who are admitted to medical or ICU during the study period with medical conditions rather than UTI and have been catheterized with Foley catheter. The information of the patients were collected from the medical records of the wards and day care unit. Results: the most common causes were sepsis and pneumonia followed by hyperglycemia. Most of the patients showed no symptoms however only 4.5% have fever and there was a positive association between fever and CAUTI as a risk factor for CAUTI. About 29.55 of patients had CAUTI with the majority of them located in ward than ICU. The most common isolated organism among patients with CAUTI are Yeast, candida, E-coli and pseudomonas. The most commonly used antibiotic for CAUTI including cefatrixone, Linezolid, colisitin and fluconazole. CAUTI was significantly associated with female gender. Conclusion: CAUTI was most common among patients located in ward than ICU. The most common risk factors were female gender, fever, previous illness and long duration of illness. Yeast and candida are the most common isolated microorganisms among patients with CAUTI.

Comparative Study of Incidence Rates and Antibiogram of Catheter-Associated Urinary Tract Infections in Intensive Care Unit Versus Non-Intensive Care Unit at a Tertiary Care Teaching Hospital

“…In the present study, the outcomes of CAUTI were increased duration of hospitalization and recovery of patients whereas a similar study conducted by Zahran et al [12] found that the outcomes of CAUTI were complete recovery among 98.5% of patients.…”

“…The decreased rate of CAUTI in ICU might be due to the increased aseptic environment than non ICU. A similar study conducted by Zahran et al [12]. on the comparison of the incidence rate of CAUTI among ICU and non ICU patients had found that the incidence rate is more in non ICU.…”

Catheter-Associated Urinary Tract Infection in Intensive Care Unit Patients at a Tertiary Care Hospital, Hail, Kingdom of Saudi Arabia

“…In the present study, most patients presented only with a fever ( n = 23, 33%), and there was a positive association between the fever and CAUTI. Fever is a particularly common symptom among critically ill patients, and evaluation for CAUTI should be conducted if fever is present in catheterized patients [ 8 ].…”

Linezolid Resistance in Tanta University Hospitals: a Cross-sectional Study

“…Interestingly, the linezolid-resistant CoNS detected in the current study was isolated from a patient who was prescribed linezolid as an empirical therapy for upper respiratory tract infection. In the same context, Zahran et al 6 reported the linezolid prescribing practices to be extremely abusive in a hospital in Saudi Arabia where linezolid was the antibiotic to be most often prescribed for cases of catheter-associated urinary tract infections. Similarly, Kramer et al 7 analyzed the prescribing practices of linezolid in German hospitals and concluded that during the period from 2011 to 2016, linezolid prescribing has significantly increased.…”

“…Linezolid overuse and extensive use are widely observed in clinical practices in both developed and developing countries due its excellent pharmacodynamic and pharmacokinetic properties 6,7 . This played a major role in the emergence of Grampositive linezolid-resistant strains 8 .…”