Catheter-associated urinary tract infection

Tambyah, Paul A.; Oon, Jolene

doi:10.1097/qco.0b013e32835565cc

Cited by 97 publications

(61 citation statements)

References 37 publications

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“…We found a significant association between catheter related urinary tract infection and age, female gender, and severity of loss of function before surgey which is in line with literaure reports 11,12 . However, we could not evaluate correlation between urinary stent and length of using urinary catheter and urinay tract infection.…”

Section: Discussionsupporting

confidence: 78%

“…However, we could not evaluate correlation between urinary stent and length of using urinary catheter and urinay tract infection. It is estimated that up to 69% of catheter related urinary tract infection can be prevented using appropriate infection prevention strategies such as the removal of the catheter as soon as possible or avoidance of its use [12][13][14] . Considering 38% of physicians were not aware of the status of urinary catheter use for their patients 12,15 , reminder…”

Section: Discussionmentioning

confidence: 99%

“…Chen et al: Hospital-acquired conditions after kidney transplant systems including face-to-face reminders involving staff nurses and virtual reminders involving the use of electronic devices may help decrease the risk of catheter related urinary tract infection 12 .…”

Section: Cuaj -Original Researchmentioning

confidence: 99%

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Never events and hospital-acquired conditions after kidney transplant

Moghadamyeghaneh

Chen

Alameddine

et al. 2017

CUAJ

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Introduction: Never events (NE) and hospital-acquired conditions (HAC) after surgery have been designated as quality metrics in healthcare by the centres for Medicare and Medicaid Services (CMS). Methods: The Nationwide Inpatient Sample (NIS) database 2002-2012 was used to identify patients underwent kidney transplant. Multivariate analysis using logistic regression was used to identify outcomes and risk factors of HAC and NE after transplantation; however, we were limited by using a retrospective database missing some important variables specified for the kidney transplant, such as some operative factors, donor factors, and cold and warm ischemia times. Results: Among 35 058 patients who underwent kidney transplant, there were 11 NEs, all of which were due to retained foreign bodies. Among HAC after surgery, falling was the most common (44.9%), followed by poor glycemic control (21.7%), vascular catheter-associated infection (21%), and catheter-associated urinary tract infection (8%). HAC and NE after surgery lead to a significant increase in mortality (adjusted odds ratio [AOR] 2.49; p=0.04), hospitalization length (13 vs. 7 days; p<0.01), and total hospital charges ($231 801 vs. $146 717; p<0.01). A significantly higher risk of HAC or NE was seen for patients who had more loss of function before surgey (AOR 3.25; p<0.01) and patients expected to have higher postoperative mortality before operation (AOR 1.62; p=0.03).

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

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Never events and hospital-acquired conditions after kidney transplant

Moghadamyeghaneh

Chen

Alameddine

et al. 2017

CUAJ

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“…One of the limitations of this approach is the need for frequent nebulisation due to the negligible retention of the nebulised antibiotic at the luminal surface of the ET tube. Whilst it has been reported that there is minimal systemic absorption of gentamicin and good tolerance within the airways when administered by nebulisation 20,21 , it is clinically preferable to minimise the exposure of patients to antimicrobial agents to abate the development of multidrug resistant pathogens [22][23][24] .…”

Section: Introductionmentioning

confidence: 99%

Hydrogel Antimicrobial Capture Coatings for Endotracheal Tubes: A Pharmaceutical Strategy Designed to Prevent Ventilator-Associated Pneumonia

et al. 2015

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“…Studies have reported that the most common nosocomial infections are urinary tract infections (14). However, none of these studies provided specific data on the organisms causing nosocomial infections.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Nosocomial Urinary Tract Infections with Spinal Cord Injury Patients in a Rehabilitation Setting

Yılmaz¹,

Yavuz²,

Adıgüzel³

2014

Turk J Phys Med Rehab

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Objective: To define the distribution and antibiotic susceptibility of nosocomial urinary tract infections (NAUTIs) in patients with spinal cord injury (SCI). Material and Methods: Records of the spinal cord injured patients were reviewed for NAUTIs between 2008 and 2010. Antibiotic resistance rates and factors that might affect urinary tract infection susceptibility were investigated retrospectively. Results: The data of 276 patients were included, of whom 159 were acute SCI patients and 117 were chronic SCI patients; 166 (61%) infections were asymptomatic bacteriuria (ASB), and 110 (39%) infections were symptomatic urinary tract infections (SUTIs). In patients with acute SCI, E. coli was the most frequently isolated pathogen of SUTIs, followed by Pseudomonas. In patients with chronic SCI, E. coli was the most frequently isolated pathogen in SUTIs and ASBs. There was no statistically significant difference in the rates of NAUTI (ASB and SUTI) between acute and chronic SCI patients in terms of bladder drainage method. The susceptibility ratios for E. coli were very low in both acute and chronic SCI patients using Foley catheters. Although the susceptibility ratios for E. coli were not that low in SCI patients using clean intermittent catheterization, the resistance ratios were higher than 50% for most of the uropathogens. Conclusion: These results reveal a blunt truth that the treatment of NAUTIs will be a great challenge in near future. Kronik SKY hastalarda SUTI ve ASB için en sık izole edilen patojen E. coli idi. Mesane boşaltım yöntemi dikkate alındığında, akut ve kronik SKY hastalar arasında NAUTI (ASB ve SUTI) dağılımı açısından anlamlı bir fark yoktu. Foley kateter kullanan akut ve kronik SKY hastalarda E. coli duyarlılık oranları çok düşüktü. Temiz aralıklı kateterizasyon uygulanan hastalarda duyarlılık oranları o kadar düşük olmasa da, direnç oranları üropatojenlerin çoğu için %50'nin üzerindeydi. Sonuç: Bu sonuçlar, nozokomiyal üriner sistem infeksiyonlarının tedavisinin yakın gelecekte ne kadar büyük bir sorun olacağı konusundaki gerçeği ortaya koymaktadır. Anahtar Kelimeler: Spinal kord yaralanması, nozokomiyal üriner sistem infeksiyonu, rehabilitasyon

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Catheter-associated urinary tract infection

Cited by 97 publications

References 37 publications

Never events and hospital-acquired conditions after kidney transplant

Never events and hospital-acquired conditions after kidney transplant

Hydrogel Antimicrobial Capture Coatings for Endotracheal Tubes: A Pharmaceutical Strategy Designed to Prevent Ventilator-Associated Pneumonia

Retrospective Analysis of Nosocomial Urinary Tract Infections with Spinal Cord Injury Patients in a Rehabilitation Setting

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