Catheter-Associated Urinary Tract Infection (CAUTI) in the NeuroICU: Identification of Risk Factors and Time-to-CAUTI Using a Case–Control Design

Perrin, Karen M.; Vats, Anu; Qureshi, Aater; Hester, Jeannette; Larson, Angela; Felipe, Alfeil; Sleiman, Andressa; Baron-Lee, Jacqueline; Busl, Katharina M.

doi:10.1007/s12028-020-01020-3

Cited by 14 publications

(17 citation statements)

References 13 publications

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“…Notably, a very dramatic increase in CAUTI rate might be seen when DUR exceeds .85 compared to DUR <.5. 10,[12][13][14] Judicious urinary catheter use is the most important strategy to control the CAUTI rate. 7 According to findings from epidemiologic studies, the rate of CAUTI and DUR in neuro ICU cases has decreased during the past decade (Table 1).…”

Section: Cauti Epidemiologymentioning

confidence: 99%

“…7,24 In a study conducted on neuro ICU patients, the average time from urinary catheterization to acquiring the CAUTI was 6.2 days, and the majority of patients developed CAUTI within 10 days. 14 Female gender, increased age, diabetes mellitus, and extended length of hospital and ICU stay are other well-established risk factors for CAUTI in hospitalized patients. 25 Few studies have evaluated risk factors for CAUTI in neuro ICU patients.…”

Section: Cauti Risk Factorsmentioning

confidence: 99%

“…19 Impaired immune function, increased adherence of uropathogens to urothelium, and enhanced growth of uropathogens secondary to glucosuria make diabetic patients more susceptible to CAUTI. 26 In a recent study published by Perrin et al, 14 risk factors for CAUTI were evaluated in 3045 patients admitted to a neuro ICU of a single tertiary teaching hospital in the United States. In the univariate analysis, age between 61 and…”

Section: Cauti Risk Factorsmentioning

confidence: 99%

Section: Cauti Risk Factorsmentioning

confidence: 99%

“…• Fever (>38.0°C) 14 However, in the multivariate analysis, age between 61 and 80 years, female gender, neuro ICU length of stay more than 10 days, and stool incontinence were independent risk factors for CAUTI. 14 Neurogenic bladder and other neurological causes of urinary retention such as stroke and multiple sclerosis might also increase the risk of CAUTI. 27 UTIs are one of the many complications that can be seen in a neurologically injured patient that suffers from the neurogenic bladder.…”

mentioning

confidence: 91%

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Catheter-Associated Urinary Tract Infection in Neurological Intensive Care Units: A Narrative Review

Firoozeh

Agah

Bauer

et al. 2022

The Neurohospitalist

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Catheter-associated urinary tract infection (CAUTI) is among the most common types of healthcare-associated infection (HAI), which is associated with poor outcomes and prolonged hospitalization in critically ill patients. Previous studies have mentioned that patients admitted to neurological ICUs are at higher risk of CAUTI compared to patients in other ICU settings. This review paper aims to review studies published during the last decade that evaluated the incidence, risk factors, causative pathogens, and preventive strategies and treatment in neuro-critically ill patients.

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Section: Cauti Epidemiologymentioning

confidence: 99%

Section: Cauti Risk Factorsmentioning

confidence: 99%

Section: Cauti Risk Factorsmentioning

confidence: 99%

Section: Cauti Risk Factorsmentioning

confidence: 99%

mentioning

confidence: 91%

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Catheter-Associated Urinary Tract Infection in Neurological Intensive Care Units: A Narrative Review

Firoozeh

Agah

Bauer

et al. 2022

The Neurohospitalist

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Short‐term urinary catheter usage in endoscopic skull base surgery and impact on urinary tract infection and reconstructive outcomes

Pang,

Michelle,

Roman

et al. 2024

World j. otorhinolaryngol.-head neck surg.

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ObjectivesHospital‐acquired catheter‐associated urinary tract infections (UTIs) have been regarded as preventable adverse events, yet their risk in endoscopic skull base surgery (ESBS) has not been well described despite common use. We determine the incidence of UTI following ESBS and identify contributing clinical factors.MethodsRetrospective review was conducted for a cohort of 229 consecutive adult patients who underwent endoscopic endonasal surgery for treatment of any skull base pathology between July 2018 and June 2022 at a tertiary academic skull base surgery program. Postoperative UTI comprised the primary outcome. Independent variables included patient demographics, use and length of urinary catheterization, and pre‐existing genitourinary conditions.ResultsNosocomial UTIs were identified in 1.3% (3/229) of patients, occurring on postoperative days 2, 9, and 14, respectively; all were catheter‐associated. Overall, 86.0% (197/229) of patients received urinary catheters (mean duration 2.2 ± 1.8 days). Compared to those without, patients with UTI were older (70.0 ± 15.4 vs. 52.2 ± 16.8 years, p = 0.034), had lengthier stays (94.7 ± 126.8 vs. 5.9 ± 8.4 days, p < 0.001), and had prolonged catheterizations (9.3 ± 5.5 vs. 2.1 ± 1.5 days, p < 0.001). Preoperative genitourinary conditions were also associated with UTI development, namely, chronic urinary retention/obstruction (66.7% vs. 4.0%, p = 0.006), urinary incontinence (66.7% vs. 6.2%, p = 0.013), prostate disease (100.0% vs. 17.8%, p = 0.035), and renal dysfunction (100.0% vs. 9.7%, p = 0.001). Among intraoperative cerebrospinal fluid leak patients, postoperative CSF leak incidence was not associated with catheter use versus nonuse (3.3% vs. 12.5%, p = 0.276).ConclusionAlthough UTIs are uncommon in ESBS patients, advanced age, length of stay, duration of indwelling urinary catheterization, and comorbid genitourinary conditions may elevate risk.

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An international prospective study of INICC analyzing the incidence and risk factors for catheter-associated urinary tract infections in 235 ICUs across 8 Asian Countries

Rosenthal,

Yin,

Abbo

et al. 2024

American Journal of Infection Control

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Catheter-Associated Urinary Tract Infection (CAUTI) in the NeuroICU: Identification of Risk Factors and Time-to-CAUTI Using a Case–Control Design

Cited by 14 publications

References 13 publications

Catheter-Associated Urinary Tract Infection in Neurological Intensive Care Units: A Narrative Review

Catheter-Associated Urinary Tract Infection in Neurological Intensive Care Units: A Narrative Review

Short‐term urinary catheter usage in endoscopic skull base surgery and impact on urinary tract infection and reconstructive outcomes

An international prospective study of INICC analyzing the incidence and risk factors for catheter-associated urinary tract infections in 235 ICUs across 8 Asian Countries

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