Catheter-associated urinary tract infection in a surgical intensive care unit

Mladenović, Jovan; Veljović, Milić; Udovičić, Ivo; Lazic, Srdjan; Šegrt, Zoran; Ristić, Petar; Šuljagić, Vesna

doi:10.2298/vsp140624078m

Cited by 19 publications

(24 citation statements)

References 38 publications

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“…Nine studies (Barbadoro et al., ; Gillen et al., ; Hagerty et al., ; Kabbani et al., ; Kim et al., ; Lee et al., ; Mladenović et al., ; Talaat et al., ; Vincitorio et al., ) that included a total of 565 patients with CAUTI and 8,070 patients without CAUTI were included in the analysis of gender and CAUTI risk. The pooled results demonstrated that female gender was associated with an increased CAUTI incidence (OR = 2.01, 95% CI, 1.64–2.14, p < 0.05, Figure ).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies (Talaat et al., ; Vincitorio et al., ) compared the hospital length of stay (LOS) between CAUTI and No CAUTI groups. And another four studies (Kabbani et al., ; Lee et al., ; Mladenović et al., ; Talaat et al., ) compared the ICU LOS between these two groups. The pooled data suggested that CAUTI risks were higher in those with a longer hospital LOS (MD of +4 days, 95% CI, 2.64–6.42, p < 0.05, Figure ) and ICU LOS (MD of +12 days, 95% CI, 3.98–21.24, p = 0.004, Figure ).…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies

Song

et al. 2018

Journal of Advanced Nursing

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Aims:The study aimed to identify the risk factors for catheter-associated urinary tract infection among hospitalized patients. We also tried to explore its potential effect on patient outcomes if possible.Background: Catheter-associated urinary tract infection accounts for a large proportion of healthcare-associated infections and remains a considerable threat to patient safety worldwide.Design: A systematic review and meta-analysis of observational studies. Data sources:We conducted an electronic search in PubMed, EMBASE, Web of Science, and the Cochrane Review methods: Two reviewers searched the articles and extracted the data independently. The quality of the studies was assessed with the Newcastle-Ottawa Scale. RevMan 5.3 was used to perform the meta-analysis.Results: Ten studies involving a total of 8785 participants with or without catheterassociated urinary tract infection were included. The average incidence of catheterassociated urinary tract infection was 13.79 per 1000 catheter days, with a prevalence rate of 9.33%. The meta-analysis demonstrated that patients at high risk for catheter-associated urinary tract infection were female, had a prolonged duration of catheterization, had diabetes, had previous catheterization, and had longer hospital and ICU stays. Additionally, catheter-associated urinary tract infection was also accompanied by an increase in mortality. Conclusions:Healthcare staff should focus on the identified risk factors for catheter-associated urinary tract infection. Further research is needed to investigate the microbial isolates and focus on the intervention strategies of catheter-associated urinary tract infection, so as to reduce its incidence and related mortality. K E Y W O R D Scatheter-associated urinary tract infection, hospitalized, meta-analysis, nursing, observational studies, risk factors, systematic review

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies

Song

et al. 2018

Journal of Advanced Nursing

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“…18,[22][23][24][25] However, unlike the study of Mladenovi et al no difference in rate of CAUTIs was observed among patients of different age group. 21 We identified Candida spp. as the most frequently Abbreviation: SD, standard deviation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Microbiological Profile of Catheter Associated Urinary Tract Infections: A Survey in Secondary Care Hospital in Gaza Strip

et al. 2016

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Background and Objectives People who seek healthcare are unable to tolerate the additional burden of acquiring a new infection. Healthcare associated infections (HAIs) are a major concern for healthcare management and frontlines to maximize patient safety. HAI is global health problem because of their seriousness, burden and costs to healthcare system. They also impose serious problems to safety of t patients. 1 In developing countries, the prevalence and incidence of HAIs varies between 5.7 to 19.1, and 1.7 to 23.6 per 100 patients respectively. 2 Studies from European hospitals

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“…Notable urinary pathogens causing UTI include Gram-negative rods (Escherichia coli, Citrobacter spp, Enterobacter spp), Gramnegative cocci (Neisseria gonorrheae), Grampositive cocci (Staphylococcus aureus, Staphylococcus saprophyticus), and other pathogens such as Candida albicans, and Chlamydia trachomatis (5,6). This risk of UTI is high in women, infants, elderly, and people with spinal cord injuries, urinary catheters, diabetes, immunodeficiency, and underlying urologic abnormalities (7,8,9,10).…”

Section: Introductionmentioning

confidence: 99%

Bacteria urinary tract infection in HIV-infected children and adolescents in Abuja, Nigeria: a cross-sectional study

Aa¹,

Yunusa²

2019

Af J Clin Exp Micro

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Background: Urinary tract infection (UTI) remains the second commonest opportunistic infections among HIV infected children. This study was conducted to determine the prevalence and causative bacteria of UTI in HIV infected children and adolescents on antiretroviral medications in our health institution. Method: The study was a cross sectional design conducted between October 2017 and March 2018 among HIV infected children and adolescents aged 2 months to 18 years on follow up attendance at the Paediatric Outpatient Special Treatment Clinic (POSTC) of University of Abuja Teaching Hospital (UATH). Early morning midstream urine was collected from each participant for urinalysis, microscopy and aerobic bacterial culture. Bacteria were identified from culture by standard microbiological methods and antibiogram of the isolates was determined by the disk diffusion method. Result: Of 166 HIV infected children and adolescents studied, 106 (63.9%) were males, 82 (49.4%) were in age group 5-10 years, and 110 (66.3%) were from lower socioeconomic class. Significant bacteria (UTI) were isolated in 54 (32.5%) subjects, with 38 (70.4%) from females, and 51 (94.4%) from those on first line antiretroviral therapy. Isolates recovered were Escherichia coli 20 (37.0%), Klebsiella pneumoniae 16 (29.6%), Staphylococcus aureus 8 (14.8%), Pseudomonas aeruginosa 6 (11.1%), and Proteus mirabilis 4 (7.4%). Leucocyturia in 19 (35.2%), nitrituria in 10 (18.5%), and haematuria in 15 (27.8%) subjects with significant bacteriuria were also recorded. Isolates were sensitive to ofloxacin (81.5%), nalidixic acid (74.1%) and cefuroxime (61.1%), while they were resistant to cotrimoxazole (100%), ampicillin (98.1%) and piperacillin (94.4%). Significant difference was observed in the mean CD4 cell count and viral load of subjects with significant bacteriuria compared to those without; 838.6 ± 177.8 versus 1009.9 ± 234.7 cells/μL (p=0.02), and 10, 360.5 ± 471.0 versus 5, 840.8 ± 563.8 copies/ml (p=0.003) for CD4 cell count and viral load respectively. Conclusion: This study reported a high prevalence of UTI among HIV infected children and adolescents, especially in those with high viral load. Routine screening for UTI should be offered to HIV infected children and adolescents with high viral load.

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Catheter-associated urinary tract infection in a surgical intensive care unit

Abstract: The risk factors and causative microrganisms considering CAUTIs in the SICU must be considered in of planning CAUTIs prevention in this setting.

Cited by 19 publications

References 38 publications

Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies

Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies

Prevalence and Microbiological Profile of Catheter Associated Urinary Tract Infections: A Survey in Secondary Care Hospital in Gaza Strip

Bacteria urinary tract infection in HIV-infected children and adolescents in Abuja, Nigeria: a cross-sectional study

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