Impact of Changes in the NHSN Catheter-Associated Urinary Tract Infection (CAUTI) Surveillance criteria on the Frequency and Epidemiology of CAUTI in Intensive Care Units (ICUs)

Neelakanta, Anupama; Sharma, Sarit; Kesani, Vishnu Priya; Salim, Madiha; Pervaiz, Amina; Aftab, Nida; Mann, Tal; Tashtoush, Nader; Karino, Shigehiko; Dhar, Sorabh; Kaye, Keith S.

doi:10.1017/ice.2014.67

Cited by 19 publications

(12 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In consistence, most of CAUTI patients fever has many causes of admission including pneumonia, bloodstream infection, or an intracranial bleed (13) . This is also in the same pattern with other previous studies (14,15) .…”

Section: Discussion:-supporting

confidence: 92%

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

Zahran¹

2018

IJAR

View full text Add to dashboard Cite

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.

show abstract

Section: Discussion:-supporting

confidence: 92%

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

Zahran¹

2018

IJAR

View full text Add to dashboard Cite

show abstract

“…Prior studies have reported that patients in the ICU with CAUTI often have alternative diagnoses to explain the fever. 7,8 In a study of 105 CAUTIs in ICU patients, 51% had another infection (primarily pneumonia), and 18% had noninfectious conditions as alternative explanations for fever. 7 The lower rate of 9% of CAUTIs with concurrent infection as a possible cause of fever in our study is likely because of the more stringent criteria used, namely infections confirmed by positive cultures from a sterile site.…”

Section: Discussionmentioning

confidence: 99%

Impact and Limitations of the 2015 National Health and Safety Network Case Definition on Catheter-Associated Urinary Tract Infection Rates

Bardossy

Jayaprakash

Alangaden

et al. 2016

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

Application of the new 2015 NHSN definition of catheter-associated urinary tract infection (CAUTI) in intensive care units reduced CAUTI rates by ~50%, primarily due to exclusion of candiduria. This significant reduction in CAUTI rates resulting from the changes in the definition must be considered when evaluating effectiveness of CAUTI prevention programs. Infect Control Hosp Epidemiol 2017;38:239-241.

show abstract

“…Therefore epidemiological surveillance and outbreak investigations, together with infection control polices and interventions, such as the use of protective barriers and proper disinfection, are key for infection control of these organisms in the nosocomial environment ( Sydnor and Perl, 2011 ). High-level enterococcal GIT colonization can also lead to urinary tract infections (UTI) ( De Vecchi et al, 2013 ; Neelakanta et al, 2015 ), which may progress to bloodstream infections or endocarditis ( Patterson et al, 1995 ; Fernández-Guerrero et al, 2002 ). Enterococci from high-density intestinal populations may also directly translocate from the GIT into the bloodstream ( Kamboj et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Global Emergence and Dissemination of Enterococci as Nosocomial Pathogens: Attack of the Clones?

et al. 2016

View full text Add to dashboard Cite

Enterococci are Gram-positive bacteria that are found in plants, soil and as commensals of the gastrointestinal tract of humans, mammals, and insects. Despite their commensal nature, they have also become globally important nosocomial pathogens. Within the genus Enterococcus, Enterococcus faecium, and Enterococcus faecalis are clinically most relevant. In this review, we will discuss how E. faecium and E. faecalis have evolved to become a globally disseminated nosocomial pathogen. E. faecium has a defined sub-population that is associated with hospitalized patients and is rarely encountered in community settings. These hospital-associated clones are characterized by the acquisition of adaptive genetic elements, including genes involved in metabolism, biofilm formation, and antibiotic resistance. In contrast to E. faecium, clones of E. faecalis isolated from hospitalized patients, including strains causing clinical infections, are not exclusively found in hospitals but are also present in healthy individuals and animals. This observation suggests that the division between commensals and hospital-adapted lineages is less clear for E. faecalis than for E. faecium. In addition, genes that are reported to be associated with virulence of E. faecalis are often not unique to clinical isolates, but are also found in strains that originate from commensal niches. As a reflection of more ancient association of E. faecalis with different hosts, these determinants Thus, they may not represent genuine virulence genes but may act as host-adaptive functions that are useful in a variety of intestinal environments. The scope of the review is to summarize recent trends in the emergence of antibiotic resistance and explore recent developments in the molecular epidemiology, population structure and mechanisms of adaptation of E. faecium and E. faecalis.

show abstract

Impact of Changes in the NHSN Catheter-Associated Urinary Tract Infection (CAUTI) Surveillance criteria on the Frequency and Epidemiology of CAUTI in Intensive Care Units (ICUs)

Cited by 19 publications

References 5 publications

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

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

Impact and Limitations of the 2015 National Health and Safety Network Case Definition on Catheter-Associated Urinary Tract Infection Rates

Global Emergence and Dissemination of Enterococci as Nosocomial Pathogens: Attack of the Clones?

Contact Info

Product

Resources

About