Risk Factors for Catheter-Associated Bacteriuria in a Medical Intensive Care Unit

Tissot, Edgar; Limat, Samuel; Cornette, C.; Capellier, Gilles

doi:10.1007/s100960100480

Cited by 58 publications

(43 citation statements)

References 11 publications

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“…Tissot et al [18] found the catheterization period >11 days and female sex as risk factors for catheter associated bacteriuria. And also Leone et al [19] reported that female sex, length of ICU stay and duration of catheterization were associated with an increased risk of catheter associated bacteriuria.…”

Section: Discussionmentioning

confidence: 99%

Nosocomial infections and risk factors in intensive care unit of a university hospital in Turkey

et al. 2010

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AbstractThe aim of this study was to determine the types nosocomial infections (NIs) and the risk factors for NIs in the central intensive care unit (ICU) of Trakya University Hospital. The patients admitted to the ICU were observed prospectively by the unit-directed active surveillance method based on patient and the laboratory over a 9-month-period. The samples of urine, blood, sputum or tracheal aspirate were taken from the patients on the first and the third days of their hospitalization in ICU; the patients were cultured routinely. Other samples were taken and cultured if there was suspicion of an infection. Infections were considered as ICU-associated if they developed after 48 hours of hospitalization in the unit and 5 days after discharge from the unit if the patients had been sent to a different ward in the hospital. The rate of NIs in 135 patients assigned was found to be 68%. The most common infection sites were lower respiratory tract, urinary tract, bloodstream, catheter site and surgical wound. Hospitalization in ICU for more than 6 days and colonization was found to be the main risk factor for NIs. Prolonged mechanical ventilation and tracheostomy, as well as frequently changed nasogastric catheterization, were found to be risk factors for lower respiratory tract infections. For bloodstream infections, both prolonged insertion of and frequent change of arterial catheters, and for urinary tract infections, female gender, period and repeating of urinary catheterization were risk factors. A high prevalence rate of nosocomial infections was found in this study. Invasive device use and duration of use continue to greatly influence the development of nosocomial infection in ICU. Important factors to prevent nosocomial infections are to avoid long hospitalization and unnecessary device application. Control and prevention strategies based on continuing education of healthcare workers will decrease the nosocomial infections in the intensive care unit.

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Section: Discussionmentioning

confidence: 99%

Nosocomial infections and risk factors in intensive care unit of a university hospital in Turkey

et al. 2010

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“…[25] Prolonged catheterization is one of the significant risk factors for the development of CAUTI. [26]. [27].…”

Section: Discussionmentioning

confidence: 99%

The Epidemiology and Microbiological pattern of Catheter Associated Urinary Tract Infection in a Tertiary Care Hospital- A Surveillance Study

Ushakrishnan¹

2017

jmscr

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“…Apesar de a literatura mencionar o sexo feminino como fator de risco para ocorrência de ITU [11][12][13] , houve mais incidência entre os pacientes do sexo masculino. No entanto, essa diferença não foi estatisticamente significativa (p = 0,35; IC 95% [0,64-3,38]).…”

Section: Discussionunclassified

Incidence of Catheter-Related Urinary Tract Infecions: A Cohort Study

Campos¹,

Alcoforado²,

Franco³

et al. 2016

REME: Revista Mineira De Enfermagem

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RESUMOEstudo de coorte não concorrente com informações de 301 de pacientes internados em centros de terapia intensiva de dois hospitais públicos de Belo Horizonte. O objetivo foi analisar os aspectos epidemiológicos das infecções do trato urinário em pacientes submetidos ao cateterismo vesical de demora, estimar a taxa de incidência nos dois hospitais, identificar possíveis fatores de risco relacionados à infecção e aos microrganismos causadores. A amostra constituiu-se de todos os pacientes internados nas duas unidades e que foram submetidos ao cateterismo vesical de demora no período de seis meses. Dos 301 pacientes, 23 desenvolveram infecção, sendo 56,52% do sexo masculino e com idade superior a 60 anos. A incidência global de infecção do trato urinário foi de 6,70 infecções/1.000 cateteres-dia. O hospital que utilizou água e sabão para a higiene periuretral apresentou maior incidência do que o hospital que utilizou antisséptico (14,01 e 3,05 infecções/1.000 cateteresdia, respectivamente). O fator de risco identificado foi a higienização periuretral com água e sabão. Os microrganismos mais prevalentes nas uroculturas foram Pseudomonas aeruginosa (17,39%) Candida sp. (13,04%), Escherichia coli (13,04%), e Proteus mirabilis (8,70%). O resultado encontrado neste estudo contradiz os achados da literatura e reforça a necessidade de estudos primários que identifiquem a solução mais eficaz para a realização da limpeza periuretral com vistas à redução da infecção do trato urinário relacionada ao cateterismo vesical de demora. Palavras-chave: Enfermagem; Cateterismo Urinário; Infecções Urinárias; Povidona-Iodo. ABSTR ACT This is a non-concurrent cohort study that uses data from 301 patients admitted to the intensive care unit of two public hospitals in Belo Horizonte. It aimed at analysing epidemiological aspects of urinary tract infections amongst patients with indwelling bladder catheterization, evaluating the incidence rate of the infection in the two hospitals and identifying possible risk factors related to the infection. Sample consisted of patients

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Risk Factors for Catheter-Associated Bacteriuria in a Medical Intensive Care Unit

Cited by 58 publications

References 11 publications

Nosocomial infections and risk factors in intensive care unit of a university hospital in Turkey

Nosocomial infections and risk factors in intensive care unit of a university hospital in Turkey

The Epidemiology and Microbiological pattern of Catheter Associated Urinary Tract Infection in a Tertiary Care Hospital- A Surveillance Study

Incidence of Catheter-Related Urinary Tract Infecions: A Cohort Study

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