Risk factors for catheter–associated urinary tract infections following radical hysterectomy for cervical cancer

Mercadel, Alyssa; Holloway, Steven Blaine; Saripella, Monica; Lea, Jayanthi

doi:10.1016/j.ajog.2023.02.019

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…That microorganisms easily colonize the urinary catheter and cause a urinary tract infection which is a known risk factor for sepsis. A research study conducted to reduce urinary tract infections in the postoperative period in patients with cervical cancer has reported that the duration of urinary catheterization increased the risk of urinary tract infection by 18-fold [13]. A case-control study of risk factors for seconder bacteremia of urinary tract infection also found mechanical ventilation and the presence of a central venous catheter to be risk factors for bacteremia [14].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Prognosis of Sepsis in Cancer Patients: A Multicenter Prospective Observational Study

Ture,

İskender,

Şahinoğlu

et al. 2024

Preprint

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Objectives To determine the epidemiology and prognosis of sepsis in cancer patients and the influence of sepsis on the mortality of cancer patients. Methods In this multicenter, prospective, observational study, cancer patients hospitalized without sepsis followed up until discharge or a maximum of 90 days were included. The incidence of sepsis in the follow-up period, risk factors for sepsis, risk factors for 28-day mortality in patients with sepsis and 90-day mortality in the entire group were determined. Results During the study, 790 cancer patients were included. Sepsis developed in 72 patients (9.1%) during the follow-up. Older age, hospitalization due to any infection, graft versus host diseases(GVHD), prolonged neutropenia, the presence of a urethral catheter, and previous bacterial infection in the last three months were risk factors of sepsis. Among all cancer patients, sepsis was found to be the most important factor influencing 90-day mortality (OR 13.42(1.79–6.83)). Mortality among the sepsis cohort was independently associated with an infection with a carbapenem-resistant bacterium (OR 15.47(1.45–64.17)), appropriateness of empirical treatment (OR 5.02 (0.17–7.61) and having a clinical improvement on the fifth day of the treatment (OR 10.58(0.39–28.25). Conclusions Sepsis was documented in one out of 11 hospitalized cancer patients and the mortality rate increases 13-fold when sepsis develops. Invasive devices, prolonged neutropenia, GVHD, and previous bacterial infections were related with sepsis and antibiotic resistance was the most important driver for mortality. Antimicrobial stewardship, rational use of catheters (if necessary, in accordance with asepsis/antisepsis, short-term use) is important to save lives in cancer patients.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and Prognosis of Sepsis in Cancer Patients: A Multicenter Prospective Observational Study

Ture,

İskender,

Şahinoğlu

et al. 2024

Preprint

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Perioperative/postoperative anxiety and its interventions in gynecological cancers: a comprehensive review of clinical evidence

Chen,

Zhao

et al. 2024

Front. Psychiatry

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Gynecological cancers are prevalent malignancies among females, and surgical intervention is the primary therapeutic approach offering the possibility of a definitive cure. Recent research has highlighted the susceptibility of gynecological cancer patients to experiencing anxiety symptoms during the perioperative and postoperative phases, with this psychological condition being linked to suboptimal recovery following surgery. Nevertheless, certain interventions have shown promise in mitigating perioperative and postoperative anxiety in gynecological cancer patients. In this study, we conducted a comprehensive review to collect the existing evidence on this subject. Through a systematic search across six common databases, we screened and included 28 pertinent studies. The current review emphasizes the elevated occurrence of perioperative and postoperative anxiety among patients with gynecological cancers (i.e., uterine, cervical, ovarian, endometrial, and vulval cancers). Specific nursing interventions (i.e., crisis intervention nursing, multidisciplinary collaborative continuous nursing, psychological nursing, comprehensive psychological nursing, reminiscence therapy involved care, cognitive behavioral stress management, hospital-family integrated continuation nursing, high-quality nursing care, relaxation-focused nursing program, and relaxation/counseling intervention) and psychotropic medications may serve as dependable approaches to mitigate perioperative and postoperative anxiety. This study represents a novel contribution to the literature by providing a characterization of perioperative and postoperative anxiety in the context of gynecological oncology. The findings underscore the significance of addressing perioperative and postoperative anxiety as a critical clinical concern for individuals with gynecological cancers, emphasizing the need for further research to develop effective interventions.

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Risk factors for catheter–associated urinary tract infections following radical hysterectomy for cervical cancer

Cited by 2 publications

References 31 publications

Epidemiology and Prognosis of Sepsis in Cancer Patients: A Multicenter Prospective Observational Study

Epidemiology and Prognosis of Sepsis in Cancer Patients: A Multicenter Prospective Observational Study

Perioperative/postoperative anxiety and its interventions in gynecological cancers: a comprehensive review of clinical evidence

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