Epidemiology and Control of Urinary Tract Infections in Intensive Care Patients

Agodi, Antonella; Barchitta, Martina

doi:10.5772/23113

Cited by 4 publications

(8 citation statements)

References 38 publications

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“…Other factors, including poor environmental sanitation and health conditions, also contribute to the incidence of CAUTI. Patient's condition including nutritional status, history of previous antibiotic administration, immunological status, and the use of immunosuppressive drugs also enhance the risk for CAUTI [2], [10], [11]. In this study, we only evaluated the role of catheter duration in increasing the risk of CAUTI.…”

Section: Total Number Of Catheter Daysmentioning

confidence: 99%

“…Hospitalised UTI developed in approximately 96.2% of patients with a history of catheter use (HELICS, 2005). Long term using catheter urine is the major risk factor to develop UTI as a nosocomial infection [2], [3]. Catheter-Associated Urinary Tract Infection (CAUTI) is defined as the infection in patients who use urine catheter for a minimal of three days [4].…”

Section: Introductionmentioning

confidence: 99%

“…The duration of urine catheter use is the main risk factor for the development of CAUTI and bacteriuria [7], [8], [9]. The other potential risk factors, including female gender, pregnancy, and conditions like poor nutrition, faecal incontinence, illness severity, and immunocompromised status [2], [9]. Several uropathogens related to CAUTI have been described, including Escherichia coli (21.4%), Candida spp.…”

Section: Introductionmentioning

confidence: 99%

“…(14.9%), Pseudomonas aeruginosa (10.0%), Klebsiella pneumonia (7.7%), and Enterobacter spp. (4.1%) [2], [7]. The emergence of resistance to these microorganisms has been increased in the last decades, probably contributed by increased use of antimicrobial treatment, long term use of urine catheter, and treatment without indication [7], [10].…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Anggi¹,

Wijaya²,

Ramayani³

2019

Open Access Maced J Med Sci

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AIM: To evaluate the risk factors of CAUTI in ICU patients at Haji Adam Malik General Hospital and Universitas Sumatera Utara Hospital, Medan, Indonesia. METHODS: This hospital-based observational research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Universitas Sumatera Utara Hospital, and Department of Microbiology Medical Faculty of Medicine Universitas Sumatera Utara, on July to August 2018 until the number of samples was fulfilled. The samples were adults aged ≥18 years, admitted to an ICU between July until August 2018 with an indwelling urinary catheter during their admission, admitted in ICU with different complaints and presentations and developed clinical evidence of infection that did not originate from patient’s original admitting diagnosis, in accordance which corresponded to the inclusion criteria by using consecutive sampling technique were included in the study. Patients who were shifted out of the ICU within 48 h of admission were excluded from the study. These critical patients were referred for monitoring, observation, and management from different departments, e.g., medic, general surgery, neurosurgery, gynaecology/obstetrics, and accident/emergency departments. RESULTS: From this research, it was found that fifty-four patients with catheter were screened for UTI infection. Of those, 24 patients (44.4%) were confirmed to have UTI by urine culture. Pseudomonas aeroginosa (16.7%) and Enterococcus faecalis (12.5%) were the most common pathogens. Patients aged > 50 years old (P < 0.03) and catheter use > 6 days (P < 0.03) were both significantly associated with increased risk of developing UTI. CONCLUSION: There are eleven uropathogens identified in this study: Pseudomonas aeruginosa, Enterococcus faecalis, Escherichia coli, Klebsiella pneumonia, MRSA, Salmonella enteric, Acinetobacter baumanii, Acinetobacter lwoffi, Acinetobacter haemoliticus, Burkholderia cepacia, and Staphylococcus sciur.

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Section: Total Number Of Catheter Daysmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Anggi¹,

Wijaya²,

Ramayani³

2019

Open Access Maced J Med Sci

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“…Not only use of urinary catheter but also duration of use of catheter is a major risk factor for development of CAUTI in the ICU [6][7][8] . The other risk factors associated with the cause of CAUTI are female gender, poor nutrition, severity of illness, and immuno compromised status 8,9 . It is also associated with many complications leading to increase morbidities and mortalities in the ICUs.…”

Section: Introductionmentioning

confidence: 99%

Disparity in Microbiological Pattern of Cauti in Precisely Tribal Patients in Relation to Impacting Factors from the Known Pattern in the Medical Intensive Care Unit in a Tribal Tertiary Care Centre

Subudhi¹,

Pat²,

Das³

et al. 2021

J Pure Appl Microbiol

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The important risk factor for the development of CAUTI, especially in the intensive care units, is the presence, method and length of Duration of urinary catheterization. The other potential significant risk factors are gender, age, uncontrolled diabetes and long hospital stay. There have been no studies on Tribal patients describing the factors (Demographic as well as Risk factors) which influence the deviation in microbiological pattern of CAUTI in of the MICU, from the patients of other area studied till now. This prospective study was conducted over Tribal patients aged ≥ 18 years who developed features of symptomatic urinary tract infection following an indwelling urinary Foley’s catheter more than 48 hours, in the Medical Intensive Care Unit. Geographical and Clinical data were collected. The CAUTI rate in 33 Tribal patients was 19.2 per 1000 device days with an incidence of 17.3% in the MICU. The microbiological trend was Staphylococcus aureus 12 (26.0%), E. coli 11 (23.9%), Candida albicans 9 (19.5%), Klebsiella pneumoniae 5 (10.8%), CONS 3 (6.5%), Streptococcus pneumoniae 3(6.0%), Pseudomonas aeruginosa 2 (4.3%) and Acinetobacter baumannii 1 (2.1%). Staphylococcus aureus was the common cause of CAUTI in low and medium socioeconomic tribal patients of more than 20 to 40 years of age, as compared to E. coli in Nontribal Patients. E.coli was found in the dominated female patients and in age upto 20 years and more than 40to 60 years old patients and Klebsiella pneumonae in above 60 years age. High status group with Acinetobactor baumannii. Candida albicans was associated with use of urinary catheter less than 7 days. Length of ICU stay more than 14 days was associated with E. coli and Staphylococcus aureus in equally proportionately. CONS 2(50%) was found in type-2 Diabetes mellitus and Staphylococcus aureus 7 (53.8 %) with Sickle cell anemia in Tribal patients. Our analysis precisely of this Tribal patients, brings several important and unique findings, which will not only aid in the development of some new or update guidelines but also encourage the researcher to do more study, for the prevention of CAUTI in the MICU of Tribal tertiary care centre.

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Catheterization-associated urinary tract infections: Epidemiology and incidence from tertiary care hospital in Haryana

Sandhu¹,

Sayal²,

Jakkhar³

et al. 2018

J Health Res Rev

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Epidemiology and Control of Urinary Tract Infections in Intensive Care Patients

Cited by 4 publications

References 38 publications

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Disparity in Microbiological Pattern of Cauti in Precisely Tribal Patients in Relation to Impacting Factors from the Known Pattern in the Medical Intensive Care Unit in a Tribal Tertiary Care Centre

Catheterization-associated urinary tract infections: Epidemiology and incidence from tertiary care hospital in Haryana

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