Urinary tract infections in intensive care unit patients — a single-centre, 3-year observational study according to the INICC project

Duszyńska, Wiesława; Rosenthal, Víctor D.; Szczęsny, Aleksander; Woźnica, Ewa; Ulfik, Klaudia; Ostrowska, Elżbieta; Litwin, Agnieszka; Kübler, Andrzej

doi:10.5603/ait.2016.0001

Cited by 26 publications

(24 citation statements)

References 24 publications

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“…CAUTI rate was 36.2 per 1000 catheter days which was higher than that reported by Sabir et al, Duszyńska et al, Derya keten et al 5,25,26 who reported a CAUTI rate of 3.65, 7.16 and 9.6 per 1000 catheter days respectively and it is not meeting the NHSN standard too. This may be due to better infrastructure, availability of trained staff, strict infection control practices and an appropriate antibiotic policy, proper guided bundle care for both procedure and maintenance of catheter which we are planning to implement.…”

Section: Discussioncontrasting

confidence: 52%

Microbiological profile, comorbidity, incidence and rate analysis of catheter associated urinary tract infections in adult intensive care

2020

IJMR

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Introduction: Catheter-associated urinary tract infections (CAUTI) being the commonest hospital-acquired infection (HAI) [40%], its burden, aetiology along with antibiotic susceptibility is essential to implement and monitor an effective infection control program. Aims: To assess the incidence and rate of CAUTI in a tertiary care hospital and to identify the common organisms and their antibiotic sensitivity pattern. Settings and Design: Prospective hospital based observational study was carried out in a tertiary care hospital in South Tamilnadu for a period of 2 months (June 2016 to July 2016) after obtaining the Institutional Ethics committee approval. Materials and Methods: Total of 100 catheterized adult ICU patients were observed for signs of UTI on a daily basis. On clinical suspicion of UTI, urine sample was analysed microbiologically. CAUTI among various gender and age groups; pathogenic isolates, antibiotic sensitivity pattern and associated co-morbid conditions were expressed as percentages Results: Incidence of CAUTI was 16/100 catheterization. Device utilization ratio was 0.72. CAUTI rate was 36.2/1000 catheter days. CAUTI was commonly seen among patients with >80 years, females with altered sensorium. Diabetes mellitus (35.7%) was the most common comorbid condition followed by TB (25%). Risk of CAUTI after 3-5 days of catheterization was 11.7% and proportionately increased with prolonged catheterization (100% if >20 days). Escherichia coli (37.5%) followed by Candida Spp. (25%) were common pathogens among 3-5days of catheterization. Pseudomonas Spp. was the commonest isolate after one week of catheterization. Imipenem, colistin resistance was highest among pseudomonas. Conclusions: CAUTI rate was higher than the benchmark set by NHSN (0-4). Appropriate health education, strict infection control practices, appropriate antibiotic policy, proper guided bundle care of catheter are need of the hour to prevent the CAUTI.

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Section: Discussioncontrasting

confidence: 52%

Microbiological profile, comorbidity, incidence and rate analysis of catheter associated urinary tract infections in adult intensive care

2020

IJMR

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“…12 ). The third most common form of healthcare-associated infection was urinary tract infection (UTI); according to Duszyńska et al 24 , the incidence of UTI in single-centre studies was 7% and was 92% in patients with urinary catheters. Our study obtained slightly lower values, with an incidence of UTI of 4% (incidence density 5) and with association with the urinary catheter in 99% of these infections.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of healthcare-associated infections in Polish intensive care. A multicenter study based on active surveillance

Wałaszek

Różańska

Bulanda

et al. 2018

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Despite the lack of widely implemented active targeted surveillance programmes and top-down incentives, it is possible to carry out effective surveillance of HAIs in ICUs in Poland. The results of this study are comparable with the ECDC data, but the results are alarmingly high in two fields: epidemiology of PN and BSIs and very high antibiotic resistance in Gram-negative rods, which indicate the need for intense control in this area and for further studies to clarify the source of the observed discrepancy.

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“…(%22), Acinetobacter baumannii (%20), Klebsiella pneumoniae (%18) ve Kandida spp. (%13) olduğu tespit edilmiştir [7]. İran' da yapılan çalışmada ise YBÜ' deki hastaların idrar kültürlerinde en fazla üreyen patojenlerin sırasıyla E. coli (%34.9), klebsiella spp.…”

Section: Sondayla İlişkili İdrar Yolu Enfeksiyonları: Farklı Hasta Pounclassified

Sondayla İlişkili İdrar Yolu Enfeksiyonları: Farklı Hasta Popülasyonlarında Üreyen Patojenlerin ve Antibiyotik Dirençlerinin Değerlendirilmesi

Oksuz

Bugday

2019

Yeni Üroloji Dergisi

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Bu çalışmada, hastanemiz yoğun bakım üniteside (YBÜ) yatan ve evde sağlık hizmetlerinden (ESH) faydalanan üriner kateter takılı olan hastalardaki idrar yolu enfeksiyonuna (İYE) neden olan patojenler arasında fark olup olmadığının araştırılması amaçlandı. Gereç ve Yöntemler: 2018 Ocak-Haziran tarihleri arasında hastanemiz YBÜ'de yatan ve 2017 Ocak-2018 Haziran tarihleri arasında evde sağlık hizmetlerinden yararlanan üriner kateter takılı hastaların idrar kültür örnekleri hastanenin bilgi işlem veri tabanından taranarak üreme olan hastalar çalışmaya dahil edildi. Gruplar arasındaki fark, Minitab kullanılarak z testi ile değerlendirildi anlamlılık düzeyi (a) %5 olarak kabul edildi. Bulgular: YBÜ'de idrar yolu enfeksiyonuna en fazla neden olan patojen kandidaydı (%40,92). Kandidadan sonra görülen patojenler sırasıyla, E. Coli (%23,3) ve Enterococcus spp. (%10,02)'du. ESH'den yararlanan hastalarda YBÜ'deki hastalardan farklı olarak en fazla üreyen patojen E. coli'ydi (%56,6). Kandida spp. ise ikinci sıklıkta görülen etkendi (%13,3). YBÜ'de Kandida spp. üreyen hasta sayısı, ESH'den yararlanan hastalara göre istatistiksel anlamlı olarak yüksek bulundu (Z=-6,51, p=0,001). E.coli ise ESH'den yararlanan hastalarda YBÜ'deki hastalara göre istatistiksel anlamlı olarak yüksekti (Z=5,53, p=0,001). ESBL pozitif E.coli ve Klebesiella spp.'nın sefuroksim, sefazolin ve ampisilin gibi beta laktam grubu antibiyotiklere karşı direnç vardı. En duyarlı antibiyotikler ise amikasin ve sefepimdi. Sonuç: Üriner kateter uygulamasına bağlı olarak gelişen İYE'larına neden olan patojenler, hastanın durumuna, bulduğu ortama, antibiyotik kullanımına, mevcut olan hastalıklarına, organ yetmezliklerine ve hijyenik kurallara göre değişiklik gösterebileceğini, yurt içinde İYE'ye neden olan patojenlerin duyarlı-dirençli olduğu antibiyotiklerin birbirlerine benzediğini göstermektedir.

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Urinary tract infections in intensive care unit patients — a single-centre, 3-year observational study according to the INICC project

Abstract: In the observed period of time, the incidence of CA-UTI was higher than in the INICC (2014) report and the NHSN/CDC (2012) report. Analysis of compliance with a "Urinary Catheter Bundle" to prevent UTI shows low implementation of preventative methods with the INICC protocol.

Cited by 26 publications

References 24 publications

Microbiological profile, comorbidity, incidence and rate analysis of catheter associated urinary tract infections in adult intensive care

Microbiological profile, comorbidity, incidence and rate analysis of catheter associated urinary tract infections in adult intensive care

Epidemiology of healthcare-associated infections in Polish intensive care. A multicenter study based on active surveillance

Sondayla İlişkili İdrar Yolu Enfeksiyonları: Farklı Hasta Popülasyonlarında Üreyen Patojenlerin ve Antibiyotik Dirençlerinin Değerlendirilmesi

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