28Aug 2018

CATHETER ASSOCIATED URINARY TRACT INFECTION (CAUTI) IN MEDICAL WARD, AND ICU KFHH DURING YEAR 2017.

  • Internal Medicine Department, Faculty of Medicine for girls,Al Azhar University, Cairo, Egypt.
  • M.Sc. clinical pharmacist, lecturer, King Faisal University, Alhasa, Saudi Arabia.
  • Lecturer of anesthesia and surgical ICU Faculty of medicine Tanta University.
  • PhD, Research &Biostatistics Department, Prince Sultan Cardiac Center-Alhassa.
  • Cardiothoracic surgery, Faculty of medicine , Al Azhar university, Cairo, Egypt.
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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.

  1. Conover MS, Flores-Mireles AL, Hibbing ME, et al. (2015): Establishment and Characterization of UTI and CAUTI in a Mouse Model. J Vis Exp, e52892.
  2. Klevens RM, Edwards JR, Richards Jr CL, et al. (2007): Estimating health care-associated infections and deaths in US hospitals, 2002. Public health reports, 122:160-166.
  3. Zielinski MD, Kuntz MM, Polites SF, et al. (2015): A prospective analysis of urinary tract infections among elderly trauma patients. The journal of trauma and acute care surgery, 79:638-642.
  4. Hatachi T, Tachibana K and Takeuchi M (2015): Incidences and influences of device-associated healthcare-associated infections in a pediatric intensive care unit in Japan: a retrospective surveillance study. J Intensive Care, 3:44.
  5. Tatham M, Macfarlane G, MacRae M, et al. (2015): Development and Implementation of a Catheter Associated Urinary Tract Infection (CAUTI) 'Toolkit'. BMJ quality improvement reports, 4.
  6. Schaeffer AJ (2003): The direct costs of nosocomial catheter-associated urinary tract infection in the era of managed care. The Journal of urology, 170:339.
  7. Rahman SR, Ahmed MF and Begum A (2014): Occurrence of urinary tract infection in adolescent and adult women of shanty town in Dhaka City, Bangladesh. Ethiopian journal of health sciences, 24:145-152.
  8. Kunin CM (1994): Urinary tract infections in females. Clin Infect Dis, 18:1-10; quiz 11-12.
  9. Hancock V, Ferrieres L and Klemm P (2007): Biofilm formation by asymptomatic and virulent urinary tract infectious Escherichia coli strains. FEMS microbiology letters, 267:30-37.
  10. Shahina Z, Islam MJ, Abedin J, et al. (2011): A Study of Antibacterial Susceptibility and Resistance Pattern of E. coli Causing Urinary Tract Infection in Chittagong, Bangladesh. Asian J Biol Sci, 4:548-555.
  11. Dada-Adegbola HO and Muili KA (2010): Antibiotic susceptibility pattern of urinary tract pathogens in Ibadan, Nigeria. African journal of medicine and medical sciences, 39:173-179.
  12. Foxman B (2002): Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Am J Med, 113 Suppl 1A:5s-13s.
  13. Tedja R, Wentink J, O'Horo JC, et al. (2015): Catheter-Associated Urinary Tract Infections in Intensive Care Unit Patients. Infect Control Hosp Epidemiol, 36:1330-1334.
  14. Hartley S, Valley S, Kuhn L, et al. (2013): Inappropriate testing for urinary tract infection in hospitalized patients: an opportunity for improvement. Infect Control Hosp Epidemiol, 34:1204-1207.
  15. Neelakanta A, Sharma S, Kesani VP, et al. (2015): 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). Infect Control Hosp Epidemiol, 36:346-349.
  16. Hooton TM, Bradley SF, Cardenas DD, et al. (2010): Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis, 50:625-663.
  17. Matthews SJ and Lancaster JW (2011): Urinary tract infections in the elderly population. The American journal of geriatric pharmacotherapy, 9:286-309.
  18. Lewis SS, Knelson LP, Moehring RW, et al. (2013): Comparison of Non?Intensive Care Unit (ICU) versus ICU Rates of Catheter-Associated Urinary Tract Infection in Community Hospitals. Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America, 34:744-747.
  19. Weber DJ, Sickbert-Bennett EE, Gould CV, et al. (2011): Incidence of catheter-associated and non-catheter-associated urinary tract infections in a healthcare system. Infect Control Hosp Epidemiol, 32:822-823.
  20. Dudeck MA, Horan TC, Peterson KD, et al. (2011): National Healthcare Safety Network (NHSN) Report, data summary for 2010, device-associated module. Am J Infect Control, 39:798-816.
  21. Yamamoto S (2016): Prevention and treatment of complicated urinary tract infection. Urological Science, 27:186-189.
  22. Kashef N, Djavid GE and Shahbazi S (2010): Antimicrobial susceptibility patterns of community-acquired uropathogens in Tehran, Iran. The Journal of Infection in Developing Countries, 4:202-206.
  23. Tayal R, Baveja S and De A. Analysis of biofilm formation and antibiotic susceptibility pattern of uropathogens in patients admitted in a tertiary care hospital in India2015 October 1, 2015. 247-252 p.
  24. Manges AR, Tabor H, Tellis P, et al. (2008): Endemic and epidemic lineages of Escherichia coli that cause urinary tract infections. Emerg Infect Dis, 14:1575-1583.

[Fawkia E. Zahran, Amal Khaleel Abu Alhommos, Sameh A Elkohafy, Ahmed Ibrahim and Gamil K. Mohamed. (2018); CATHETER ASSOCIATED URINARY TRACT INFECTION (CAUTI) IN MEDICAL WARD, AND ICU KFHH DURING YEAR 2017. Int. J. of Adv. Res. 6 (Aug). 997-1011] (ISSN 2320-5407). www.journalijar.com

Amal Khaleel AbuAlhommos
M.Sc. clinical pharmacist, lecturer, King Faisal University, Alhasa, Saudi Arabia

DOI:

Article DOI: 10.21474/IJAR01/7604      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7604

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