జర్నల్ ఆఫ్ సర్జరీ

Urinary Tract Infection and Associated Risk Factors among Catheterised Patients in the Surgery Department of a Tertiary Care Hospital in South India: A Prospective Cohort Study

Abstract

A P Roshini, Abheesh V Hegde, Anthony Rozario, and Savitha Nagaraj

Background: Catheter-Associated Urinary Tract Infection (CAUTI) accounts for 36% of the total Health-care associated infections, and are avoidable. Hence, it is important to assess the factors responsible for a catheterized patient developing UTI.

Methods: A prospective cohort study was conducted in a tertiary care hospital among 196 patients from September 2014 to January 2016 to assess the risk factors and estimate the proportion of catheterized patients developing UTI.

Results: 31 (15.3%) patients had CAUTI, out of which 6 (20%) had UTI due to Multi-drug resistant UTI. A majority, 119 (60.75%) were catheterized by the post-graduates. 123 (62.8%) patients were catheterized in the OT. Mean no. of days the catheter was in-situ was 4.79 ± 3.65 days. 22(11.2%) had symptomatic UTI and 8(4.1%) had asymptomatic UTI. Most common organism causing UTI was Escherichia coli, 14 (7.1%). Age more than 48 years influenced an individual to develop UTI (p<0.05).

Conclusions: Cauti is an important device associated health acquired infection and infection control programs must be implemented and supervised.