Frequency of Urinary Tract Infection in Patients with Indwelling Catheters
DOI:
https://doi.org/10.70749/ijbr.v3i7.2340Keywords:
Urinary Tract Infection, Hospital Admission, Indwelling Catheters, Foley’s Catheter, Colony Forming BacteriaAbstract
Objective: “To determine the frequency of urinary tract infection in patients with indwelling catheters”. Study design: Cross Sectional study. Study place and duration: Department of Medicine, Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore from 24-1-2024 to 24-5-2024. Methodology: Patients were included from medical wards. Demographic details, medical history duration of hospital admission, were also noted. Then fresh urine sample was taken for culture examination. Reports were obtained and if bacterium detected, then urinary tract infection was labeled. All the data was recorded in a Performa and analysed in SPSS. Results: The mean age of patients was 51.20 ± 12.45 years. There were 73 (58.4%) males and 52 (41.6%) females. Urinary tract infection was positive in 95 (76%) patients who were admitted in hospital and received indwelling catheterization. The most common pathogen detected in urine samples was Escherichia coli [56 (44.8%)], followed by Pseudomonas aeruginosa [18 (14.4%)], Klebsiella pneumonia [12 (9.6%)], Enterococcus species [11 (8.8%)], Candida albicans [9 (7.2%)], Candida tropicalis [8 (6.4%)], Trichosporon asahii [5 (4.0%)], Staphylococcus aureus [4 (3.2%)]. Conclusion: Thus, the chances of Urinary tract infection in hospital admitted patients are high who received indwelling catheterization.
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1. Bardossy, A. C., Jayaprakash, R., Alangaden, A. C., Starr, P., Abreu-Lanfranco, O., Reyes, K., Zervos, M. J., & Alangaden, G. J. (2016). Impact and limitations of the 2015 national health and safety network case definition on catheter-associated urinary tract infection rates. Infection Control & Hospital Epidemiology, 38(2), 239-241.
https://doi.org/10.1017/ice.2016.278
2. Imam, T. H. (2021). Catheter-Associated Urinary Tract Infections.
3. Nicolle, L. E., Gupta, K., Bradley, S. F., Colgan, R., DeMuri, G. P., Drekonja, D., Eckert, L. O., Geerlings, S. E., Köves, B., Hooton, T. M., Juthani-Mehta, M., Knight, S. L., Saint, S., Schaeffer, A. J., Trautner, B., Wullt, B., & Siemieniuk, R. (2019). Clinical practice guideline for the management of asymptomatic Bacteriuria: 2019 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 68(10), e83-e110.
https://doi.org/10.1093/cid/ciy1121
4. Centers for Disease Control and Prevention. (2024, May 10). Catheter-Associated Urinary Tract Infections (CAUTI) Prevention Guideline. Infection Control.
https://www.cdc.gov/infection-control/hcp/cauti/index.html
5. Nicolle LE. Catheter associated urinary tract infections. Antimicrobial Resistance and Infection Control 2014;3(1):23.
6. Padawer, D., Pastukh, N., Nitzan, O., Labay, K., Aharon, I., Brodsky, D., Glyatman, T., & Peretz, A. (2015). Catheter-associated candiduria: Risk factors, medical interventions, and antifungal susceptibility. American Journal of Infection Control, 43(7), e19-e22.
https://doi.org/10.1016/j.ajic.2015.03.013
7. Brusch, J. (2019, November 9). Catheter-Related Urinary Tract Infection (UTI): Transmission and Pathogens, Guidelines for Catheter Use, Diagnosis. Medscape.com.
https://emedicine.medscape.com/article/2040035-overview
8. Werneburg, G. T. (2022). Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects. Research and Reports in Urology, 14(14), 109–133.
https://doi.org/10.2147/rru.s273663
9. Motsch, J., Murta de Oliveira, C., Stus, V., Köksal, I., Lyulko, O., Boucher, H. W., Kaye, K. S., File, T. M., Brown, M. L., Khan, I., Du, J., Joeng, H., Tipping, R. W., Aggrey, A., Young, K., Kartsonis, N. A., Butterton, J. R., & Paschke, A. (2019). RESTORE-IMI 1: A multicenter, randomized, double-blind trial comparing efficacy and safety of Imipenem/Relebactam vs Colistin plus Imipenem in patients with imipenem-nonsusceptible bacterial infections. Clinical Infectious Diseases, 70(9), 1799-1808.
https://doi.org/10.1093/cid/ciz530
10. Moja, L., Zanichelli, V., Mertz, D., Gandra, S., Cappello, B., Cooke, G. S., Chuki, P., Harbarth, S., Pulcini, C., Mendelson, M., Tacconelli, E., Ombajo, L. A., Chitatanga, R., Zeng, M., Imi, M., Elias, C., Ashorn, P., Marata, A., Paulin, S., … Loeb, M. (2024). WHO's essential medicines and aware: Recommendations on first- and second-choice antibiotics for empiric treatment of clinical infections. Clinical Microbiology and Infection, 30, S1-S51.
https://doi.org/10.1016/j.cmi.2024.02.003
11. Bizuayehu, H., Bitew, A., Abdeta, A., & Ebrahim, S. (2022). Catheter-associated urinary tract infections in adult intensive care units at a selected tertiary hospital, Addis Ababa, Ethiopia. PLOS ONE, 17(3), e0265102.
https://doi.org/10.1371/journal.pone.0265102
12. Hooton, T. M., Bradley, S. F., Cardenas, D. D., Colgan, R., Geerlings, S. E., Rice, J. C., Saint, S., Schaeffer, A. J., Tambayh, P. A., Tenke, P., & Nicolle, L. E. (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. Clinical Infectious Diseases, 50(5), 625-663.
https://doi.org/10.1086/650482
13. Podkovik, S., Toor, H., Gattupalli, M., Kashyap, S., Brazdzionis, J., Patchana, T., Bonda, S., Wong, S., Kang, C., Mo, K., Wacker, M. R., Miulli, D. E., & Wang, S. (2019). Prevalence of catheter-associated urinary tract infections in neurosurgical intensive care patients – The Overdiagnosis of urinary tract Infections . Cureus, 11(8).
https://doi.org/10.7759/cureus.5494
14. Podkovik, S., Toor, H., Gattupalli, M., Kashyap, S., Brazdzionis, J., Patchana, T., Bonda, S., Wong, S., Kang, C., Mo, K., Wacker, M. R., Miulli, D. E., & Wang, S. (2019). Prevalence of catheter-associated urinary tract infections in neurosurgical intensive care patients – The Overdiagnosis of urinary tract Infections . Cureus.
https://doi.org/10.7759/cureus.5494
15. Getliffe, K., & Newton, T. (2006). Catheter-associated urinary tract infection in primary and community health care. Age and Ageing, 35(5), 477-481.
https://doi.org/10.1093/ageing/afl052
16. Kaur, S., Randhawa, R. K., & Singh, D. R. (2022). To assess the practices of nurses towards catheter care for prevention of catheter associated urinary tract infection among patients admitted in tertiary care hospital Bathinda (Punjab). Indian Journal of Public Health Research & Development, 13(3), 288-292.
https://doi.org/10.37506/ijphrd.v13i3.18216
17. Rubi, H., Mudey, G., & Kunjalwar, R. (2022). Catheter-associated urinary tract infection (CAUTI). Cureus.
https://doi.org/10.7759/cureus.30385
18. Nicolle, L. E. (2014). Catheter associated urinary tract infections. Antimicrobial Resistance and Infection Control, 3(1).
https://doi.org/10.1186/2047-2994-3-23
19. Nye, T. M., Zou, Z., Obernuefemann, C. L., Pinkner, J. S., Lowry, E., Kleinschmidt, K., Bergeron, K., Klim, A., Dodson, K. W., Flores-Mireles, A. L., Walker, J. N., Wong, D. G., Desai, A., Caparon, M. G., & Hultgren, S. J. (2024). Microbial Co-occurrences on catheters from long-term catheterized patients. Nature Communications, 15(1).
https://doi.org/10.1038/s41467-023-44095-0
20. Reynolds, D., & Kollef, M. (2021). The epidemiology and pathogenesis and treatment of pseudomonas aeruginosa infections: An update. Drugs, 81(18), 2117-2131.
https://doi.org/10.1007/s40265-021-01635-6
21. Bouhrour, N., Nibbering, P. H., & Bendali, F. (2024). Medical device-associated Biofilm infections and multidrug-resistant pathogens. Pathogens, 13(5), 393.
https://doi.org/10.3390/pathogens13050393
22. Saleem, M., Syed Khaja, A. S., Hossain, A., Alenazi, F., Said, K. B., Moursi, S. A., Almalaq, H. A., Mohamed, H., Rakha, E., & Mishra, S. K. (2022). Catheter-associated urinary tract infection in intensive care unit patients at a tertiary care hospital, hail, Kingdom of Saudi Arabia. Diagnostics, 12(7), 1695.
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