دورية أكاديمية
Incidence and risk factors for catheter-associated urinary tract infection in 623 intensive care units throughout 37 Asian, African, Eastern European, Latin American, and Middle Eastern nations: A multinational prospective research of INICC.
| العنوان: | Incidence and risk factors for catheter-associated urinary tract infection in 623 intensive care units throughout 37 Asian, African, Eastern European, Latin American, and Middle Eastern nations: A multinational prospective research of INICC. |
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| المؤلفون: | Rosenthal VD; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, United States.; International Nosocomial Infection Control Consortium, INICC Foundation, Miami, Florida, United States., Yin R; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, United States., Brown EC; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, United States., Lee BH; University of Miami, Miami, Florida, United States., Rodrigues C; Department of Microbiology, Pd Hinduja National Hospital and Medical Research Centre, Mumbai, India., Myatra SN; Department of Anesthesiology, Critical Care and Pain, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, India., Kharbanda M; Department of Critical Care, Desun Hospital, Kolkata, India., Rajhans P; Deenanath Mangeshkar Hospital and Research Center Erandwane Pune, Pune, India., Mehta Y; Department of Critical Care and Anesthesiology, Medanta the Medicity, Haryana, India., Todi SK; Department of Critical Care, Advanced Medicare Research Institute Hospitals, Kolkata, India., Basu S; Advanced Medicare Research Institute Mukundapur Unit, Kolkata, India., Sahu S; Apollo Hospital Bhubaneswar, Bhubaneswar, India., Mishra SB; IMS and SUM Hospital, Bhubaneswar, India., Chawla R; Department of Critical Care, Indraprastha Apollo Hospitals, New Delhi, India., Nair PK; Holy Spirit Hospital, Mumbai, India., Arjun R; Department of Critical Care, Kerala Institute of Medical Sciences Health, Trivandrum, India., Singla D; Maharaja Agrasen Hospital, New Delhi, India., Sandhu K; Department of Critical Care, Max Super Speciality Hospital Saket Delhi, New Delhi, India., Palaniswamy V; Mahatma Gandhi Hospital, Jaipur, India., Bhakta A; Department of Pediatric Intensive Care, University Malaya Medical Centre, Kuala Lumpur, Malaysia., Nor MM; Department of Anesthesia and Critical Care, International Islamic University Malaysia, Kuantan Pahang, Malaysia., Chian-Wern T; Department of Critical Care, Universiti Kebangsaan Malaysia Specialist Children's Hospital, Kuala Lumpur, Malaysia., Bat-Erdene I; Intermed Hospital, Ulaanbaatar, Mongolia., Acharya SP; Grande International Hospital, Kathmandu, Nepal., Ikram A; Armed Forces Institute of Urology, Rawalpindi, Pakistan., Tumu N; Port Moresby General Hospital, Port Moresby, Papua New Guinea., Tao L; Department of Pneumonology, Zhongshan Hospital, Fudan University, Shanghai, China., Alvarez GA; Instituto Central De Medicina, Provincia de Buenos Aires, La Plata, Argentina., Valderrama-Beltran SL; Pontificia Universidad Javeriana Hospital Universitario San Ignacio, Bogota, Colombia., Jiménez-Alvarez LF; Clinica Universitaria Colombia, Bogota, Colombia., Henao-Rodas CM; Fundacion Hospital San Jose De Buga, Guadalajara De Buga, Colombia., Gomez K; Clinica Sebastian de Belalcazar, Cali, Colombia., Aguilar-Moreno LA; Clinica Infantil Santa María del Lago, Bogota, Colombia., Cano-Medina YA; Instituto Del Corazon De Bucaramanga Sede Bogota, Bogota, Colombia., Zuniga-Chavarria MA; Hospital Clinica Biblica, San Jose de Costa Rica, Costa Rica., Aguirre-Avalos G; Hospital Civil de Guadalajara Fray Antonio Alcalde, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Mexico., Sassoe-Gonzalez A; Hospital Regional de Alta Especialidad Ixtapaluca, Ixtapaluca, Mexico., Aleman-Bocanegra MC; Hospital San Jose TecSalud, Monterrey, Nuevo Leon, Mexico., Hernandez-Chena BE; Hospital General Regional 6 de Ciudad Madero, Madero, Mexico., Villegas-Mota MI; Instituto Nacional de Perinatología, Mexico DF, Mexico., Aguilar-de-Moros D; Hospital del Niño Dr José Renán Esquivel, Panama, Panama., Castañeda-Sabogal A; Hospital Victor Lazarte Echegaray, Trujillo, Peru., Medeiros EA; Hospital Sao Paulo, Universidade Federal de Sao Paulo, Sao Paulo, Brazil., Dueñas L; Hospital Nacional de Niños Benjamin Bloom, San Salvador, El Salvador., Carreazo NY; Universidad Peruana de Ciencias Aplicadas, Hospital de Emergencias Pediatricas, Lima, Peru., Salgado E; Hospital Marie Curie, Quito, Ecuador., Abdulaziz-Alkhawaja S; Salmaniya Medical Center, Manama, Bahrain., Agha HM; Cairo University Specialized Pediatric Hospital, Cairo, Egypt., El-Kholy AA; Cairo University, Dar Alfouad Hospital, 6th of October City, Egypt., Daboor MA; King Hussein Cancer Center, Amman, Jordan., Guclu E; Sakarya University Training and Research Hospital, Sakarya, Turkey., Dursun O; Akdeniz University Medical School, Antalya, Turkey., Koksal I; Karadeniz Technical University School of Medicine, Trabzon, Turkey., Havan M; Ankara University Faculty of Medicine, Ankara, Turkey., Ozturk-Deniz SS; Pamukkale University Hospital, Denizli, Turkey., Yildizdas D; Balcali Hospital Pediatric Intensive Care Unit, Adana, Turkey., Okulu E; Ankara University Faculty of Medicine Childrens Hospital NICU, Ankara, Turkey., Omar AA; Infection Control Directorate. Ministry of Health, Kuwait City, Kuwait., Memish ZA; King Saud Medical City, Ministry of Health, Riyadh, the Kingdom of Saudi Arabia., Janc J; 4th Clinical Military Hospital, Wroclaw, Poland, Europe., Hlinkova S; Faculty of Health, Catholic University in Ruzomberok, Central Military Hospital Ruzomberok, Ruzomberok, Slovakia., Duszynska W; Department of Anesthesiology and Intensive Therapy, Wroclaw Medical University, Wroclaw, Poland., Horhat-Florin G; University of Medicine and Pharmacy Victor Babes Timisoara Emergency Clinical County Hospital Romania, Timisoara, Romania., Raka L; National Institute For Public Health, Prishtina, Kosovo., Petrov MM; Department of Microbiology, Faculty of Pharmacy, Medical University of Plovdiv, Bulgaria., Jin Z; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, United States. |
| المصدر: | Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2024 May; Vol. 45 (5), pp. 567-575. Date of Electronic Publication: 2024 Jan 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: United States NLM ID: 8804099 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-6834 (Electronic) Linking ISSN: 0899823X NLM ISO Abbreviation: Infect Control Hosp Epidemiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Jan. 2015- : Cambridge : Cambridge University Press Original Publication: [Thorofare, N.J. ] : SLACK Inc., c1988- |
| مواضيع طبية MeSH: | Catheter-Related Infections*/epidemiology , Cross Infection*/prevention & control , Urinary Tract Infections*/epidemiology, Humans ; Catheters ; Hospitals, Public ; Incidence ; Intensive Care Units ; Prospective Studies |
| مستخلص: | Objective: To identify urinary catheter (UC)-associated urinary tract infection (CAUTI) incidence and risk factors. Design: A prospective cohort study. Setting: The study was conducted across 623 ICUs of 224 hospitals in 114 cities in 37 African, Asian, Eastern European, Latin American, and Middle Eastern countries. Participants: The study included 169,036 patients, hospitalized for 1,166,593 patient days. Methods: Data collection took place from January 1, 2014, to February 12, 2022. We identified CAUTI rates per 1,000 UC days and UC device utilization (DU) ratios stratified by country, by ICU type, by facility ownership type, by World Bank country classification by income level, and by UC type. To estimate CAUTI risk factors, we analyzed 11 variables using multiple logistic regression. Results: Participant patients acquired 2,010 CAUTIs. The pooled CAUTI rate was 2.83 per 1,000 UC days. The highest CAUTI rate was associated with the use of suprapubic catheters (3.93 CAUTIs per 1,000 UC days); with patients hospitalized in Eastern Europe (14.03) and in Asia (6.28); with patients hospitalized in trauma (7.97), neurologic (6.28), and neurosurgical ICUs (4.95); with patients hospitalized in lower-middle-income countries (3.05); and with patients in public hospitals (5.89).The following variables were independently associated with CAUTI: Age (adjusted odds ratio [aOR], 1.01; P < .0001), female sex (aOR, 1.39; P < .0001), length of stay (LOS) before CAUTI-acquisition (aOR, 1.05; P < .0001), UC DU ratio (aOR, 1.09; P < .0001), public facilities (aOR, 2.24; P < .0001), and neurologic ICUs (aOR, 11.49; P < .0001). Conclusions: CAUTI rates are higher in patients with suprapubic catheters, in middle-income countries, in public hospitals, in trauma and neurologic ICUs, and in Eastern European and Asian facilities.Based on findings regarding risk factors for CAUTI, focus on reducing LOS and UC utilization is warranted, as well as implementing evidence-based CAUTI-prevention recommendations. |
| تواريخ الأحداث: | Date Created: 20240104 Date Completed: 20240419 Latest Revision: 20240422 |
| رمز التحديث: | 20240422 |
| DOI: | 10.1017/ice.2023.215 |
| PMID: | 38173347 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1559-6834 |
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| DOI: | 10.1017/ice.2023.215 |