Microbiological profile, comorbidity, incidence and rate analysis of catheter associated urinary tract infections in adult intensive care
Journal Title: Indian Journal of Microbiology Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction Catheterassociated urinary tract infections CAUTI being the commonest hospitalacquired infection HAI 40 its burden aetiology along with antibiotic susceptibility is essential to implement and monitor an effective infection control programAims To assess the incidence and rate of CAUTI in a tertiary care hospital and to identify the common organisms and their antibiotic sensitivity patternSettings 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 approvalMaterials 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 comorbid conditions were expressed as percentagesResults Incidence of CAUTI was 16100 catheterization Device utilization ratio was 072 CAUTI rate was 3621000 catheter days CAUTI was commonly seen among patients with gt80 years females with altered sensorium Diabetes mellitus 357 was the most common comorbid condition followed by TB 25 Risk of CAUTI after 35 days of catheterization was 117 and proportionately increased with prolonged catheterization 100 if gt20 days Escherichia coli 375 followed by Candida Spp 25 were common pathogens among 35days of catheterization Pseudomonas Spp was the commonest isolate after one week of catheterization Imipenem colistin resistance was highest among pseudomonasConclusions CAUTI rate was higher than the benchmark set by NHSN 04 Appropriate health education strict infection control practices appropriate antibiotic policy proper guided bundle care of catheter are need of the hour to prevent the CAUTInbspKeywords Adult ICU CAUTI Comorbidity analysis Incidence Microbiological ProfileKey Messages Incidence of CAUTI was 16 per 100 catheterization and the CAUTI rate was 362 per 1000 catheter days which was higher to the benchmark of NHSN 04 Risk of CAUTI proportionately increased with prolonged catheterization from 117 after 35 days to 100 after 20 days Escherichia coli 375 followed by Candida 25 were common pathogens among 35days of catheterization Pseudomonas was the common isolate after one week of catheterization
Authors and Affiliations
Arunagiri Ramesh, Anand B Janagond, Sundaramurthy Raja, Sorakka Pandurangan Gobinathan, Jhansi Charl
Keywords
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- EP ID EP473823
- DOI 10.18231/2394-5478.2018.0007
- Views 54
- Downloads 0
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