1887
  1. Home
  2. A-Z Publications
  3. Qatar Medical Journal
  4. Volume 2023, Issue 1
  5. Article
Volume 2023, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Introduction: Catheter-associated urinary tract infection (CAUTI) is a frequently reported healthcare-associated infection in critical and non-critical patients. Limited data are available about CAUTI incidence in non-critical patients. We aim to describe the incidence of CAUTI over 9 years and evaluate the impact of the pandemic on the incidence in non-critical acute care patients.

Methods: A retrospective observational study of CAUTI in medical-surgical and maternity wards was carried out at a public hospital in the west of the State of Qatar. Data collected included the annual CAUTI incidence (per 1,000 device days), urinary catheter utilization ratio (UC-UR), etiology, and antimicrobial resistance.

Results: 115,238 patient days and 6,681 urinary catheters (UC) days were recorded over the study period, and 9 and 4 CAUTI were confirmed in medical-surgical and maternity wards, respectively. The infection rate was 1.9 per 1,000 UC days, and the UC-UR was 0.06. The CAUTI rate was higher in medical-surgical wards over the COVID-19 period (2.4 × 1,000 UC days) in comparison with the non-COVID-19 period (1.7 × 1,000 UC days) (RR 1.46; 1.12–1.80). However, in the maternity ward, the result was 0 and 2.5 × 1,000 UC days during these periods, respectively. No differences were observed in the infection rate among periods for all patients (RR 1.06; 0.81–1.31). Multidrug-resistant organisms were identified in 7 patients, and non-multidrug-resistant in 6 cases.

Conclusion: The study findings describe a lower CAUTI risk over 9 years in non-critical acute care patients. The impact of COVID-19 on the CAUTI risk is mainly related to medical patients who had previously been admitted to critical care. The infection control program should consider these data as a benchmark for quality improvement.

© 2023 Garcell, Al-Ajmi, Arias, Abraham, Garmendia, Hernandez, licensee HBKU Press.
Loading

Article metrics loading...

/content/journals/10.5339/qmj.2023.14
2023-05-02
2024-11-12
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2023/1/qmj.2023.14.html?itemId=/content/journals/10.5339/qmj.2023.14&mimeType=html&fmt=ahah

References

  1. Werneburg GT. Catheter-associated urinary tract infections: current challenges and future prospects. Res Rep Urol. 2022; 14::109–33. doi: 10.2147/RRU.S273663.
     [Google Scholar]
  2. Hollenbeak CS, Schilling AL. The attributable cost of catheter-associated urinary tract infections in the United States: A systematic review. Am J Infect Control. 2018; 46:(7):751–7. doi: 10.1016/j.ajic.2018.01.015.
     [Google Scholar]
  3. Moulton L, Lachiewicz M, Liu X, Goje O. Catheter-associated urinary tract infection (CAUTI) after term cesarean delivery: incidence and risk factors at a multi-center academic institution. J Matern-Fetal Neonatal Med. 2018; 31:(3):395–400. doi: 10.1080/14767058.2017.1286316.
     [Google Scholar]
  4. Ramanathan R, Duane TM. Urinary tract infections in surgical patients. Surg Clin North Am. 2014; 94:(6): 1351–68. doi: 10.1016/j.suc.2014.08.007.
     [Google Scholar]
  5. Letica-Kriegel AS, Salmasian H, Vawdrey DK, Youngerman BE, Green RA, Furuya EY, et al. Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ Open. 2019; 9:(2):e022137. doi: 10.1136/bmjopen-2018-022137.
     [Google Scholar]
  6. Lewis SS, Knelson LP, Moehring RW, Chen LF, Sexton DJ, Anderson DJ. Comparison of non-intensive care unit (ICU) versus ICU rates of catheter-associated urinary tract infection in community hospitals. Infect Control Hosp Epidemiol. 2013; 34:(7):744–7. doi: 10.1086/671000.
     [Google Scholar]
  7. Li F, Song M, Xu L, Deng B, Zhu S, Li X. Risk factors for catheter-associated urinary tract infection among hospitalized patients: A systematic review and meta-analysis of observational studies. J Adv Nurs. 2019; 75:(3):517–27. doi: 10.1111/jan.
     [Google Scholar]
  8. Saint S, Greene MT, Krein SL, Rogers MA, Ratz D, Fowler KE, et al. A program to prevent catheter-associated urinary tract infection in acute care. N Engl J Med. 2016; 374:(22):2111–9. doi: 10.1056/NEJMoa1504906.
     [Google Scholar]
  9. Schreiber PW, Sax H, Wolfensberger A, Clack L, Kuster SP; Swissnoso. The preventable proportion of healthcare-associated infections 2005–2016: Systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2018; 39:(11):1277–95. doi: 10.1017/ice.2018.183.
     [Google Scholar]
  10. Baker MA, Sands KE, Huang SS, Kleinman K, Septimus EJ, Varma N, et al. CDC Prevention Epicenters Program. The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections. Clin Infect Dis. 2022; 74:(10):1748–54. doi: 10.1093/cid/ciab688.
     [Google Scholar]
  11. Garcell HG, Al-Ajmi J, Arias AV, Abraham JC, Garmendia AMF, Hernandez TMF. 10-year incidence and impact of coronavirus infections on incidence, etiology, and antimicrobial resistance of healthcare-associated infections in a critical care unit in Western Qatar. Qatar Med J. 2022 Dec; 2023:(1):2. doi: 10.5339/qmj.2023.2.
     [Google Scholar]
  12. Barman M, Tanweer H, Hatem A, Memom NI, Muhammad S, Harman TS, et al. Embracing healthcare delivery challenges during a pandemic. Review from a nodal designated COVID-19 center in Qatar. Avicenna. 2021; 2021:(2):8. doi: 10.5339/avi.2021.8.
     [Google Scholar]
  13. CDC/NHSN Surveillance Definitions for Specific Types of Infections. In: National Healthcare Safety Network (NHSN, USA). Patient Safety Component Manual. January 2021 (cited 2021 December 18).
     [Google Scholar]
  14. Dudeck MA, Weiner LM, Allen-Bridson K, Malpiedi PJ, Peterson KD, Pollock DA, et al. National Healthcare Safety Network (NHSN) report, data summary for 2012, device-associated module. Am J Infect Control. 2013; 41:(12):1148–66. doi: 10.1016/j.ajic.2013.09.002.
     [Google Scholar]
  15. Oumer Y, Dadi BR, Seid M, Biresaw G, Manilal A. Catheter-associated urinary tract infection: incidence, associated factors and drug resistance patterns of bacterial isolates in Southern Ethiopia. Infect Drug Resist. 2021; 14::2883–94. doi: 10.2147/IDR.S311229.
     [Google Scholar]
  16. Yu S, Marshall AP, Li J, Lin F. Interventions and strategies to prevent catheter-associated urinary tract infections with short-term indwelling urinary catheters in hospitalized patients: an integrative review. Int J Nurs Pract. 2020; 26:(3):e12834. doi: 10.1111/ijn.12834.
     [Google Scholar]
  17. Thaprawat P, Greene MT, Saint S, Kasatpibal N, Fowler KE, Apisarnthanarak A. Status of hospital infection prevention practices in Thailand in the era of COVID-19: results from a national survey. Am J Infect Control. 2022; 50::975–80. doi: 10.1016/j.ajic.2022.06.011.
     [Google Scholar]
  18. Ellahi A, Stewart F, Kidd EA, Griiths R, Fernandez R, Omar MI. Strategies for the removal of short-term indwelling urethral catheters in adults. Cochrane Database of Syst Rev. 2021;(6):CD004011. doi: 10.1002/14651858.CD004011.pub4.
     [Google Scholar]
  19. Schiessler MM, Darwin LM, Phipps AR, Hegemann LR, Heybrock BS, Macfadyen AJ. Do not have a doubt, get the catheter out: the development of a nurse-driven catheter-associated urinary tract infection prevention protocol. Pediatr Qual Saf. 2019; 4::e183. doi: 10.1097/pq9.0000000000000183.
     [Google Scholar]
  20. Lo E, Nicolle LE, Coffin SE, Gould C, Maragakis LL, Meddings J, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014; 35:(5):464–79. doi: 10.1086/675718.
     [Google Scholar]
  21. Wee LEI, Conceicao EP, Tan JY, Magesparan KD, Amin IBM, Ismail BBS, et al. Unintended consequences of infection prevention and control measures during COVID-19 pandemic. Am J Infect Control. 2021; 49:(4):469–77. doi: 10.1016/j.ajic.2020.10.019.
     [Google Scholar]
  22. Weiner-Lastinger LM, Pattabiraman V, Konnor RY, Patel PR, Wong E, Xu SY, et al. The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: A summary of data reported to the National Healthcare Safety Network. Infect Control Hosp Epidemiol. 2022; 43:(1):12–25. doi: 10.1017/ice.2021.362.
     [Google Scholar]
  23. Lastinger LM, Alvarez CR, Kofman A, Konnor RY, Kuhar DT, Nkwata A, et al. Continued increases in the incidence of healthcare-associated infection (HAI) during the second year of the coronavirus disease 2019 (COVID-19) pandemic. Infect Control Hosp Epidemiol. 2022 May 20:1–5. doi: 10.1017/ice.2022.116.
     [Google Scholar]
  24. Fakih MG, Bufalino A, Sturm L, Huang RH, Ottenbacher A, Saake K, et al. Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts. Infect Control Hosp Epidemiol. 2022; 43:(1): 26–31. doi: 10.1017/ice.2021.70.
     [Google Scholar]
  25. Weiner-Lastinger LM, Abner S, Edwards JR, Kallen AJ, Karlsson M, Magill SS, et al. Antimicrobial-resistant pathogens associated with adult healthcare-associated infections: summary of data reported to the National Healthcare Safety Network, 2015–2017. Infect Control Hosp Epidemiol. 2020; 41:(1):1–18. doi: 10.1017/ice.2019.296.
     [Google Scholar]
/content/journals/10.5339/qmj.2023.14
Loading
Catheter-associated urinary tract infection and urinary catheter utilization ratio over 9 years, and the impact of the COVID-19 pandemic on the incidence of infection in medical and surgical wards in a single facility in Western Qatar
Qatar Medical Journal 2023, 14 (2023); https://doi.org/10.5339/qmj.2023.14
/content/journals/10.5339/qmj.2023.14
/content/journals/10.5339/qmj.2023.14
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): acute care, COVID-19, inpatient ward, Qatar, the incidence of infection, Urinary catheter and urinary tract infection

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error