Rosenthal, Victor Daniel and Yin, Ruijie and Brown, Eric Christopher and Lee, Brandon Hochahn and Rodrigues, Camilla and Myatra, Sheila Nainan and Kharbanda, Mohit and Rajhans, Prasad and Mehta, Yatin and Todi, Subhash Kumar and Basu, Sushmita and Sahu, Suneeta and Mishra, Shakti Bedanta and Chawla, Rajesh and Nair, Pravin K. and Arjun, Rajalakshmi and Singla, Deepak and Sandhu, Kavita and Palaniswamy, Vijayanand and Bhakta, Arpita and Nor, Mohd-Basri Mat and Chian-Wern, Tai and Bat-Erdene, Ider and Acharya, Subhash P. and Ikram, Aamer and Tumu, Nellie and Tao, Lili and Alvarez, Gustavo Andres and Valderrama-Beltran, Sandra Liliana and Jimenez-Alvarez, Luisa Fernanda and Henao-Rodas, Claudia Milena and Gomez, Katherine and Aguilar-Moreno, Lina Alejandra and Cano-Medina, Yuliana Andrea and Zuniga-Chavarria, Maria Adelia and Aguirre-Avalos, Guadalupe and Sassoe-Gonzalez, Alejandro and Aleman-Bocanegra, Mary Cruz and Hernandez-Chena, Blanca Estela and Villegas-Mota, Maria Isabel and Aguilar-de-Moros, Daisy and Castaneda-Sabogal, Alex and Medeiros, Eduardo Alexandrino and Duenas, Lourdes and Carreazo, Nilton Yhuri and Salgado, Estuardo and Abdulaziz-Alkhawaja, Safaa and Agha, Hala Mounir and El-Kholy, Amani Ali and Daboor, Mohammad Abdellatif and Guclu, Ertugrul and Dursun, Oguz and Koksal, Iftihar and Havan, Merve and Ozturk-Deniz, Suna Secil and Yildizdas, Dincer and Okulu, Emel and Omar, Abeer Aly and Memish, Ziad A. and Janc, Jaroslaw and Hlinkova, Sona and Duszynska, Wieslawa and Horhat-Florin, George and Raka, Lul and Petrov, Michael M. and Jin, Zhilin (2024) 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. Infection Control and Hospital Epidemiology, 45 (5). pp. 567-575. ISSN 0899-823X, DOI https://doi.org/10.1017/ice.2023.215.
Full text not available from this repository.Abstract
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.
| Item Type: | Article |
|---|---|
| Funders: | INICC Advisory Board |
| Uncontrolled Keywords: | Control Consortium INICC; Device-Associated Infections; Multidimensional Approach; Socioeconomic Impact; Adult; Rates; Countries; Prevention |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Obstetrics & Gynaecology Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 12 Nov 2024 05:24 |
| Last Modified: | 12 Nov 2024 05:24 |
| URI: | http://eprints.um.edu.my/id/eprint/45816 |
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