Abstract

Objective:

Catheter-associated urinary tract infections (CAUTI) are among the most common hospital-acquired infections. This manuscript’s goal is to focus on the change in CAUTI rates according to years, and the effect of education.

Materials and Methods:

In this study, conducted between 2016 and 2018, surveillance data of patients followed in the anesthesia/reanimation intensive care unit (ICU) and the internal medicine ICU were used. During the data analysis period, 3,399 patients in the anesthesia/reanimation ICU and 1,207 patients in the internal medicine ICU were followed up. The effects of physical changes and training in clinics on the CAUTI ratio were investigated.

Results:

As a result of the changes made in internal medicine and anesthesia/reanimation ICUs between 2016 and 2018, it was observed that there was a significant decrease in CAUTI rates. While in both units in 2016, the CAUTI rate was above the Turkey average, in 2018, as a result of the changes made, it was observed that the CAUTI rate fell below the Turkey average.

Conclusion:

Patient mindfulness, bacterial strain, education of staff, regular visits, and cooperation between the infection control committee and ICU team are important to prevent infections caused by the use of invasive tools in ICUs.

Keywords: Infection, intensive care unit, nosocomial infections, urinary catheterization

References

  1. Cohen J, Opal SM, Powderly WG, Infectious disease volüme one. Third edition. Printed in China. Elsevier 2010;6:76-85.
  2. Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA, HICPAC. Guideline for prevention of catheter - associated urinary tract infections (2009). Available from: URL: https://www.cdc.gov/infectioncontrol/pdf/guidelines/cauti-guidelines-H.pdf Accessed July 17, 2019.
  3. Arda B, Ateş K, Bakır M, Güven B, Karakoç E, Özinel MA, et al. Üriner kateter infeksiyonlarının önlenmesi kılavuzu. Türk hastane infeksiyonları ve kontrolü derneği 2012. Hastane İnfeksiyonları Dergisi 2012;16:1-18.
  4. Catheter-associated Urinary Tract Infections. Available from: URL: https://www.cdc.gov/hai/ca_uti/uti.html Accessed July 17, 2019.
  5. Hekimoğlu CH, Batır E. Ulusal Sağlık Hizmeti İlişkili Enfeksiyonlar Sürveyans Ağı Özet Raporu 2017.
  6. Kölgelier S, Küçük A, Aktuğ Demir N, Özçimen S, Demir LS. Yoğun bakımlardaki hastane enfeksiyonları: Etyoloji ve predispozan faktörler. Kafkas J Med Sci 2012;2:1-5.
  7. Araç E, Kaya Ş, Almacıoğlu S, Günay S, Yüksel E, Yıldırım MS, et al. Sağlık bakım ilişkili enfeksiyonlarda ne durumdayız? Bir yoğun bakım ünitesinin değerlendirilmesi. Van Tıp Derg 2019;26:226-31.
  8. 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;35:464-79.
  9. Al-Helali NS, Al-Asmary SM, Abdel-Fattah MM, Al-Jabban TM, Al-Bamri AL. Epidemiologic study of nosocomial urinary tract infections in Saudi military hospitals. Infect Control Hosp Epidemiol 2004;25:1004-7.
  10. Dizbay M, Türkoğlu M, Aygencel G, Bayrak B, Şimşek H, Özdemir Ç. Kateter ilişkili üriner sistem infeksiyonu: Önlemek mümkün mü? FLORA 2016;21:21-6.
  11. Ricchizzi E, Latour K, Kärki T, Buttazzi R, Jans B, Moro ML, et al. Antimicrobial use in European long-term care facilities: results from the third point prevalence survey of healthcare-associated infections and antimicrobial use, 2016 to 2017. Euro Surveill 2018;23:1800394.
  12. Jahani-Sherafat S, Razaghi M, Rosenthal VD, Tajeddin E, Seyedjavadi S, Rashidan M, et al. Device-associated infection rates and bacterial resistance in six academic teaching hospitals of Iran: Findings from the International Nocosomial Infection Control Consortium (INICC). J Infect Public Health 2015;8:553-61.
  13. Leblebicioglu H, Esen S; Turkish Nosocomial Urinary Tract Infection Study Group. Hospital-acquired urinary tract infections in Turkey: a nationwide multicenter point prevalence study. J Hosp Infect 2003;53:207-10.
  14. Gaid E, Assiri A, McNabb S, Banjar W. Device-associated nosocomial infection in general hospitals, Kingdom of Saudi Arabia, 2013-2016. J Epidemiol Glob Health. 2018;7 Suppl 1(Suppl 1):S35-40.
  15. Çukurova Z, Durdu B, Hergünsel O, Eren G, Tekdöş Y, Durdu Y. Yoğun Bakım Kliniğinde İnvaziv Araç İlişkili Hastane Enfeksiyonları Surveyansı. Turkiye Klinikleri J Med Sci 2012;32:438-43.
  16. Menegueti MG, Ciol MA, Bellissimo-Rodrigues F, Auxiliadora-Martins M, Gaspar GG, Canini SRMDS, et al. Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental study. Medicine (Baltimore) 2019;98:e14417.
  17. Navoa-Ng JA, Berba R, Rosenthal VD, Villanueva VD, Tolentino MC, Genuino GA, et al. Impact of an International Nosocomial Infection Control Consortium multidimensional approach on catheter-associated urinary tract infections in adult intensive care units in the Philippines: International Nosocomial Infection Control Consortium (INICC) findings. J Infect Public Health 2013;6:389-99.
  18. Altınışık H, Altınışık U, Çoksak A, Şimşek T.Yoğun Bakımda Enfeksiyon Oranlarının Düşürülmesi Çalışmalarının 8 Yıllık Sürveyans Verileri ile Değerlendirilmesi. Int J Basic Clin Med 2015;3:117-24.
  19. Iacovelli V, Gaziev G, Topazio L, Bove P, Vespasiani G, Finazzi Agrò E. Nosocomial urinary tract infections: A review. Urologia 2014;81:222-7.
  20. Keten D, Aktaş F. Sondayla İlişkili Üriner Sistem İnfeksiyonları. Klimik Derg 2014;27: 38-47.
  21. Nicolle LE. Catheter associated urinary tract infections. Antimicrob Resist Infect Control 2014;3:23.
  22. Sabra SM, Abdel-Fattah MM. Epidemiological and Microbiological Profile of Nosocomial Infection in Taif Hospitals, KSA (2010-2011). World Journal of Medical Sciences 2012;7:1-9.
  23. Özer-Balın Ş, Aktaş-Şenol A. Yoğun bakım ünitesinde gelişen hastane infeksiyonlarının değerlendirilmesi. Klimik Derg 2017;30:108-13.
  24. Stone PW, Hedblom EC, Murphy DM, Miller SB. The economic impact of infection control: making the business case for increased infection control resources. Am J Infect Control 2005;33:542-7.
  25. Septimus E, Moody J. Prevention of Device-Related Healthcare-Associated Infections [Version 1; referees: 2 approved]. F1000 Research 2016;5:1-10.

Copyright and license

Copyright © 2022 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite?

1.
Sayar MS, Eroğlu E, Bulut D, Haykır Solay A. The Three Years Surveillance Results of Catheter-associated Urinary Infections in Intensive Care Units. Turk J Intensive Care. 2022;20(4):186-192. https://doi.org/10.4274/tybd.galenos.2021.41636