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VOLUME 4 , ISSUE 3 ( July-September, 2018 ) > List of Articles


Catheter-associated Urinary Tract Infection Surveillance in Intensive Care Units in a Tertiary Care Hospital: A Pilot Study

R Harshini, S Sangeetha

Keywords : Candida albicans, CAUTI, Device Days, E. coli

DOI: 10.5005/jp-journals-10045-0091

License: NA

Published Online: 01-10-2018

Copyright Statement:  NA


Catheter-associated urinary tract infections (CAUTI) develop either during or after placement of a urinary catheter. CAUTI has been shown to increase patient morbidity and mortality, increase in the length of stay, and add to the cost of care. It is preventable provided appropriate protocols are meticulously followed. Aims and objectives: This pilot study was conducted over a two month period to determine the rates of CAUTI in the intensive care units of a tertiary care hospital. Materials and methods: One hundred samples from CAUTI cases were studied for their microbiological profile and antibiotic sensitivity pattern. Study: Descriptive study. Results: It was observed that out of 100 samples collected after obtaining informed consent from the Medical Intensive Care Unit (MICU) and Surgical Intensive Care Unit (SICU), 3 cases were reported positive for CAUTI. The sex ratio indicated higher rates for males and lesser for females. Candida albicans was present as a main pathogen followed by Escherichia coli. The overall rate of CAUTI for the two months was 5 per 1000 device days. But this study indicates that precautionary measures need to be properly implemented for preventing CAUTI.

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  1. Edwards JR, Peterson KD, Mu Y, Banerjee S, et al. National Health Care Safety Network (NHSN) report: data summary for 2006 through 2008. Am J Infect Control. 2009 Dec; 37(10): 783-805. ht tps:// 20004811.
  2. Vincent IL, Bihari DJ, Suter PM, Bruining HA et al. The prevalence of nosocomial infection in intensive care units in Europe: results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. JAMA. 1995 Aug 23-30;274(8):639-644. https://
  3. Richards M, Thursky K, Buising K. Epidemiology, prevalence, and sites of infections in intensive care units. Semin Respir Crit Care Med. 2003 Feb;24(1):3-22. https://www.ncbi.nlm.
  4. Centers for Disease Control and Prevention. Identifying healthcare-associated infections (HAI) for NHSN surveillance. Device-Associated Module. Atlanta: Centers for Disease Control and Prevention;2015. 6:1-15. https://www.
  5. Centers for Disease Control and Prevention. Identifying healthcare-associated infections (HAI) for NHSN surveillance. Device-Associated Module. Atlanta, GA: Centers for Disease Control and Prevention; 2015. 4:1-27. nhsn/PDFs/pscManual/17pscNosInfDef_current.pdf
  6. Guanche-Garcell, H., Requejo-Pino, O., Rosenthal, V.D., Morales-Pérez, C. et al. Device-associated infection rates in adult intensive care units of Cuban university hospitals: International Nosocomial Infection Control Consortium (INICC) findings. International Journal of Infectious Diseases; 15: e357-e362, 2011. https://www.sciencedirect. com/science/article/pii/S1876034113000099.
  7. Maki DG, Weise CE. and Sarafin HW. A semi quantitative culture method for identifying intravenous-catheter-related infection. N Engl J Med. 296: 1305–1309, June 1997. https://
  8. S Sood, SH Joad, D Yaduvanshi, P Anand.. Device associated nosocomial infections in a medical intensive care unit of a tertiary care hospital in Jaipur, India. BMC Proceedings, 5(Suppl 6):1-1, June 2011. pmc/articles/PMC3239426/.
  9. Singh S, Pandya Y, Patel R, Paliwal M, Wilson A, Trivedi S. Surveillance of device-associated infections at a teaching hospital in rural Gujarat - India. Indian J Med Microbiol Oct 2010;28:342-347.
  10. Tao L, Hu B, Rosenthal VD, Gao X, He L. Device-associated infection rates in 398 intensive care units in Shanghai, China: International Nosocomial Infection Control Consortium (INICC) findings. Int J Infect Dis. 2011 Nov; 15(11):e774-780. Epub 2011 Aug 16. pubmed/21846591.
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