Incidence of urinary tract infection in surgical patients after short term catheterization in a tertiary care institute

Authors

  • Rajendra Bagree Department of Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  • Vinay Srinivas Department of Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  • Ritesh Kumar Department of Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  • Ayush Gupta Department of Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  • Naveen Kumar Department of Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
  • Nitish Kumar Department of Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20241391

Keywords:

Foley catheterization, Urinary tract infection, Catheter, Tertiary care

Abstract

Background: We aim to assess the rate of catheter associated urinary tract infection in patients undergoing catheterization in our surgical ward. Urinary catheters pose a potential risk of introducing infections in the urinary system. We observed the setting of catheterization and incidence of UTIs, prevalence, contributing factors, and potential preventive measures. We aim to enhance the quality of patient care and reduce the burden of post-catheterization complications.

Methods: The research methodology involves a retrospective analysis of patient records, encompassing a large sample size from the tertiary care institute. Data collection includes patient demographics, duration of catheterization, underlying health conditions, and microbial profiles. Statistical analyses will be employed to discern patterns, risk factors, and correlations.

Results: 322 patients admitted in our surgical ward were catheterized as a part of this study, out of which 170 patients came under the inclusion criteria, including 63 males and 107 females. It was found that 19 patients, 13 female and 6 males, had developed positive urine cultures on day 3 of catheterization, with 6 patients showing symptoms of UTI. 14 out of 19 cultures were positive for E. coli, 3 for Klebsiella sp., 1 for Citrobacter spp. And 1 for E. gallinarum.

Conclusions: In this study, we concluded that maximum cases of CAUTI were due to inappropriate catheterization in emergency surgical procedures, where proper aseptic standards were not applied. Preventive strategies should be applied to minimize the incidence and complications of CAUTI.

References

Zarb P, Coignard B, Griskevicienne J, Muller A, Vankerckho ven WK, Goossens MM, et al. The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use. Euro Surveill. 2012;17(46):20316.

Magill SS, Edwards JR, Bamberg W, Beldaus ZG, Dumyati G, Kainer MA, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370:1198-208.

UTI. Available at: https://www.cdc.gov/hai/ca_uti/ uti.html#:~:text. Accessed on 20 November 2023.

Hooton TM, Bradley SF, Cardenas DD, Colgan R, Geerlings SE, Rice JC, et al. Diagnosis, prevention and treatment of catheter-associated urinary tract infection in adults; 2009 international clinical practice guidelines from the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:625-63.

Stark RP, Maki DG. Bacteriuria in the catheterized patient. What quantitative level of bacteriuria is relevant?. N Engl J Med. 1984;311:560-4.

Nicolle LE. Catheter associated urinary tract infections. Antimicrob Resist Infect Control. 2014;3:23.

Stickler DJ. Bacterial biofilms in patients with indwelling urinary catheters. Nat Clin Pract Urol. 2008;5(11):598-608.

Hooton TM, Bradley SF, Cardenas DD, Colgan R, Geerlings SE, Rice JC, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis. 2010;50(5):625-63.

Matsukawa M, Kunishima Y, Takahashi S, Takeyama K, Tsukamoto T: Bacterial colonization on intraluminal surface of urethral catheter. Urology. 2005;65:440-44.

Warren JW, Tenney JH, Hoopes JM, Muncie HL, Anthony WC: A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters. J Infect Dis. 1982;146:719-23.

Tambyah PA, Maki DG. Catheter-Associated Urinary Tract Infection Is Rarely Symptomatic: A Prospective Study of 1497 Catheterized Patients. Arch Intern Med. 2000;160(5):678-82.

Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Healthcare Infection Control Practices Advisory Committee (HICPAC): guideline for prevention of catheter-associated urinary tract infections. J Infect Dis. 2002;231:1182-9.

Robert P. Antimicrobial catheters for reduction of symptomatic urinary tract infection in adults requiring short-term catheterisation in hospital: a multicentre randomised controlled trial. Lancet. 2012;380:1927-35.

Sullivan NM, Sutter VL, Mims MM, Marsh VH, Finegold SM. Clinical aspects of bacteremia after manipulation of the genitourinary tract. J Infect Dis. 1973;127(1):49-55.

Farsi AH. Risk Factors and Outcomes of Postoperative Catheter-Associated Urinary Tract Infection in Colorectal Surgery Patients: A Retrospective Cohort Study. Cureus. 2021;13(5):e15111.

Bregenzer T, Frei R, Widmer AF. Low Risk of Bacteremia During Catheter replacement in patients with long-term urinary catheters. Arch Intern Med. 1997;157(5):521-5.

Mukhit KM. Catheter associated urinary tract infections (CAUTI) and antibiotic sensitivity pattern from confirmed cases of CAUTI in a tertiary care hospital: A prospective study. Clin Microbiol. 2015;4:193.

Downloads

Published

2024-05-29

Issue

Section

Original Research Articles