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
| العنوان: | 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 |
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| المؤلفون: | Havan, Merve, Ozturk-Deniz, Suna Secil, Yildizdas, Dincer, Okulu, Emel, Omar, Abeer Aly, Memish, Ziad A., Janc, JarosÅ‚aw, Hlinkova, Sona, Duszynska, Wieslawa, Horhat-Florin, George, Raka, Lul, Petrov, Michael M., Jin, Zhilin, Rosenthal, Victor Daniel, Yin, Ruijie, Brown, Eric Christopher, Lee, Brandon Hochahn, Rodrigues, Camilla, Myatra, Sheila Nainan, Kharbanda, Mohit, Rajhans, Prasad, Mehta, Yatin, Basu, Sushmita, Sahu, Suneeta, Mishra, Shakti Bedanta, Arjun, Rajalakshmi, Singla, Deepak, Sandhu, Kavita, Palaniswamy, Vijayanand, Bhakta, Arpita, Nor, Mohd-Basri Mat, Chian-Wern, Tai, Bat-Erdene, Ider, Acharya, Subhash P., Ikram, Aamer, Tumu, Nellie, Tao, Lili, Alvarez, Gustavo Andres, Valderrama-Beltran, Sandra Liliana, Jiménez-Alvarez, Luisa Fernanda, Henao-Rodas, Claudia Milena, Gomez, Katherine, Aguilar-Moreno, Lina Alejandra, Cano-Medina, Yuliana Andrea, Zuniga-Chavarria, Maria Adelia, Sassoe-Gonzalez, Alejandro, Aleman-Bocanegra, Mary Cruz, Hernandez-Chena, Blanca Estela, Villegas-Mota, Maria Isabel, Castañeda-Sabogal, Alex, Medeiros, Eduardo Alexandrino, Dueñas, Lourdes, Carreazo, Nilton Yhuri, Salgado, Estuardo, Abdulaziz-Alkhawaja, Safaa, Daboor, Mohammad Abdellatif, Dursun, Oguz, Koksal, Iftihar, Todi, Subhash Kumar, Chawla, Rajesh, Nair, Pravin K., Aguirre-Avalos, Guadalupe, Aguilar-De-Moros, Daisy, Agha, Hala Mounir, El-Kholy, Amani Ali, Guclu, Ertugrul |
| بيانات النشر: | Cambridge Univ Press |
| سنة النشر: | 2024 |
| المجموعة: | Pamukkale University Repository / Pamukkale Üniversitesi Açık Erişim Arşivi |
| مصطلحات موضوعية: | Countries, Prevention, Control Consortium Inicc, Device-Associated Infections, Multidimensional Approach, Socioeconomic Impact, Adult, Rates |
| الوصف: | 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. ; INICC Advisory Board ; The INICC Advisory ... |
| نوع الوثيقة: | other/unknown material |
| اللغة: | English |
| تدمد: | 0899-823X 1559-6834 |
| العلاقة: | Infection Control and Hospital Epidemiology; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.1017/ice.2023.215Test; https://hdl.handle.net/11499/56686Test; 2-s2.0-85182654243; WOS:001136391100001 |
| DOI: | 10.1017/ice.2023.215 |
| الإتاحة: | https://doi.org/10.1017/ice.2023.215Test https://hdl.handle.net/11499/56686Test |
| حقوق: | none |
| رقم الانضمام: | edsbas.1EB6C303 |
| قاعدة البيانات: | BASE |
| تدمد: | 0899823X 15596834 |
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| DOI: | 10.1017/ice.2023.215 |