دورية أكاديمية
أعرض في EDS

Prospective Cohort Study of Incidence and Risk Factors for Catheter-associated Urinary Tract Infections in 212 Intensive Care Units of Nine Middle Eastern Countries

التفاصيل البيبلوغرافية
العنوان: Prospective Cohort Study of Incidence and Risk Factors for Catheter-associated Urinary Tract Infections in 212 Intensive Care Units of Nine Middle Eastern Countries
المؤلفون: Kostekci, Yasemin Ezgi, Memish, Ziad A., Rosenthal, Victor Daniel, Omar, Abeer Aly, Jin, Z., Yin, R., Brown, E.C., Shukla, B., Lee, B.H., Abdulaziz-Alkhawaja, S., Magray, T.A., Agha, Hala Mounir, El-Sisi, Amal, El-Kholy, Amani Ali, Bayani, Victor, Daboor, Mohammad Abdellatif, Al-Ruzzieh, Majeda Afeef, Guclu, Ertugrul, Olmez-Gazioglu, Esra, Dursun, Oguz, Kara, Tuğçe Tural, Koksal, Iftihar, Eroglu, Ahmet, Havan, Merve, Kendirli, Tanıl, Deniz, Suna Secil Ozturk, Aktas, Gizem, Yildizdas, Dincer, Horoz, Ozden Ozgur, Okulu, Emel
بيانات النشر: Oman Medical Specialty Board
سنة النشر: 2023
المجموعة: Pamukkale University Repository / Pamukkale Üniversitesi Açık Erişim Arşivi
مصطلحات موضوعية: Incidence, Intensive Care, Middle East, Risk Factors, Urinary Tract Infections
الوصف: Objectives: To identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in nine Middle Eastern countries. Methods: We conducted a prospective cohort study between 1 January 2014 and 2 December 2022 in 212 intensive care units (ICUs) of 67 hospitals in 38 cities in nine Middle Eastern countries (Bahrain, Egypt, Jordan, Kuwait, Lebanon, Morocco, Saudi Arabia, Turkey, and the UAE). To estimate CAUTI incidence, we used the number of UC days as denominator and the number of CAUTIs as numerator. To estimate CAUTI RFs, we analyzed the following 10 variables using multiple logistic regression: patient sex, age, length of stay (LOS) before CAUTI acquisition, UC-days before CAUTI acquisition, UC-device utilization (DU) ratio, hospitalization type, ICU type, facility-ownership, country income level classified by World Bank, and time period. Results: Among 50 637 patients hospitalized for 434 523 patient days, there were 580 cases of acquired CAUTIs. The pooled CAUTI rate per 1000 UC days was 1.84. The following variables were independently associated with CAUTI: age, rising risk 1.0% yearly (adjusted odds ratio [aOR] = 1.01, 95% CI: 1.01–1.02; p 0.0001); female sex (aOR = 1.31, 95% CI: 1.09–1.56; p 0.0001); LOS before CAUTI acquisition, rising risk 6.0% daily (aOR = 1.06, 95% CI: 1.05–1.06; p 0.0001); and UC/ DU ratio (aOR = 1.11, 95% CI: 1.06–1.14; p 0.0001). Patients from lower-middle-income countries (aOR = 4.11, 95% CI: 2.49–6.76; p 0.0001) had a similar CAUTI risk to the upper-middle countries (aOR = 3.75, 95% CI: 1.83–7.68; p 0.0001). The type of ICU with the highest risk for CAUTI was neurologic ICU (aOR = 27.35, 95% CI: 23.03–33.12; p 0.0001), followed by medical ICU (aOR = 6.18, 95% CI: 2.07–18.53; p 0.0001) when compared to cardiothoracic ICU. The periods 2014–2016 (aOR = 7.36, 95% CI: 5.48–23.96; p 0.001) and 2017–2019 (aOR = 1.15, 95% CI: 3.46–15.61; p 0.001) had a similar risk to each other, but a higher risk compared to 2020–2022. ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1999768X
العلاقة: Oman Medical Journal; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.5001/omj.2023.121Test; https://hdl.handle.net/11499/56841Test; 38; 84; 91; 2-s2.0-85184431578
DOI: 10.5001/omj.2023.121
الإتاحة: https://doi.org/10.5001/omj.2023.121Test
https://hdl.handle.net/11499/56841Test
حقوق: open
رقم الانضمام: edsbas.26F934A6
قاعدة البيانات: BASE
الوصف
تدمد:1999768X
DOI:10.5001/omj.2023.121