Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit (original) (raw)

An Erratum to this article was published on 08 November 2003

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Abstract

Objective

To determine the risk factors for catheter-associated urinary tract infection in a polyvalent intensive care unit (ICU).

Design and setting

Prospective cohort study in a 16-bed polyvalent ICU in a French university hospital.

Interventions

Prospective patient surveillance of patients included in two successive studies of two urine drainage systems.

Measurements and results

Bacteriuria occurrence in 553 ICU patients requiring a bladder catheter for longer than 48 h. The following variables were analyzed as possible risk factors: age, sex, severity score at admission, diagnosis on admission, duration of bladder catheterization, length of ICU stay, prior exposure to antibiotics, and system of urine drainage. The frequency of catheter-associated bacteriuria was 9.6%. From the multivariate analysis, five independent risk factors were determined: sex female, length of ICU stay, use of an antimicrobial therapy, severity score at admission, and duration of catheterization.

Conclusions

In our study the drainage system did not influence the occurrence of bacteriuria. To decrease the rate of catheter-associated bacteriuria in polyvalent ICU patients removal of the bladder catheter must be performed as soon as possible.

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An Erratum to this paper has been published: https://doi.org/10.1007/s00134-003-2080-9

References

  1. Rosser CJ, Bare RL, Meredith JW (1999) Urinary tract infections in the critical ill patient with a urinary catheter. Am J Surg 177:287–290
    Article CAS PubMed Google Scholar
  2. Garibaldi RA, Burke JP, Dickman ML, Smith CB (1974) Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med 291:215–219
    CAS PubMed Google Scholar
  3. Platt R, Polk BF, Murdock B, Rosner B (1986) Risk factors for nosocomial urinary tract infections. Am J Epidemiol 124:977–985
    CAS PubMed Google Scholar
  4. Saint S, Lipsky BA (1999) Preventing catheter-related bacteriuria. Should we? Can we? How? Arch Intern Med 159:800–808
    CAS PubMed Google Scholar
  5. Tissot E, Limat S, Cornette C, Capellier G (2001) Risk factors for catheter-associated bacteriuria in a medical intensive care unit. Eur J Clin Microbiol Infect Dis 20:260–262
    Article CAS PubMed Google Scholar
  6. Leone M, Garnier F, Dubuc M, Bimar MC, Martin C (2001) Prevention of nosocomial urinary tract infection in ICU patients. Comparison of effectiveness of two urinary drainage systems. Chest 120:220–224
    CAS PubMed Google Scholar
  7. Leone M, Garnier F, Antonini F, Bimar MC, Albanèse J, Martin C (2003) Nosocomial urinary tract infection in intensive care unit: comparison of effectiveness of two urinary drainage systems in intensive care unit: a prospective, randomized clinical trial. Intensive Care Med 29:410–413
    Google Scholar
  8. Le Gall JR, Lemeshow S, Saulnier F (1993) A new Simplified Acute Physiology Score (SAPS II) based on an European/North American multicenter study. JAMA 270:2957–2963
    PubMed Google Scholar
  9. REANIS (1994) Prevention of nosocomial urinary tract infections In: REANIS (ed) Guidelines for the prevention of nosocomial infections in intensive care unit. Arnette, Paris, pp 40–52
    Google Scholar
  10. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM (1988) CDC definitions for nosocomial infections. Am J Infect Control 16:128–140
    CAS PubMed Google Scholar
  11. Schaberg DR, Weinstein RA, Stamm WE (1976) Epidemics of nosocomial urinary tract infection caused by multiply resistance gram-negative bacilli: epidemiology and control. J Infect Dis 133:363–366
    CAS PubMed Google Scholar
  12. Hyams KC (1987) Inappropriate urine cultures in hospitalized patients receiving antibiotic therapy. Arch Intern Med 147:48–49
    Article CAS PubMed Google Scholar
  13. Johnson JR, Roberts PL, Olsen RJ, Moyer KA, Stamm WE (1990) Prevention of catheter associated urinary tract infection with a silver oxide-coated urinary catheter: clinical and microbiological correlates. J Infect Dis 162:1145–1150
    CAS PubMed Google Scholar
  14. Stamm WE (1990) Catheter-associated urinary tract infections: epidemiology, pathogenesis, and prevention. Am J Med 91 [Suppl 3B]:65–71
  15. Ferguson NR, Galley HF, Webster NR (1999) T helper cell subset ratios in patients with severe sepsis. Intensive Care Med 25:106–109
    Article CAS PubMed Google Scholar
  16. Platt R, Polk BF, Murdock B, Rosner B (1983) Reduction of mortality associated with nosocomial urinary tract infection. Lancet I:893–897
    Google Scholar
  17. Bryan CS, Reynolds KL (1984) Hospital-acquired bacteremic urinary tract infection: epidemiology and outcome. J Urol 132:494–498
    CAS PubMed Google Scholar

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Authors and Affiliations

  1. Intensive Care Unit and Trauma Center, Nord Hospital AP-HM, Marseilles University Hospital System, Marseilles School of Medicine, 13915, Marseille cedex 20, France
    Marc Leone, Jacques Albanèse, Franck Garnier, Marie-Christine Bimar & Claude Martin
  2. Laboratory of Epidemiology and Statistics, Marseilles University Hospital System, Marseilles School of Medicine, 13915, Marseille cedex 20, France
    Christophe Sapin & Karine Barrau

Authors

  1. Marc Leone
  2. Jacques Albanèse
  3. Franck Garnier
  4. Christophe Sapin
  5. Karine Barrau
  6. Marie-Christine Bimar
  7. Claude Martin

Corresponding author

Correspondence toMarc Leone.

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Leone, M., Albanèse, J., Garnier, F. et al. Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit.Intensive Care Med 29, 929–932 (2003). https://doi.org/10.1007/s00134-003-1741-z

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