Quantitative CAUTI.pdf - RESEARCH ARTICLE Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection

Quantitative CAUTI.pdf - RESEARCH ARTICLE Current status of...

This preview shows page 1 - 2 out of 12 pages.

RESEARCH ARTICLE Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea: A multicenter prospective observational study Bongyoung Kim 1 , Hyunjoo Pai 2 , Won Suk Choi 3 , Yeonjae Kim 4 , Ki Tae Kweon 5 , Hyun Ah Kim 6 , Seong Yeol Ryu 6 , Seong-heon Wie 7 , Jieun Kim 2 * 1 Department of Internal Medicine, Eulji University College of Medicine, Daejeon, Korea, 2 Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea, 3 Department of Internal Medicine, Korea University College of Medicine, Ansan, Korea, 4 Department of Infectious Disease, National Medical Center, Seoul, Korea, 5 Department of Infectious Disease, Patima Hospital, Daegu, Korea, 6 Department of Internal Medicine, Gyemyeong University College of Medicine, Daegu, Korea, 7 Department of Internal Medicine, St. Vincent Hospital, Suwon, Korea * [email protected] Abstract To evaluate the frequency and appropriateness of indwelling urinary catheters (IUC) use and the incidence of catheter-associated urinary tract infections (CA-UTI), and explore the risk factors for CA-UTI in hospitals as a whole, we conducted a study. This study was divided into two parts; a point-prevalence study on Dec 12 th 2012 and a prospective cohort study from Dec 13 th 2012 to Jan 9 th 2013 were performed in six hospitals in Korea. All hospi- talized patients with newly-placed IUCs were enrolled and monitored weekly for 28 days after IUC placement. In the point-prevalence study, the IUCs were present in median 14.9/ 100 hospitalized patients (1Q 14, 3Q 16) across the six hospitals. In the prospective cohort study, the median IUC-days per patient was 5 (1Q 3, 3Q 10) and the median CA-UTI preva- lence per 1,000 catheter days was 1.9 (1Q 0.7, 3Q 3.8) with significant inter-hospital varia- tion. The proportion of patients with inappropriate IUC maintenance increased with number of IUC-days (8.5% on day 7, 9.4% on day 14, 16.3% on day 21, and 23.1% on day 28). Uri- nary output monitoring (23/36, 63.9%) was the most common indication for inappropriate use after 1 week of ICU placement. In multivariate analysis, IUC-days was significantly associated with the development of CA-UTI (odds ratio 1.122, 95% confidence interval 1.074–1.173, P < 0.001). IUC-days and CA-UTI rates vary between hospitals. IUC-days is a risk factor for CA-UTI, and is correlated with inappropriate use. PLOS ONE | October 9, 2017 1 / 11 a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 OPEN ACCESS Citation: Kim B, Pai H, Choi WS, Kim Y, Kweon KT, Kim HA, et al. (2017) Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea: A multicenter prospective observational study. PLoS ONE 12(10): e0185369. . org/10.1371/journal.pone.0185369 Editor: Steven J. Drews, University of Calgary, CANADA Received: February 21, 2017 Accepted: September 12, 2017 Published: October 9, 2017 Copyright: © 2017 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and
Image of page 1
Image of page 2

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture