open access

Vol 48, No 1 (2016)
Original and clinical articles
Submitted: 2016-03-11
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Urinary tract infections in intensive care unit patients — a single-centre, 3-year observational study according to the INICC project

Wiesława Duszyńska, Victor D. Rosenthal, Aleksander Szczęsny, Ewa Woźnica, Klaudia Ulfik, Elżbieta Ostrowska, Agnieszka Litwin, Andrzej Kübler
DOI: 10.5603/AIT.2016.0001
·
Anaesthesiol Intensive Ther 2016;48(1):1-6.

open access

Vol 48, No 1 (2016)
Original and clinical articles
Submitted: 2016-03-11

Abstract

Background: Urinary tract infections (UTI) in patients with urinary catheters could be a serious complication of hospitalisation in the intensive care unit (ICU).

Methods: A prospective study (01.01.2012−31.12.2014) was conducted in the 20-bed ICU of the University Hospital in Wroclaw, Poland. The frequency (density, incidence) and aetiology of UTI as well as prophylactic method compliance were estimated in patients of the ICU according to the INICC project.

Results: Among 1261 ICU patients, urinary tract infections were diagnosed in 91 (7%). The incidence index was 7.25/100 admissions to the ICU. CA-UTI constituted 36% of the device-associated, healthcare-associated infections (n = 255). A urinary catheter was used in 92.21 ± 4.51% of patients during 14,006 patient-days and 12,917 urinarycatheter- days. The density of CA-UTI/1000 catheter-days was 6.44, 6.84, 7.16 during the years 2012, 2013, and 2014, respectively. The main pathogens of CA-UTI were Enterococcus spp. (22%), Acinetobacter baumannii (20%), Klebsiella pneumoniae (18%), Pseudomonas aeruginosa (13%), and Candida spp. (13%). Only in four elements of the “Urinary Catheter Bundle” was 100% compliance noted.

Conclusions: In the observed period of time, the incidence of CA-UTI was higher than in the INICC (2014) report and the NHSN/CDC (2012) report. Analysis of compliance with a “Urinary Catheter Bundle” to prevent UTI shows low implementation of preventative methods with the INICC protocol.

Abstract

Background: Urinary tract infections (UTI) in patients with urinary catheters could be a serious complication of hospitalisation in the intensive care unit (ICU).

Methods: A prospective study (01.01.2012−31.12.2014) was conducted in the 20-bed ICU of the University Hospital in Wroclaw, Poland. The frequency (density, incidence) and aetiology of UTI as well as prophylactic method compliance were estimated in patients of the ICU according to the INICC project.

Results: Among 1261 ICU patients, urinary tract infections were diagnosed in 91 (7%). The incidence index was 7.25/100 admissions to the ICU. CA-UTI constituted 36% of the device-associated, healthcare-associated infections (n = 255). A urinary catheter was used in 92.21 ± 4.51% of patients during 14,006 patient-days and 12,917 urinarycatheter- days. The density of CA-UTI/1000 catheter-days was 6.44, 6.84, 7.16 during the years 2012, 2013, and 2014, respectively. The main pathogens of CA-UTI were Enterococcus spp. (22%), Acinetobacter baumannii (20%), Klebsiella pneumoniae (18%), Pseudomonas aeruginosa (13%), and Candida spp. (13%). Only in four elements of the “Urinary Catheter Bundle” was 100% compliance noted.

Conclusions: In the observed period of time, the incidence of CA-UTI was higher than in the INICC (2014) report and the NHSN/CDC (2012) report. Analysis of compliance with a “Urinary Catheter Bundle” to prevent UTI shows low implementation of preventative methods with the INICC protocol.

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Keywords

intensive care unit, hospital-acquired infections, urinary tract infections

About this article
Title

Urinary tract infections in intensive care unit patients — a single-centre, 3-year observational study according to the INICC project

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 48, No 1 (2016)

Pages

1-6

DOI

10.5603/AIT.2016.0001

Bibliographic record

Anaesthesiol Intensive Ther 2016;48(1):1-6.

Keywords

intensive care unit
hospital-acquired infections
urinary tract infections

Authors

Wiesława Duszyńska
Victor D. Rosenthal
Aleksander Szczęsny
Ewa Woźnica
Klaudia Ulfik
Elżbieta Ostrowska
Agnieszka Litwin
Andrzej Kübler

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