Effect of a hospital-associated urinary tract infection reduction policy on general surgery patients
| Autor: | John G. Hunter, Michael R. Lasarev, Fouad M. Attia, Brett C. Sheppard, Erica L. Mitchell, Sheena K. Harris |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Demographics Urinary system Foley catheter 030230 surgery urologic and male genital diseases 03 medical and health sciences Catheters Indwelling Sex Factors 0302 clinical medicine Risk Factors Indwelling catheter medicine Humans 030212 general & internal medicine Urinary tract infection (UTI) Aged Retrospective Studies Cross Infection Retrospective review business.industry Incidence General surgery Incidence (epidemiology) General Medicine Patient data Length of Stay Middle Aged bacterial infections and mycoses medicine.disease Organizational Policy female genital diseases and pregnancy complications General Surgery Urinary Tract Infections Female Surgery Urinary Catheterization business |
| Zdroj: | The American Journal of Surgery. 215:658-662 |
| ISSN: | 0002-9610 |
| Popis: | Background Hospital-associated UTI rates in surgery patients have not improved despite recommendations for reducing indwelling catheter days. Methods We performed a retrospective review of institutional NSQIP general surgery patient data, 2006–2015. During this time, a UTI-reduction policy was implemented. Demographics, HA-UTI incidence, CA-UTI incidence, indwelling catheter days, straight catheterization rates, and mortality were examined. Results Females had significantly higher risk of HA-UTI. There was no significant change in HA-UTI (X12 = 0.02, p = .878) or indwelling catheter days (5.18 ± 1.12 days v 3.73 ± 0.39 days, p = .23). Straight catheterizations among those with HA-UTI increased (0.04 ± 0.04 v 0.32 ± 0.12, p = .029). There was no change in CA-UTI (1.38 v 1.11 CAUTI/1000 patient hospital-days P = .555) or in initial indwelling catheter days of patients with CA-UTI (7.2 SD 8.89 v 47.0 SD 7.04 days P = .961) after policy implementation. Conclusions The reduction policy increased the number of straight catheterizations for patients developing HA-UTI, but did not reduce the number of initial indwelling catheter days, HA-UTI rates, or CA-UTI rates. |
| Databáze: | OpenAIRE |
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