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Research Paper | Medical Surgical | India | Volume 8 Issue 9, September 2019
A Study to Determine the Prevalence of Catheter Associated Urinary Tract Infection in Surgical Wards and Recovery Room in a Tertiary Healthcare Centre in Central India
Dr. Jagadish B. Hedawoo [2] | Dr. Kaustubh S. Deshmukh
Abstract: Background Amongst all Hospital Acquired Infections, CAUTI is most commonly encountered. CAUTI impact is reflected from increased duration of hospital stay and antibiotic resistance. This poses a problem in the surgical patients who are debilitated either due to underlying pathology or major surgery. This study was aimed to find the prevalence of CAUTI in such patients. Methods – It was prospective observational study conducted between July 2016 to November 2018 in catheterized patients with minimum duration of indwelling catheter to be 3 days. Urine samples were collected immediately, 48 hours and 120 hours after catheterization and subjected to microbiological analysis. Results – Out of 400 patients with male to female ratio of 1.23: 1, 65 developed CAUTI (16.25 %) and 22 patients had symptomatic bacteriuria (non CAUTI – 5.5 %). CAUTI rate was 23.06 per 1000 catheter days. Infection rate among males was 13.12 % while that in female was 20.11 %.19 and 46 patients developed CAUTI after 48 hours and 120 hours of indwelling urinary catheters respectively. Most common organism was found to be E. coli. Discussion – Overall, this study shows a high incidence of CAUTI in females (p = 0.003). This study showed a high incidence of CAUTI in age group 51 – 60 years in males (23.07 %) and in age group 61 – 70 years in females (47.06 %). Acinetobacter and Citrobacter were found to be isolated from patients admitted in ICU with sensitivity to higher antibiotics. C. albicans was associated with a long term antimicrobial treatment and long duration of urinary indwelling catheter.
Keywords: CAUTI, pyuria, Hospital Acquired Infection, prevalence
Edition: Volume 8 Issue 9, September 2019,
Pages: 871 - 875