Nosocomial urinary tract infections in urologic patients: assessment of a prospective surveillance program including 10,000 patients.
Eur Urol
; 41(5): 483-9, 2002 May.
Article
en En
| MEDLINE
| ID: mdl-12074789
ABSTRACT
OBJECTIVE:
Hospital-acquired urinary tract infections (HUTI) represent a significant impairment in the quality of health care. Incidence in catheterized patients has been estimated at approximately 20%, however few data are available in urologic patients. We report a prospective surveillance program over 6 years in our urologic department and evaluate its evolution.METHODS:
Population consists of all patients admitted to the urology ward for 48 hours or more over a 6-year period from 1994. Data recorded age, gender, duration of stay, insertion and removal of catheters, diagnosis of HUTI.ANALYSIS:
calculation of incidence, and incidence density for HUTI and for catheter-related HUTI, analysis of trends by chi(2) trend test.RESULTS:
A total of 10,054 consecutive patients were included, 52% were catheterized. The median incidence of catheter-related HUTI in catheterized patients was 13.0%, the incidence density was 25.1 HUTI/1000 patient-days of catheterization. The proportion of HUTI and specific catheter-related HUTI patients decreased, respectively from 8.4% and 14.2% to 6.5% and 12.3% during the study period (p<0.05).CONCLUSION:
The rate of HUTI was not as high as previously reported, perhaps due to a controlled catheter policy. Surveillance was associated with a significant decrease in infection rates, suggesting a beneficial feedback effect. Evaluation of diagnoses and surgical procedures would ensure an optimal quality control program.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones Urinarias
/
Cateterismo Urinario
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Infección Hospitalaria
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Eur Urol
Año:
2002
Tipo del documento:
Article
País de afiliación:
Francia