Risk Factors for Catheter-Associated Urinary Tract Infections (CA-UTI) in the Pediatric Intensive Care Unit

Objective To describe the occurrence, microbiology, and risk factors of catheter-associated urinary tract infections (CA-UTI) in critically ill children. Methods We conducted a review of hospital records for CA-UTI in the pediatric intensive care unit (PICU) over a 7-year period (2014–2020). Results 62 CA-UTI cases (48% boys, median (IQR) age 36 (12,96 month) were identified during the study period with occurrence rate of 7.2/1000 catheter-days. The most common organisms were Escherichia coli (32.4%) and Enterococcus faecalis (30.6%). Using a multivariate logistic regression analysis, the significant associated variables for CA-UTI were duration of catheter drainage (a OR (95% CI) 1.14, (1.03,1.27), P=−0.009), PICU stay (aOR (95% CI) 1.13 (1.05,1.21) (P<0.001), and hospital stay (aOR (95% CI): 1.03 (1.01,1.06), P=0.015). Conclusion CA-UTI is not an uncommon nosocomial infection in PICU. The risk increases with increasing duration of catheter drainage, and hospital or PICU stay..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:59

Enthalten in:

Indian pediatrics - 59(2022), 8 vom: 11. Juni, Seite 613-616

Sprache:

Englisch

Beteiligte Personen:

Lalitha, A. V. [VerfasserIn]
Paul, Manisha [VerfasserIn]
Nagraj, Savitha [VerfasserIn]
Ghosh, Santu [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Causes
Organisms
Outcome
Urinary catheterization

Anmerkungen:

© Indian Academy of Pediatrics 2022

doi:

10.1007/s13312-022-2573-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2131846177