CAUTI IN GENERAL SURGERY WARDS – ANALYSIS OF INCIDENCE, PATHOGENS AND RISK FACTORS
Abstract
Background-Around 80% of hospital acquired urinary tract infections are catheter associated, most important pathogens being multidrug-resistant Enterobacteriacae. Important risk factors associated with CAUTI include prolonged catheterization, insertion of the catheter outside of the operating room, and inadequate professional training of the person inserting the catheter.
Methodology-With this background, present study was undertaken with the aim to know the prevalence of CAUTI in general surgery patients, bacterial pathogens and risk factors. Patients posted for planned surgery and catheterized were included. Diagnosis was based on clinical and laboratory criteria.
Results & Conclusion- Incidence of CAUTI was 28.04% with preponderance of gram negative bacilli .90% of isolates were multi-drug resistant. Significant alterable risk factors observed include attempts >1, surgery duration, catheterization duration, duration of hospitalization, staff category doing catheterization. Therefore, alterable risk factors should be taken care to reduce CAUTI.
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