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Catheter associated urinary tract infection at vasavi hospital, Bangalore, India

Author: 
Dr. Vijaya Doddaiah, Dr. Suresh Harikumar, Dr. Karthik Krishna, Dr. Jaya Swathi and Dr. Ramesh Thygaraja
Subject Area: 
Health Sciences
Abstract: 

All healthcare urinary tract infections are caused by instrumentation of urinary tract. Catheter associated urinary tract infection (CAUTI) has been associated with increased morbidity, mortality, hospital cost and length of stay. It is usually caused by multidrug resistant strains; require higher antibiotics and these strains may spread to other patients. Duration of catheterization is directly related to the development of bacteriuria. Aim of the present study is to, identify CAUTI in relation to age, sex, department wise, days of catheterization, to isolate the aetiolological agent and their antibiogram. To identify various risk factors in the causation of CAUTI and to bring down the incidence of CAUTI. Out of 384 catheterized patients(185 males, 199 females) majority of them belongs to the age of 61-70 (23.18%) followed by 19-30 (19.27%) years. CAUTI as per definition was found in 2 patients with rate of 1.56 /1000 catheterised days. The causative agents were Esch. Coli and Klebsiella pneumoniae which were multi drug resistant. Infection prevention policies are stringent in this institution, which helped infection control team to keep low incidence of CAUTI in the present study. This study provides baseline information in the context of incidence of CAUTI, to identify causative bacteria and their antibiogram for prophylactic and empiric therapy in these patients.

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