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Nosocomial Urinary Tract Infection: A Prospective Evaluation of 108 Catheterized Patients

Published online by Cambridge University Press:  02 January 2015

Alan I. Hartstein ,
Susan B. Garber ,
Thomas T. Ward ,
Stephen R. Jones  and
Virginia H. Morthland
Alan I. Hartstein*
Affiliation:
Division of Infectious Diseases and Departments of Medicine, Public Health and Preventive Medicine, and Hospital Infection Control, University of Oregon Health Sciences Center, Portland
Susan B. Garber
Affiliation:
Division of Infectious Diseases and Departments of Medicine, Public Health and Preventive Medicine, and Hospital Infection Control, University of Oregon Health Sciences Center, Portland
Thomas T. Ward
Affiliation:
Division of Infectious Diseases and Departments of Medicine, Public Health and Preventive Medicine, and Hospital Infection Control, University of Oregon Health Sciences Center, Portland
Stephen R. Jones
Affiliation:
Division of Infectious Diseases and Departments of Medicine, Public Health and Preventive Medicine, and Hospital Infection Control, University of Oregon Health Sciences Center, Portland
Virginia H. Morthland
Affiliation:
Division of Infectious Diseases and Departments of Medicine, Public Health and Preventive Medicine, and Hospital Infection Control, University of Oregon Health Sciences Center, Portland
*
University of Oregon Health Sciences Center, Portland, OR 97201
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Abstract

This study describes the evaluation of 108 patients who had indwelling urethral catheters for acute medical and surgical indications. Patients were evaluated daily, and cultures from bladders and drainage bags were obtained. Appropriateness for continuing catheterization was assessed using preset criteria. Twenty-five patients developed urinary tract infections. Exposure to antibiotics and a shorter duration of catheterization were the only factors that correlated significantly with a delayed onset or decreased prevalence of infection. Factors found to have insignificant effects included age, sex, maintenance of the closed system, underlying host disease status, catheter type, and reason for catheterization. No collection systems with one way valves were used, but significant colony counts in drainage bag urine preceded urinary tract infection in only two patients. Thirty-six percent of the total 562 catheter days were judged unnecessary. A major emphasis must be placed on prompt catheter removal if the prevalence of nosocomial urinary tract infections is to be reduced substantially in a cost-effective manner [Infect Control 1981; 2(5):380-386.]

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 2 , Issue 5 , October 1981 , pp. 380 - 386
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1981

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