Korean J healthc assoc Infect Control Prev.  2019 Jun;24(1):11-18. 10.14192/kjhaicp.2019.24.1.11.

Incidence of Catheter-associated Urinary Tract Infection in Hospitals with Less than 300 Beds

Affiliations
  • 1Division of Infectious Disease, Hallym University Hangang Sacred Heart Hospital, Seoul, Korea.
  • 2Division of Infectious Disease, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. litjacob@chol.com
  • 3Infection Control Office, Korea University Guro Hospital, Seoul, Korea.
  • 4Infection Control Office, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
  • 5Division of Infectious Disease, Gachon University Gil Hospital, Incheon, Korea.
  • 6Infection Control Office, Inje University Sanggye Paik Hospital, Seoul, Korea.
  • 7Infection Control Office, Kyung Hee University Medical Center, Seoul, Korea.
  • 8Division of Infectious Disease, Seoul Medical Center, Seoul, Korea.

Abstract

BACKGROUND
Catheter-associated urinary tract infection is a major infection in healthcare facilities. We investigated the urinary catheter utilization ratio and incidence of catheter-associated urinary tract infections in small-sized hospitals with ≤300 beds.
METHODS
We recruited hospitals via a web-based survey from July 2016 to September 2016. Infection control practitioners provided data about catheter-associated urinary tract infections on the website according to the prescribed form. The urinary catheter utilization ratio was calculated by dividing the number of device-days by the number of patient-days. The incidence of catheter-associated urinary tract infections per 1,000 device-days was calculated by dividing the number of urinary tract infections in patients with indwelling urinary catheter by the number of indwelling device-days and multiplying by 1000. The urinary catheter utilization ratio and incidence of catheter-associated urinary tract infections were compared between hospitals with >200 beds and ≤200 beds.
RESULTS
Twenty-seven hospitals were included. The average urinary catheter utilization ratio was 0.4 (0.47 in hospitals with >200 beds and 0.38 in hospitals with ≤200 beds; P=0.1). The incidence of catheter-associated urinary tract infections was 1.59 per 1,000 device-days. There was no significant difference in the incidence of infections according to the number of beds (1.53 in hospitals with >200 beds vs 1.9 in hospitals with ≤200 beds, P=0.421).
CONCLUSION
The incidence of catheter-associated urinary tract infections in small-sized hospitals was considerably high. Efforts must be made to attenuate the infection rates through proper infection control and monitoring.

Keyword

Catheter-associated urinary tract infection; Incidence; Infection control

MeSH Terms

Delivery of Health Care
Humans
Incidence*
Infection Control
Infection Control Practitioners
Urinary Catheters
Urinary Tract Infections*
Urinary Tract*

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