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Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings

Yin, Ruijie ; Jin, Zhilin ; Lee, Brandon Hochahn ; Alvarez, Gustavo Andres ; Stagnaro, Juan Pablo ; Valderrama-Beltran, Sandra Liliana ; Gualtero, Sandra Milena ; Jiménez-Alvarez, Luisa Fernanda ; Reyes, Lidia Patricia ; Henao Rodas, Claudia Milena ; Gomez, Katherine ; Alarcon, Johana ; Aguilar Moreno, Lina Alejandra ; Bravo Ojeda, Juan Sebastian ; Cano Medina, Yuliana Andrea ; Chapeta Parada, Edwin Giovannny ; Zuniga Chavarria, Maria Adelia ; Quesada Mora, Ana Marcela ; Aguirre-Avalos, Guadalupe ; Mijangos-Méndez, Julio Cesar ; Sassoe-Gonzalez, Alejandro ; Millán-Castillo, Claudia Marisol ; Aleman-Bocanegra, Mary Cruz ; Echazarreta-Martínez, Clara Veronica ; Hernandez-Chena, Blanca Estela ; Jarad, Rajab Mohamed Abu ; Villegas-Mota, Maria Isabel ; Montoya-Malváez, Mildred ; Aguilar-de-Moros, Daisy ; Castaño-Guerra, Elizabeth ; Córdoba, Judith ; Castañeda-Sabogal, Alex ; Medeiros, Eduardo Alexandrino ; Fram, Dayana ; Dueñas, Lourdes ; Carreazo, Nilton Yhuri ; Salgado, Estuardo ; Rosenthal, Victor Daniel

World journal of urology, 2023-12, Vol.41 (12), p.3599-3609 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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Título:
Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings
Autor: Yin, Ruijie ; Jin, Zhilin ; Lee, Brandon Hochahn ; Alvarez, Gustavo Andres ; Stagnaro, Juan Pablo ; Valderrama-Beltran, Sandra Liliana ; Gualtero, Sandra Milena ; Jiménez-Alvarez, Luisa Fernanda ; Reyes, Lidia Patricia ; Henao Rodas, Claudia Milena ; Gomez, Katherine ; Alarcon, Johana ; Aguilar Moreno, Lina Alejandra ; Bravo Ojeda, Juan Sebastian ; Cano Medina, Yuliana Andrea ; Chapeta Parada, Edwin Giovannny ; Zuniga Chavarria, Maria Adelia ; Quesada Mora, Ana Marcela ; Aguirre-Avalos, Guadalupe ; Mijangos-Méndez, Julio Cesar ; Sassoe-Gonzalez, Alejandro ; Millán-Castillo, Claudia Marisol ; Aleman-Bocanegra, Mary Cruz ; Echazarreta-Martínez, Clara Veronica ; Hernandez-Chena, Blanca Estela ; Jarad, Rajab Mohamed Abu ; Villegas-Mota, Maria Isabel ; Montoya-Malváez, Mildred ; Aguilar-de-Moros, Daisy ; Castaño-Guerra, Elizabeth ; Córdoba, Judith ; Castañeda-Sabogal, Alex ; Medeiros, Eduardo Alexandrino ; Fram, Dayana ; Dueñas, Lourdes ; Carreazo, Nilton Yhuri ; Salgado, Estuardo ; Rosenthal, Victor Daniel
Assuntos: Age ; Catheter-Related Infections - complications ; Catheters ; Catheters, Indwelling - adverse effects ; Cohort analysis ; Cross Infection - epidemiology ; Female ; Gender ; Humans ; Incidence ; Intensive Care Units ; Latin America - epidemiology ; Medicine ; Medicine & Public Health ; Nephrology ; Oncology ; Original Article ; Prospective Studies ; Risk Factors ; Urinary tract ; Urinary tract diseases ; Urinary tract infections ; Urinary Tract Infections - etiology ; Urogenital system ; Urology
É parte de: World journal of urology, 2023-12, Vol.41 (12), p.3599-3609
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Purpose Identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in Latin American Countries. Methods From 01/01/2014 to 02/10/2022, we conducted a prospective cohort study in 145 ICUs of 67 hospitals in 35 cities in nine Latin American countries: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Peru. To estimate CAUTI incidence, we used the number of UC-days as the denominator, and the number of CAUTIs as numerator. To estimate CAUTI RFs, we analyzed the following 10 variables using multiple logistic regression: gender, age, length of stay (LOS) before CAUTI acquisition, UC-days before CAUTI acquisition, UC-device utilization (DU) ratio, UC-type, hospitalizationtype, ICU type, facility ownership, and time period. Results 31,631 patients, hospitalized for 214,669 patient-days, acquired 305 CAUTIs. The pooled CAUTI rate per 1000 UC-days was 2.58, for those using suprapubic catheters, it was 2.99, and for those with indwelling catheters, it was 2.21. The following variables were independently associated with CAUTI: age, rising risk 1% yearly (aOR = 1.01; 95% CI 1.01–1.02; p < 0.0001 female gender (aOR = 1.28; 95% CI 1.01–1.61; p = 0.04), LOS before CAUTI acquisition, rising risk 7% daily (aOR = 1.07; 95% CI 1.06–1.08; p < 0.0001, UC/DU ratio (aOR = 1.14; 95% CI 1.08–1.21; p < 0.0001, public facilities (aOR = 2.89; 95% CI 1.75–4.49; p < 0.0001. The periods 2014–2016 and 2017–2019 had significantly higher risks than the period 2020–2022. Suprapubic catheters showed similar risks as indwelling catheters. Conclusion The following CAUTI RFs are unlikely to change: age, gender, hospitalization type, and facility ownership. Based on these findings, it is suggested to focus on reducing LOS, UC/DU ratio, and implementing evidence-based CAUTI prevention recommendations.
Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
Idioma: Inglês

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Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings

Berlin/Heidelberg: Springer Berlin Heidelberg

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