Microbiological aspects of catheter associated urinary tract (CAUTI) infections in tertiary care hospital: A prospective cross-sectional study

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Original Article

Author Details : Rachana Patel, Amit Pravin Chauhan*, Himani Pandya, Rezil Christie, Sucheta Lakhani

Volume : 10, Issue : 2, Year : 2024

Article Page : 145-150

https://doi.org/10.18231/j.ijmmtd.2024.026

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Abstract

Background: Urinary Tract Infections (UTIs) rank among the most common bacterial infections, affecting all demographics in community and hospital settings. Catheterized patients in critical areas are at increased risk of Catheter-associated UTIs (CAUTIs) due to bacterial or candidial infections. This study assesses CAUTI incidence, causative agents, and antibiotic susceptibility, vital for treatment and infection control.
Aim & Objectives: 1. This study is aimed to find prevalence of catheter associated urinary tract infection rate among study population; 2. To find out mostly affected age group and gender; 3. The present study was taken to identify candida and bacterial uro-pathogens causing CAUTI -most common organism and their types and level of antimicrobial drug susceptibility attending a tertiary care hospital. 
Materials and Methods: A three-month Prospective Cross-sectional study was conducted at Dhiraj Hospital. Following approval from the ethical committee, data collection commenced. Patients with over two days of catheterization and clinical signs of UTI were enrolled. Bacterial identification and antibiotic sensitivity were analyzed using standard protocols, alongside calculation of the CAUTI rate.
Result: Out of 80 catheterized urine sample, 51 cases found to as CAUTI. With standard formula applied it was counted that CAUTI rate came to be 15.67%. In our study 55% men and 45% female were affected. In 45 Cases, Most common Gram Negative organisms were E.coli (37.2%), Klebsiella spp (19.6%), Pseudomonas spp (9.8%) and in 6 cases Candida spp isolated. Most resistant drugs were Fluoroquinolones and Cephalosporin group. Amikacin, Fosfomycin, Meropenem and Imipenem sensitivity were 28.5%, 30%, 22.8% and 28.5% respectively. Most of candida urine infection were sensitive to azole group of antifungal.
Conclusion: According to micro-organism and AST pattern found in CAUTI need to formulate Antibiotic policy and strictly follow CAUTI bundle care and infection control practices which may help in line of treatment and management of patient in respective area.

Keywords: CAUTI, Tertiary care hospital, Antibiotics, AST

How to cite : Patel R, Chauhan A P, Pandya H, Christie R, Lakhani S, Microbiological aspects of catheter associated urinary tract (CAUTI) infections in tertiary care hospital: A prospective cross-sectional study. IP Int J Med Microbiol Trop Dis 2024;10(2):145-150

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