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Year : 2022  |  Volume : 3  |  Issue : 2  |  Page : 44-49

A study of clinical and economical burden imposed by catheter associated urinary tract infection in a tertiary care teaching hospital

Department of Pharmacology, Medical College Baroda, Vadodara, Gujarat, India

Correspondence Address:
Dr. Niyati Trivedi
Department of Pharmacology, Medical College Baroda, Vadodara - 390 001, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/QAIJ.QAIJ_20_22

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Background and Objectives: Catheter-associated urinary tract infection (CAUTI) is one of the most common health care-associated infections worldwide. Determination of the clinical and financial burden of CAUTI is of critical importance for all stakeholders for rational and fair allocation of resources. Materials and Methods: This study was a prospective observational study. The microbiological profile, antimicrobial usage, length of hospitalization (LOH), and cost of antimicrobial therapy of the patients diagnosed to have CAUTI were assessed. Data were expressed as mean ± standard deviation and range. Simple regression was used to find an association between the duration of catheterization and the development of CAUTI, one-way ANOVA was used to analyze the organism-specific differences in the above parameters. Results and Interpretation: One hundred and seventy-two patients with CAUTI were identified during the study period. The mean number of days from the insertion of the catheter to the development of the first symptom of CAUTI was 5.19 ± 2.08 days with a range of 2–14 days. Escherichia coli spp. was the most common isolate in 62% of patients. 81.39% of isolates were multidrug resistant. There was no significant difference observed in the days of therapy or length of therapy or LOH in different patients of CAUTI based on the causative organism; however, the cost of acquisition of antimicrobial therapy was found to be significantly different among the different microorganisms. Conclusion: Increasing prevalence of multidrug-resistant organisms has made the management of CAUTIs considerably more challenging. Implementation of optimum preventive measures and antimicrobial stewardship practices is essential.

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