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An Epidemiological Hospital Based Matched Case-Control Study to Assess the Determinants of Catheter Associated Urinary Tract Infections

. Asim Raza, Shahbaz Ahmad Zakki, Malik Muhammad Yasin Awan, Ijaz ul Haq , Raheela Kousar and Kinza Shabbir


Abstract

- To evaluate the risk factors related to catheter associated urinary tract infections in a tertiary care hospital. An Epidemiological matched case-control study was conducted at Social Security Hospital, Gujrainwala, Pakistan. A sample of 376 (188 cases and 188 controls by 1:1 ratio) participants of age 20-80 years was collected. Urine specimen of 5 mL from each participant was taken after 48 hours of catheterization. Cases were selected randomly, and matched by control. Chi-Square test and Logistic Regression analysis were applied to assess the relationship of variables with CAUTIs. Matched variables were not included in analysis. Factors that were observed as significant with p-value ≤0.05; no suitable condition at the time of catheterization, patient mobilization, with diabetes, less fluid intake (< 1.5 Liter) and low hemoglobin level (<10 g/dL). Duration of catheter (≥7 days), no patient perineal care and no proper cleanliness in units were identified as risk factors that were highly significant with p-value<0.001 for CAUTIs. Long duration of catheter, unsatisfactory perineal care of patients, unsatisfied cleanliness in units and diabetes were potential risk factors for CAUTI’s. Well trained paramedical staff and proper care regarding cleanliness and perineal care are required to prevent and control the CAUTI’s.

Index Terms- Risk Factors, Evaluate, Urinary Tract Infections, Hospital Based, Case-Control Study

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