What question did this study set out to answer?

To identify independent clinical and procedural risk factors associated with the acquisition of catheter-related nosocomial urinary tract infections in hospitalized patients.

December 1, 1986American Journal of Epidemiology

Risk Factors for Nosocomial Urinary Tract Infection

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Authors

RPRichard PlattHarvard University BPB. Frank PolkJobs for the Future BMBridget MurdockBeth Israel Deaconess Medical Center

Discussion

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Implication

Prospective study identifies multivariable risk factors for catheter-associated urinary tract infections in hospitalized adults, highlighting diabetes and catheter duration as key determinants.

Key Points

To identify independent clinical and procedural risk factors associated with the acquisition of catheter-related nosocomial urinary tract infections in hospitalized patients.
Prospective cohort study of 1,458 adult inpatients undergoing 1,474 indwelling bladder catheterizations between June 1979 and April 1981.
Evaluated independent predictors of infection using multivariable multiple logistic regression analysis to control for potential confounding variables.
A total of 136 urinary tract infections occurred across 134 of the 1,458 patients during 1,474 catheterizations.
Multiple logistic regression identified nine independent risk factors: duration of catheterization, lack of systemic antibiotics during short catheter courses, lack of urinemeter drainage, female sex, diabetes mellitus, microbial colonization of the drainage bag, serum creatinine >2 mg/dL at catheterization, indication for catheterization, and sealed collection junctions without antibiotic administration.
Eleven additional risk factors significantly linked to infection in unadjusted analyses lost statistical significance after multivariable adjustment for the nine independent factors.

Cite This Study

Platt et al. (1986) studied this question.

synapsesocial.com/papers/6a7a07e2fbd9051d3b0e12ab https://doi.org/10.1093/oxfordjournals.aje.a114487

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Implication

Prospective study identifies multivariable risk factors for catheter-associated urinary tract infections in hospitalized adults, highlighting diabetes and catheter duration as key determinants.

Risk Factors for Nosocomial Urinary Tract Infection

Discussion

Member takes

Implication

Key Points

Cite This Study

Risk Factors for Nosocomial Urinary Tract Infection

Discussion

Member takes

Implication

Key Points

Cite This Study

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