What question did this study set out to answer?

To determine the prevalence of catheter-associated urinary tract infections, identify the spectrum of causative pathogens, and assess bacterial antibiotic susceptibility profiles in intensive care unit patients.

March 22, 2022PLoS ONEOpen Access

Catheter-associated urinary tract infections in adult intensive care units at a selected tertiary hospital, Addis Ababa, Ethiopia

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To determine the prevalence of catheter-associated urinary tract infections, identify the spectrum of causative pathogens, and assess bacterial antibiotic susceptibility profiles in intensive care unit patients.
Involved adult patients (N=220) admitted to intensive care units with indwelling urethral catheters for >48 hours between October 2020 and September 2021 in Addis Ababa, Ethiopia.
Aseptically collected urine specimens to isolate and identify microbial pathogens and perform standard antibiotic susceptibility testing.
Significant bacteriuria/candiduria occurred in 51.4% of patients (21.0% bacteriuria, 19.1% candiduria, 11.4% polymicrobial) and was significantly associated with length of intensive care stay (P < 0.001).
Multidrug resistance was observed in 65.8% of bacterial isolates (52/79), including 100% of Klebsiella species and Escherichia coli, 86.7% of Acinetobacter species, and 55.6% of Enterococcus species.
Gram-negative isolates demonstrated high resistance rates to ceftriaxone (94.7%), ampicillin (91.3%), and cefotaxime (89.5%), while non-albicans Candida species comprised roughly half of all fungal isolates.

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Implication

Observational study reveals high rates of catheter-associated bacteriuria and drug-resistant pathogens in adult intensive care units, indicating an urgent need for enhanced infection control.

Cite This Study

Bizuayehu et al. (2022) studied this question.

synapsesocial.com/papers/6a7fbd0c5a7e1563e018f5b8 https://doi.org/10.1371/journal.pone.0265102

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Implication

Observational study reveals high rates of catheter-associated bacteriuria and drug-resistant pathogens in adult intensive care units, indicating an urgent need for enhanced infection control.

Catheter-associated urinary tract infections in adult intensive care units at a selected tertiary hospital, Addis Ababa, Ethiopia

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Discussion

Implication

Cite This Study

Catheter-associated urinary tract infections in adult intensive care units at a selected tertiary hospital, Addis Ababa, Ethiopia

Key Points

Discussion

Implication

Cite This Study

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