Abstract

INCIDENCE, PREVENTION AND MANAGEMENT OF CATHETER ASSOCIATED URINARY TRACT INFECTION

Hina Javaid*, Maham Arshad and Mariam Zaka

ABSTRACT

Catheter associated urinary tract infection attributed to the use of an indwelling urinary catheter is one of the most common infection acquired by patients in health care facilities. As biofilm ultimately developed on all devices, the major determinant for the development of bacteriuria is the duration of catheterization. E.coli remains the frequent cause. Among the diagnostic tests, Urinalysis is useful for excluding bacteriuria. A retrospective as well as prospective study on 50 patients suffering with CAUTIs at 2 hospitals was conducted. Statistical analysis of the study showed that antibiotics are the effective in the treatment of CAUTIs. Objectives: To study the incidence, management and prevention of catheter associated urinary tract infection and to explore opportunities for pharmacist intervention in the management of CAUTIs. Method: A prospective as well as retrospective study design was adopted using convenient sampling technique, during the period of June 2017- August 2017. A data collection form was designed and data was collected by observing patients suffering with CAUTIs in urology unit of hospital, face to face interview with them and their care providers. Collected data was analyzed and represented in the form of tables and graphs. Results: The study showed that most of the CAUTIs are caused by the increased duration of catheterization. There were 62% male and 36% of females were found suffering with CAUTIs. 40% of antibiotics, 40% of analgesics and 20% of PPIs were prescribed to patients and they were compliant to their medications. Physician checked their patients regularly and pharmacist had no role in the treatment guidance of patients. Conclusion: It was concluded that most of CAUTIs were caused by increased duration of catheterization.

Keywords: Urinary Catheter, Antibiotics, Bacteriuria, Urinary Tract infection, Catheter associated urinary tract infection.