Clinical Microbiology: Open Access

Abstract

Catheter Associated Urinary Tract Infections (CAUTI) and Antibiotic Sensitivity Pattern from Confirmed Cases of CAUTI in a Tertiary Care Hospital: A Prospective Study

Mohammad Mukhit Kazi, Amol Harshe, Hanumant Sale, Dileep Mane, Minal Yande and Supriya Chabukswar

Background: Catheter associated urinary tract infections (CAUTI) are major concern as one of the nosocomial infections. The growing antibiotic resistance amongst the uropathogen isolated from CAUTI making difficult for its management. Objectives: To bring down the incidence of CAUTI below 5 per 1000 catheter days and to know the antibiotic sensitivity pattern of uropathogens isolated from the confirmed cases of CAUTI. Methods: During daily rounds infection control nurse collects all the demographic data from the catheterized patients. It is scrutinized for the signs and symptoms as per CDC criteria for confirmation as CAUTI. Results: The overall incidence of CAUTI was 4.9 per 1000 catheterized days in the present study. The most common uropathogen was E. coli followed by K. pneumoniae. Very high antimicrobial resistance was found in Pseudomonas aeruginosa and Acinetobacter species in the present study. Conclusion: The present study showed that if infection control practices are in place and monitored meticulously it is possible to keep the incidence rates within the benchmark set by the individual hospital. The most common practices shall include hand hygiene, close drainage system, aseptic method for insertion and catheter care along with daily need assessment with evidence based observations. This study showed moderate to high resistance in few uropathogens which is a concern for all.