Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea: A multicenter prospective observational study

Bongyoung Kim, Hyunjoo Pai, Wonseok Choi, Yeonjae Kim, Ki Tae Kweon, Hyun Ah Kim, Seong Yeol Ryu, Seong heon Wie, Jieun Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

To evaluate the frequency and appropriateness of indwelling urinary catheters (IUC) use and the incidence of catheter-associated urinary tract infections (CA-UTI), and explore the risk factors for CA-UTI in hospitals as a whole, we conducted a study. This study was divided into two parts; a point-prevalence study on Dec 12th 2012 and a prospective cohort study from Dec 13th 2012 to Jan 9th 2013 were performed in six hospitals in Korea. All hospitalized patients with newly-placed IUCs were enrolled and monitored weekly for 28 days after IUC placement. In the point-prevalence study, the IUCs were present in median 14.9/ 100 hospitalized patients (1Q 14, 3Q 16) across the six hospitals. In the prospective cohort study, the median IUC-days per patient was 5 (1Q 3, 3Q 10) and the median CA-UTI prevalence per 1,000 catheter days was 1.9 (1Q 0.7, 3Q 3.8) with significant inter-hospital variation. The proportion of patients with inappropriate IUC maintenance increased with number of IUC-days (8.5% on day 7, 9.4% on day 14, 16.3% on day 21, and 23.1% on day 28). Urinary output monitoring (23/36, 63.9%) was the most common indication for inappropriate use after 1 week of ICU placement. In multivariate analysis, IUC-days was significantly associated with the development of CA-UTI (odds ratio 1.122, 95% confidence interval 1.074–1.173, P< 0.001). IUC-days and CA-UTI rates vary between hospitals. IUC-days is a risk factor for CA-UTI, and is correlated with inappropriate use.

Original languageEnglish
Article numbere0185369
JournalPLoS One
Volume12
Issue number10
DOIs
Publication statusPublished - 2017 Oct 1

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urinary tract diseases
Catheter-Related Infections
Urinary Catheters
Indwelling Catheters
Catheters
observational studies
Korea
catheters
Urinary Tract Infections
Observational Studies
Korean Peninsula
Prospective Studies
Cohort Studies
Cross-Sectional Studies
cohort studies
risk factors
Multivariate Analysis
Odds Ratio
Maintenance
Confidence Intervals

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea : A multicenter prospective observational study. / Kim, Bongyoung; Pai, Hyunjoo; Choi, Wonseok; Kim, Yeonjae; Kweon, Ki Tae; Kim, Hyun Ah; Ryu, Seong Yeol; Wie, Seong heon; Kim, Jieun.

In: PLoS One, Vol. 12, No. 10, e0185369, 01.10.2017.

Research output: Contribution to journalArticle

Kim, Bongyoung ; Pai, Hyunjoo ; Choi, Wonseok ; Kim, Yeonjae ; Kweon, Ki Tae ; Kim, Hyun Ah ; Ryu, Seong Yeol ; Wie, Seong heon ; Kim, Jieun. / Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea : A multicenter prospective observational study. In: PLoS One. 2017 ; Vol. 12, No. 10.
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