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KMID : 1141420190240010011
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Korean Journal of Healthcare-associated Infection Control Prevention
2019 Volume.24 No. 1 p.11 ~ p.18
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Incidence of Catheter-associated Urinary Tract Infection in Hospitals with Less than 300 Beds
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Park Jin-Ju
Seo Yu-Bin
Kim Sung-Ran
Park Hye-Jin
Eom Joong-Sik
Yoo Hyeon-Mi
Chun Hee-Kyung
Choi Jae-Phil
Lee Ja-Cob
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Abstract
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Background: Catheter-associated urinary tract infection is a major infection in healthcare facilities. We investigated the urinary catheter utilization ratio and incidence of catheter-associated urinary tract infections in small-sized hospitals with ≤300 beds.
Methods: We recruited hospitals via a web-based survey from July 2016 to September 2016. Infection control practitioners provided data about catheter-associated urinary tract infections on the website according to the prescribed form. The urinary catheter utilization ratio was calculated by dividing the number of device-days by the number of patient-days. The incidence of catheter-associated urinary tract infections per 1,000 device-days was calculated by dividing the number of urinary tract infections in patients with indwelling urinary catheter by the number of indwelling device-days and multiplying by 1000. The urinary catheter utilization ratio and incidence of catheter-associated urinary tract infections were compared between hospitals with ＞200 beds and ≤200 beds
Results: Twenty-seven hospitals were included. The average urinary catheter utilization ratio was 0.4 (0.47 in hospitals with ＞200 beds and 0.38 in hospitals with ≤200 beds; P=0.1). The incidence of catheter-associated urinary tract infections was 1.59 per 1,000 device-days. There was no significant difference in the incidence of infections according to the number of beds (1.53 in hospitals with ＞200 beds vs 1.9 in hospitals with ≤200 beds, P=0.421).
Conclusion: The incidence of catheter-associated urinary tract infections in small-sized hospitals was considerably high. Efforts must be made to attenuate the infection rates through proper infection control and monitoring.
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KEYWORD
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Catheter-associated urinary tract infection, Incidence, Infection control
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