Interpretation of the profile of infections associated with permanent urinary catheters in intensive care patients
DOI:
https://doi.org/10.35381/s.v.v10i2.5105Keywords:
Infections, urinary tract, urinary catheter, intensive care uni, Source: DeCS).Abstract
Healthcare-associated infections are one of the leading causes of illness and death in hospitalized patients worldwide. Objective: To interpret the profile of infections associated with indwelling urinary catheters in intensive care unit patients. Method: Narrative review with search of indexed databases, selection by inclusion criteria (last 10 years; English, Spanish, Portuguese), and independent evaluation by authors. Results: The most frequent pathogens identified were Klebsiella pneumoniae, Escherichia coli, Pseudomonas aeruginosa, Acinetobacter baumannii, Enterococcus, and Candida spp.; the prevalence of catheter use in the ICU reached 76% in multicenter studies. Conclusions: Catheter-associated UTIs in the ICU have diverse etiologies; reducing them requires surveillance, appropriate use of catheters, and clinical-nursing collaboration to implement preventive measures.
Downloads
References
Kuriyama A, Takada T, Irie H, Sakuraya M, Katayama K, Kawakami D, Iwasaki H, Fowler KE, Tokuda Y, Saint S. Prevalence and appropriateness of urinary catheters in Japanese intensive care units: Results from a multicenter point prevalence study. Clinical Infectious Diseases. 2017;64(2):S127-S130. https://doi.org/10.1093/cid/cix018
Mota ÉC, Oliveira AC. Catheter-associated urinary tract infection: why do not we control this adverse event?. Rev esc enferm USP. 2019;53:e03452. https://doi.org/10.1590/S1980-220X2018007503452
Vyawahare CR, Gandham NR, Misra RN, Jadhav SV, Gupta NS, Angadi KM. Occurrence of catheter-associated urinary tract infection in critical care units. Medical Journal of Dr. D.Y. Patil University. 2015;8(5):585-589. https://n9.cl/4n29gp
Aldecoa Y, Alanazi A, Bin Saleh G, Alshanbari N, Humayun T, Alsheddi F, El-Saed A, Alqahtani M, Alanazi KH. Rates of urinary catheter- associated urinary tract infection in Saudi MOH hospitals: a 2-year multi-centre study. International J Infect Control. 2022;18:21703. https://n9.cl/0nopc
Podkovik S, Toor H, Gattupalli M, Kashyap S, Brazdzionis J, Patchana T, Bonda S, Wong S, Kang C, Mo K, Wacker MR, Miulli DE, Wang S. Prevalence of Catheter-Associated Urinary Tract Infections in Neurosurgical Intensive Care Patients – The Overdiagnosis of Urinary Tract Infections. Cureus 2019;11(8):e5494. https://doi.org/10.7759/cureus.5494
Chuang L, Tambyah PA. Catheter-associated urinary tract infection. J Infection and Chemotherapy. 2021;27(10):1400-1406. https://doi.org/10.1016/j.jiac.2021.07.022
Saleem M, Syed Khaja AS, Hossain A, Alenazi F, Said KB, Moursi SA, Almalaq HA, Mohamed H, Rakha E, Mishra SK. Catheter-Associated Urinary Tract Infection in Intensive Care Unit Patients at a Tertiary Care Hospital, Hail, Kingdom of Saudi Arabia. Diagnostics. 2022;12(7):1695. https://doi.org/10.3390/diagnostics12071695
Gauhar V, Castellani D, Teoh JYC, Nedbal, C, Chiacchio G, Gabrielson AT, Heldwein FL, Wroclawski ML, de la Rosette J, Donalisio da Silva R, Galosi AB, Somani BK. Catheter-Associated Urinary Infections and Consequences of Using Coated versus Non-Coated Urethral Catheters—Outcomes of a Systematic Review and Meta-Analysis of Randomized Trials. J Clinical Med. 2022;11(15). https://doi.org/10.3390/jcm11154463
Aly SA, Tawfeek RA, Mohamed IS. Bacterial catheter-associated urinary tract infection in the Intensive Care Unit of Assiut University Hospital. Al-Azhar Assiut Med J. 2016;14(2):52-58. https://doi.org/10.4103/1687-1693.192652
Alqarni MS. Catheter-Associated Urinary Tract Infection (CAUTI) in ICU patients. Middle East J Nursing, 2021;15(1):25-33. https://n9.cl/bav3s
Liu YMM; Xiao DMM; Shi XMM. Urinary tract infection control in intensive care patients. Medicine. 2018;97(38):e12195. https://doi.org/10.1097/MD.0000000000012195
Moghadam SH, Ganji J. Evaluation of the nursing process utilization in a teaching hospital, Ogun State, Nigeria. J Nursing and Midwifery Sciences, 2019;6(3):149-155. https://doi.org/10.4103/JNMS.JNMS
Bizuayehu H, Bitew A, Abdeta A, Ebrahim S. Catheter-associated urinary tract infections in adult intensive care units at a selected tertiary hospital, Addis Ababa, Ethiopia. PLoS ONE. 2022;17(3):e0265102. https://doi.org/10.1371/journal.pone.0265102
Keten D, Aktas F, Tunccan OG, Dizbay M, Kalkanci A, Biter G, Keten HS. Catheter-associated urinary tract infections in intensive care units at a university hospital in Turkey. Biomol Biomed. 2014;14(4):227-33. https://doi.org/10.17305/bjbms.2014.4.140
Zahran FE, Ibrahim A, Omer SA, Elkohafy SA, Mohammed GK. Causative Organisms of Catheter Associated Urinary Tract Infection in Medical Wards and Intensive Care Units. International J Internal Med. 2019;8(3):37-41. https://n9.cl/fdvf8
Duszyńska W, Rosenthal V, Szczęsny A, Woźnica E, Ulfik K, Ostrowska E, Litwin A, Kübleret A. Urinary tract infections in intensive care unit patients — a single-centre, 3-year observational study according to the INICC project. Anaesthesiology Intensive Therapy. 2016;48(1). https://doi.org/10.5603/AIT.2016.0001
Sampathkumar P. Reducing catheter-associated urinary tract infections in the ICU. Current Opinion in Critical Care, 2017;23(5):372-377. https://doi.org/10.1097/MCC.0000000000000441
Maxwell M, Murphy K, McGettigan M. Changing ICU culture to reduce catheter-associated urinary tract infections. Canadian J of Infection Control, 2018;33(1):39-43. https://n9.cl/iq9mu9
Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ. Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol. 2015;13(5):269-84. https://doi.org/10.1038/nrmicro3432
Selim SM, Abo El Seoud AR, Mohamed AAH, Ibrahim SAA. Effect of infection control program on catheter associated urinary tract infection in intensive care units at Zagazig University Hospital. Zagazig Univ Med J. 2018;24(5):420 436. https://n9.cl/89nwu
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 María Fernanda Tupiza-Espin , Elsa Josefina Albornoz-Zamora, Adisnay Rodríguez-Plasencia, Vladimir Vega-Falcón
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
OAI-PMH: https://fundacionkoinonia.com.ve/ojs/index.php/saludyvida/oai.
