MAIN RISK FACTORS OF URINARY TRACT INFECTION (UTI) IN INPATIENTS: IMPROVEMENT PROPOSALS
Abstract
Cross-sectional, retrospective, exploratory study. The objective of this study is to identify the main risk factors for the presence of urinary tract infection (UTI) and to elaborate a proposal of improvements for its prevention. The patient mix consists of all the patients with nosocomial UTI notified between April 2003 and July 2005. A total of 114 of UTI cases were assessed in that period, related or not with long duration vesical catheterization. The main described risk factors were: A percentage of 60.5% of females, 78% with morbidity that presupposes UTI, 73% older than 61 years, 59% of both cases in intensive therapy, 83% used long duration vesical catheterization (33% using it for 16 to 30 days and 25% more than 31 days), 76% used swaddling, 68% had previously taken antibiotics. At the moment of the UTI, the average time of hospitalization had been 20 days. According to the initial sector of long duration vesical catheterization, 24% were registered in a Surgical Center (SC) and 66% in hospitalization and intensive therapy units. In this study the nosocomial UTI notified were found to be related to the main referred risk factors in the scientific literature, without unexpected factors appearing. It was possible to make an improvement proposal in relation to the discovered cases: Patient sensitization in order to assess the necessity of catheter use after the 7th day of its use to remove o change a silicone vesical catheter; protocol creation to use a silicone vesical catheter; institutional campaign to reduce the time of a long duration vesical catheterization by 10%; SC staff reorientation.Downloads
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