STUDY OF INFECTION RATE DUE TO FOLLEYS CATHETER INSERTION IN ED, MEDICAL WARD AND ICU IN A TERTIARY CARE HOSPITAL

Abstract

Introduction: Indwelling urinary tract catheterization (IUTC) is a very common intervention frequently required in hospitalized patients. It is estimated that 10-12% of hospital patients and four per cent of patients in the community have urinary catheters in situ at any given time.1 Nosocomial UTIs (urinary tract infections) develop in ve per cent of catheterized patients per day in the US, with associated bacteremia in four per cent and as many as 80% are a consequence of urinary catheters. Research has shown that just reminding physicians to remove unnecessary urinary catheters can signicantly reduce the duration of urinary catheterization and the catheter associated urinary tract infection (CAUTI) rate in a hospital. Aims:To Study of Infection Rate due to Folleys Catheter Insertion in ED, Medical Ward and ICU. Methods: This was a single centre observational, retrospective cohort study from tertiary care hospital in Kolkata, India from May 2021 – JANUARY– 2022 were included no Past History of UTI, No Past History of renal Infection and No Previous Indwelling Folleys Catheter. Result: In Critical Care (ICCU) Group, 166 (21.3%) patients had CAUTI. In Emergency Group, 297 (42.9%) patients had CAUTI. In Medical Ward Group, 332 (30.1%) patients had CAUTI. Association of CAUTI with Group was statistically signicant (p<0.0001). In Critical Care (ICCU) Group, 166 (21.3%) patients had Culture. In Emergency Group, 297 (42.9%) patients had Culture. In Medical Ward Group, 332 (30.1%) patients had Culture. Association of Culture with Group was statistically signicant (p<0.0001) Conclusion: The rate of CAUTI in emergency dept is higher than rate of CAUTI in other medical ward of ICCUs. and we also see that rate of CAUTI in ICCU is much lesser than rate of CAUTI in other medical ward or emergency