STUDY OF CATHETER ASSOCIATED URINARY TRACT INFECTION RATE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ISOLATED ORGANISMS AT THE SPINE SUPER SPECIALITY INSTITUTE-GOVERNMENT HOSPITAL IN WESTERN INDIA

S. SONI¹*, S. KAPADIA², D. PATHAK³, M. PANDYA⁴, D. JOSHI⁵, J. KAPADIA⁶, K. HONEST⁷, S. CHRISTIAN^8
1Department of Microbiology, B.J. Medical College, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
²Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
³Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁴Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁵Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁶Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁷Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁸Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
* Corresponding Author : drsumeetasoni@gmail.com

Received : 04-10-2019     Accepted : 26-10-2019     Published : 30-11-2019
Volume : 11     Issue : 11       Pages : 1724 - 1726
Int J Microbiol Res 11.11 (2019):1724-1726

Keywords : Catheter Associated Urinary Tract Infections -CAUTIs, Health Care Associated Infection HAI, Multidrug Resistant Organism-MDRO
Academic Editor : Dr Mudit Chandra, Ranabijuli S.
Conflict of Interest : None declared
Acknowledgements/Funding : Authors are thankful to Director, Government Spine Institute Ahmedabad. Authors are also thankful to Department of Microbiology, B.J. Medical College, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
Author Contribution : All authors equally contributed

Background: Indwelling urinary catheters are commonly used for bladder drainage during hospital care. The most common complication is infection. Urinary tract infections account for about 40% of hospital- acquired (nosocomial) infections, and about 66-86% of these are associated with urinary catheters. The growing antibiotic resistance amongst the uropathogen isolated from CAUTI making difficult for its management. The study was aimed to find out rate of CAUTI and its antimicrobial susceptibility pattern. Methods: During daily rounds infection control nurse collects all the demographic data from the catheterized patients. It is scrutinized for the signs and symptoms as per CDC criteria for confirmation as CAUTI and urine samples are sent. Results: The rate of CAUTI was 4.9 per 1000 catheterized days in the present study. The most common uropathogen was E. coli followed by K. pneumoniae, followed by Pseudomonas aeruginosa and Acinetobacter species in the present study. Conclusion: The present study showed that if strict infection control practices are observed it is possible to reduce the rates of CAUTI. This study showed moderate to high resistance in uropathogens which is a concern for all. The CAUTI care bundle implementation helps in reducing the rates remarkably.

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