CATHETER ASSOCIATED URINARY TRACT INFECTION (CAUTI) IN MEDICAL WARD, AND ICU KFHH DURING YEAR 2017

Background: Catheter-associated urinary tract infection (CAUTI) is one of the most common hospital acquired infection. Objectives: determining the risk factors, causes and frequency of CAUTI among infected cases with CAUTI in King Fahad Hofuf hospital and to provide local evidence-based recommendations for prevention of CAUTI. Methods: It is a prospective surveillance study of CAUTI. The study was carried out at the Medical ward in King Fahad Hofuf hospital (KFHH) from May to August 2017. The study included all adult patients who are admitted to medical or ICU during the study period with medical conditions rather than UTI and have been catheterized with Foley catheter. The information of the patients were collected from the medical records of the wards and day care unit. Results: the most common causes were sepsis and pneumonia followed by hyperglycemia. Most of the patients showed no symptoms however only 4.5% have fever and there was a positive association between fever and CAUTI as a risk factor for CAUTI. About 29.55 of patients had CAUTI with the majority of them located in ward than ICU. The most common isolated organism among patients with CAUTI are Yeast, candida, E-coli and pseudomonas. The most commonly used antibiotic for CAUTI including cefatrixone, Linezolid, colisitin and fluconazole. CAUTI was significantly associated with female gender. Conclusion: CAUTI was most common among patients located in ward than ICU. The most common risk factors were female gender, fever, previous illness and long duration of illness. Yeast and candida are the most common isolated microorganisms among patients with CAUTI.