A Study to Determine the Prevalence of Catheter Associated Urinary Tract Infection in Surgical Wards and Recovery Room in a Tertiary Healthcare Centre in Central India

Background Amongst all Hospital Acquired Infections, CAUTI is most commonly encountered. CAUTI impact is reflected from increased duration of hospital stay and antibiotic resistance. This poses a problem in the surgical patients who are debilitated either due to underlying pathology or major surgery. This study was aimed to find the prevalence of CAUTI in such patients. Methods � It was prospective observational study conducted between July 2016 to November 2018 in catheterized patients with minimum duration of indwelling catheter to be 3 days. Urine samples were collected immediately, 48 hours and 120 hours after catheterization and subjected to microbiological analysis. Results � Out of 400 patients with male to female ratio of 1.23: 1, 65 developed CAUTI (16.25 %) and 22 patients had symptomatic bacteriuria (non CAUTI � 5.5 %). CAUTI rate was 23.06 per 1000 catheter days. Infection rate among males was 13.12 % while that in female was 20.11 %.19 and 46 patients developed CAUTI after 48 hours and 120 hours of indwelling urinary catheters respectively. Most common organism was found to be E. coli. Discussion � Overall, this study shows a high incidence of CAUTI in females (p = 0.003). This study showed a high incidence of CAUTI in age group 51 � 60 years in males (23.07 %) and in age group 61 � 70 years in females (47.06 %). Acinetobacter and Citrobacter were found to be isolated from patients admitted in ICU with sensitivity to higher antibiotics. C. albicans was associated with a long term antimicrobial treatment and long duration of urinary indwelling catheter.