Catheter-associated Urinary Tract Infections in a trauma care facility in India: trend over ten years

Authors

  • Aparna Ningombam Laboratory Medicine, Jai Prakash Narayan Apex (JPNA) Trauma Centre, All India Institute of Medical Sciences, New Delhi https://orcid.org/0000-0002-5771-1730
  • Arpan Kumar Thakur Laboratory Medicine, Jai Prakash Narayan Apex (JPNA) Trauma Centre, All India Institute of Medical Sciences, New Delhi https://orcid.org/0000-0001-7052-8351
  • Ashish Kumar Srivastava Laboratory Medicine, Jai Prakash Narayan Apex (JPNA) Trauma Centre, All India Institute of Medical Sciences, New Delhi https://orcid.org/0000-0002-4541-8254
  • Sharin Varma Department of Microbiology, All India Institute of Medical Sciences, New Delhi https://orcid.org/0000-0002-1637-7043
  • Madhavi Kirti Department of Microbiology, All India Institute of Medical Sciences, New Delhi
  • M. Nizam Ahmed Department of Microbiology, All India Institute of Medical Sciences, New Delhi https://orcid.org/0009-0005-9355-0822
  • Vanlal Tluanpuii Department of Microbiology, All India Institute of Medical Sciences, New Delhi https://orcid.org/0009-0004-7185-3630
  • Kapil Dev Soni Department of Anaesthesiology Pain Medicine and Critical Care, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi
  • Richa Aggarwal Department of Anaesthesiology Pain Medicine and Critical Care, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi
  • Gyanendra Pal Singh Department of Neuro-Anaesthesia, JPNA Trauma Centre, AIIMS, New Delhi https://orcid.org/0000-0002-6702-6892
  • Ashish Bindra Department of Neuro-Anaesthesia, JPNA Trauma Centre, AIIMS, New Delhi
  • Navdeep Sokhal Department of Neuro-Anaesthesia, JPNA Trauma Centre, AIIMS, New Delhi
  • Keshav Goyal Department of Neuro-Anaesthesia, JPNA Trauma Centre, AIIMS, New Delhi
  • Kamran Farooque Department of Orthopaedics, JPNA Trauma Centre, AIIMS, New Delhi
  • Purva Mathur Laboratory Medicine, Jai Prakash Narayan Apex (JPNA) Trauma Centre, All India Institute of Medical Sciences, New Delhi

DOI:

https://doi.org/10.3855/jidc.20371

Keywords:

CAUTI, trauma, infection, ICU

Abstract

Introduction: Catheter-associated urinary tract infections (CAUTIs) are one of the most common device-associated infections acquired in a hospital. Trauma patients are highly susceptible to CAUTI, as catheterization is a lifesaving measure often required for their management. This study focuses on the profile of CAUTI, the organism profile with antibiotic susceptibility patterns, and the clinical outcomes in the ICUs of a trauma care center.

Methodology: A retrospective analysis of prospective surveillance data of patients in ICUs was done over a period of ten years (2010-2019) in a level 1 trauma center. A modified NHSN definition of CAUTI was used. Microbiological processing and antibiotic susceptibility profile was done based on standard guidelines. Clinical outcomes were considered for analysis.

Results: A total of 10,732 patients were included in the study, accounting for 98,131 patient days and 78,126 urinary catheter days (UCD). Among 546 patients, 577 episodes of CAUTI were recorded, giving a CAUTI rate of 7.4/1,000 catheter days. The average length of stay (LOS) of patients was 19.9 days. There was a significant relationship between UCD and the development of CAUTI. Orthopedic and spinal injuries (91%) accounted for the maximum device utilization ratio, followed by polytrauma (90%), miscellaneous injuries (88%), and head injuries (69%). CAUTI episodes were the highest in head injury patients. Gram-negative organisms (53.4%) dominated the pathogen profile. The crude mortality was 25.1%.

Conclusions: Surveillance of CAUTI with analysis of the organisms and the antibiotic susceptibility trend will help improve infection prevention practices and antibiotic stewardship programs in local hospital settings.

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Published

2025-04-29

How to Cite

1.
Ningombam A, Thakur AK, Srivastava AK, Varma S, Kirti M, Ahmed MN, Tluanpuii V, Soni KD, Aggarwal R, Singh GP, Bindra A, Sokhal N, Goyal K, Farooque K, Mathur P (2025) Catheter-associated Urinary Tract Infections in a trauma care facility in India: trend over ten years. J Infect Dev Ctries 19:590–596. doi: 10.3855/jidc.20371

Issue

Vol. 19 No. 04: April 2025

Section

Original Articles

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Copyright (c) 2025 Aparna Ningombam, Arpan Kumar Thakur, Ashish Kumar Srivastava, Sharin Varma, Madhavi Kirti, M. Nizam Ahmed, Vanlal Tluanpuii, Kapil Dev Soni, Richa Aggarwal, Gyanendra Pal Singh, Ashish Bindra, Navdeep Sokhal, Keshav Goyal, Kamran Farooque, Purva Mathur

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