An international prospective study of INICC analyzing the incidence and risk factors for catheter-associated urinary tract infections in 235 ICUs across 8 Asian Countries

Rosenthal VD 1 , Yin R 2 , Abbo LM 3 , Lee BH 4 , Rodrigues C 5 , Myatra SN 6 Show all authors , Divatia JV 7 , Kharbanda M 8 , Nag B 8 , Rajhans P 8 , Shingte V 8 , Mehta Y 9 , Sarma S 9 , Todi SK 10 , Bhattacharyya M 10 , Basu S 11 , Sahu S 12 , Mishra SB 13 , Samal S 13 , Chawla R 14 , Jain AC 14 , Nair PK 15 , Kalapala D 15 , Arjun R 16 , Singla D 17 , Sandhu K 18 , Badyal B 18 , Palaniswamy V 19 , Bhakta A 20 , Gan CS 20 , Mohd-Basri MN 21 , Lai YH 21 , Tai CW 22 , Lee PC 22 , Bat-Erdene I 23 , Begzjav T 23 , Acharya SP 24 , Dongol R 24 , Ikram A 25 , Tumu N 26 , Tao L 27 , Jin Z 2

Affiliations 

  • 1 Department of Public Health Sciences, Miller School of Medicine, University of Miami, USA; Infeciton Control Department, International Nosocomial Infection Control Consortium, INICC Foundation, Miami, USA. Electronic address: vdr21@miami.edu
  • 2 Department of Public Health Sciences, Miller School of Medicine, University of Miami, USA
  • 3 Division of Infectious Disease, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
  • 4 University of Miami, FL, USA
  • 5 Pd Hinduja National Hospital and Medical Research Centre, Department of Microbiology, Mumbai, India
  • 6 Tata Memorial Hospital, Homi Bhabha National Institute, Department of Anesthesiology, Critical Care and Pain, Mumbai, India
  • 7 Desun Hospital, Kolkata, Department of Critical Care, India
  • 8 Deenanath Mangeshkar Hospital And Research Center Erandwane Pune, Pune, India
  • 9 Medanta The Medicity, Department of Critical Care and Anesthesiology, Haryana, India
  • 10 Advanced Medicare Research Institute AMRI Hospitals, Department of Critical Care, Kolkata, India
  • 11 Advanced Medicare Research Institute Mukundapur Unit, Kolkata, India
  • 12 Apollo Hospital Bhubaneswar, Bhubaneswar, India
  • 13 Critical Care Department, IMS and SUM Hospital, Bhubaneswar, India
  • 14 Indraprastha Apollo Hospitals, Department of Critical Care, New Delhi, India
  • 15 Critical Care Department, Holy Spirit Hospital, Mumbai, India
  • 16 Kerala Institute Of Med Sciences Health, Department of Critical Care, Trivandrum, India
  • 17 Critical Care Department, Maharaja Agrasen Hospital, New Delhi, India
  • 18 Max Super Speciality Hospital Saket Delhi, Department of Critical Care, New Delhi, India
  • 19 Critical Care Department, Mahatma Gandhi Hospital, Jaipur, India
  • 20 University Malaya Medical Centre, Department of Pediatric Intensive Care, Kuala Lumpur, Malaysia
  • 21 International Islamic University Malaysia, Department of Anesthesia and Critical Care, Kuantan, Pahang, Malaysia
  • 22 Universiti Kebangsaan Malaysia Specialist Children's Hospital, Department of Critical Care, Kuala Lumpur, Malaysia
  • 23 Critical Care Department, Intermed Hospital, Ulaanbaatar, Mongolia
  • 24 Critical Care Department, Grande International Hospital, Kathmandu, Nepal
  • 25 Critical Care Department, Armed Forces Institute of Urology, Rawalpindi, Pakistan
  • 26 Department of Public Health Sciences, Port Moresby General Hospital, Port Moresby, Papua New Guinea
  • 27 Zhongshan Hospital, Fudan University, Department of Pneumonology, Shanghai, China
Am J Infect Control, 2024 Jan;52(1):54-60.
PMID: 37499758 DOI: 10.1016/j.ajic.2023.07.007

Abstract

BACKGROUND: Identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in 235 ICUs in 8 Asian countries: India, Malaysia, Mongolia, Nepal, Pakistan, the Philippines, Thailand, and Vietnam.

METHODS: From January 1, 2014, to February 12, 2022, we conducted a prospective cohort study. To estimate CAUTI incidence, the number of UC days was the denominator, and CAUTI was the numerator. To estimate CAUTI RFs, we analyzed 11 variables using multiple logistic regression.

RESULTS: 84,920 patients hospitalized for 499,272 patient days acquired 869 CAUTIs. The pooled CAUTI rate per 1,000 UC-days was 3.08; for those using suprapubic-catheters (4.11); indwelling-catheters (2.65); trauma-ICU (10.55), neurologic-ICU (7.17), neurosurgical-ICU (5.28); in lower-middle-income countries (3.05); in upper-middle-income countries (1.71); at public-hospitals (5.98), at private-hospitals (3.09), at teaching-hospitals (2.04). The following variables were identified as CAUTI RFs: Age (adjusted odds ratio [aOR] = 1.01; 95% CI = 1.01-1.02; P 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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