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Published in: European Journal of Epidemiology 9/2008

01-09-2008 | Infectious Diseases

Reduction of urinary tract infections acquired in an intensive care unit during a 10-year surveillance program

Authors: Philippe Vanhems, Dominique Baratin, Nicolas Voirin, Anne Savey, Emmanuelle Caillat-Vallet, Marie-Hélène Metzger, Alain Lepape

Published in: European Journal of Epidemiology | Issue 9/2008

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Abstract

Purpose To describe trends of urinary catheter-related infections (UCRIs) acquired by patients hospitalized in intensive care units (ICU) in relation with an infection control program. Materials and methods Prospective surveillance in one ICU of a university hospital in Lyon (France) between 1995 and 2004. Results A 66% reduction of urinary catheter-related infections (UCRIs) acquired by patients hospitalized was observed between 1995 and 2004 after adjustement on age, gender, antibiotic use at admission, and duration of exposure to urinary catheter. Conclusions These results, obtained by continuous epidemiological monitoring of nosocomial infections, are encouraging with regard to the improvement of infection control measures and the evolution of medical practices. Further studies in ICUs are needed to confirm this trend.
Literature
2.
go back to reference Stamm WE. The urinary tract infections. In: Benett JV, Brachman PS, editors. Hospital infections. 4th ed. New York: Lippincott-Raven; 1998. p. 477–85. Stamm WE. The urinary tract infections. In: Benett JV, Brachman PS, editors. Hospital infections. 4th ed. New York: Lippincott-Raven; 1998. p. 477–85.
3.
go back to reference National Nosocomial Infection Surveillance (NNIS) System Report. Data summary from January 1992 to June 2002, issued August 2002. Am J Infect Control. 2002;30:458–75. doi:10.1067/mic.2002.130032. National Nosocomial Infection Surveillance (NNIS) System Report. Data summary from January 1992 to June 2002, issued August 2002. Am J Infect Control. 2002;30:458–75. doi:10.​1067/​mic.​2002.​130032.
5.
go back to reference Leone M, Albanèse J, Garnier F, Sapin C, Barrau K, Bimar MC, et al. Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit. Intensive Care Med. 2003;29:929–32. doi:10.1007/s00134-003-1741-z.PubMedCrossRef Leone M, Albanèse J, Garnier F, Sapin C, Barrau K, Bimar MC, et al. Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit. Intensive Care Med. 2003;29:929–32. doi:10.​1007/​s00134-003-1741-z.PubMedCrossRef
6.
go back to reference Clec’h C, Schwebel C, Français A, Toledano D, Fosse JP, Garrouste-Orgeas M, et al. OutcomeRea Study Group. Does catheter-associated urinary tract infection increase mortality in critically ill patients? Infect Control Hosp Epidemiol. 2007;28:1367–73. doi:10.1086/523279.PubMedCrossRef Clec’h C, Schwebel C, Français A, Toledano D, Fosse JP, Garrouste-Orgeas M, et al. OutcomeRea Study Group. Does catheter-associated urinary tract infection increase mortality in critically ill patients? Infect Control Hosp Epidemiol. 2007;28:1367–73. doi:10.​1086/​523279.PubMedCrossRef
7.
go back to reference Oh HS, Cheong HW, Yi SE, Kim H, Choe KW, Cho SI. Development and application of evaluation indices for hospital infection surveillance and control programs in the Republic of Korea. Infect Control Hosp Epidemiol. 2007;28 Suppl 4:435–45. doi:10.1086/512632.PubMedCrossRef Oh HS, Cheong HW, Yi SE, Kim H, Choe KW, Cho SI. Development and application of evaluation indices for hospital infection surveillance and control programs in the Republic of Korea. Infect Control Hosp Epidemiol. 2007;28 Suppl 4:435–45. doi:10.​1086/​512632.PubMedCrossRef
8.
go back to reference Vanhems P, Lepape A, Savey A, Jambou P, Fabry J. Nosocomial pulmonary infection by antimicrobial-resistant bacteria of patients hospitalized in intensive care units: risk factors and survival. J Hosp Infect. 2000;45:98–106. doi:10.1053/jhin.2000.0752.PubMedCrossRef Vanhems P, Lepape A, Savey A, Jambou P, Fabry J. Nosocomial pulmonary infection by antimicrobial-resistant bacteria of patients hospitalized in intensive care units: risk factors and survival. J Hosp Infect. 2000;45:98–106. doi:10.​1053/​jhin.​2000.​0752.PubMedCrossRef
10.
11.
go back to reference Kaye KS, Engemann JJ, Fulmer EM, et al. Favorable impact of an infection control network on nosocomial infection rates in community hospitals. Infect Control Hosp Epidemiol. 2006;27:228–32. doi:10.1086/500371.PubMedCrossRef Kaye KS, Engemann JJ, Fulmer EM, et al. Favorable impact of an infection control network on nosocomial infection rates in community hospitals. Infect Control Hosp Epidemiol. 2006;27:228–32. doi:10.​1086/​500371.PubMedCrossRef
Metadata
Title
Reduction of urinary tract infections acquired in an intensive care unit during a 10-year surveillance program
Authors
Philippe Vanhems
Dominique Baratin
Nicolas Voirin
Anne Savey
Emmanuelle Caillat-Vallet
Marie-Hélène Metzger
Alain Lepape
Publication date
01-09-2008
Publisher
Springer Netherlands
Published in
European Journal of Epidemiology / Issue 9/2008
Print ISSN: 0393-2990
Electronic ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-008-9270-2

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