Urinary tract infection associated with bladder catheter in intensive care unit

Authors

• Lorena Rodrigues Barbosa Universidade Estadual de Montes Claros. Lontra, MG, Brasil https://orcid.org/0000-0002-4776-8223
• Écila Campos Mota Instituto Federal do Norte de Minas Gerais. Montes Claros, MG, Brasil https://orcid.org/0000-0002-0283-6472
• Adriana Cristina Oliveira Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil http://orcid.org/0000-0002-4821-6068

DOI:

https://doi.org/10.17058/reci.v9i1.11579

Abstract

Background and Objectives: The urinary tract infections (UTI) related to the use long-term urinary catheter (LUC) (ITU-LUC) shows high prevalence in the Intensive Care Units (ICU). Therefore, the objective is to determine the prevalence of the factors associated with UTILUC at ICU. Methods: documental research and transversal with quantitative approach was done by the analyses of medical records of all inpatients in all IC from a University Hospital in the north of the state of Minas Gerais in the period from January of 2013 to December of 2014. The gathering and analyses of data were based in the medical records and notification sheets of Healthcare-associated Infections (HAI). The Poisson Regression was adopted with the confidence interval of 95.0%. Results: from 169 analyzed patients, 145 (85.8%) were undergone bladder catheterization. The prevalence of UTI-LUC was 16.6%. The factors associated were time interval ≥ 15 days (Prevalence ratio: 4.6) and use of urinary catheter ≥ 10 days (prevalence ratio: 7.4) Conclusion: the time of hospitalization and permanence of the LUC was directly proportional to the occurrence of UTI-LUC, orienting the commitment of health professionals in the monitoring of hospitalized patients, continue evaluation and strict indication use of LUC. Keywords: hospital infections, Catheter related Infections, Intensive Care Units, Bladder Catheter, Nurse Role.