Advertisement

Electronic surveillance for catheter-associated urinary tract infections at a university-affiliated children's hospital

Published:February 05, 2016DOI:https://doi.org/10.1016/j.ajic.2015.12.006

      Highlights

      • There were 25 catheter-associated urinary tract infections identified over 24 months in a large urban children's hospital.
      • Most catheter-associated urinary tract infections (88%) occurred in the intensive care units.
      • Electronic surveillance for catheter-associated urinary tract infections in children proved accurate.
      We sought to describe the characteristics of catheter-associated urinary tract infections (CAUTIs) in a children's hospital while demonstrating efficacy of electronic identification of CAUTIs. There were 25 CAUTIs identified over 24 months, with most (88%) occurring in the intensive care units (ICUs). The incidence of ICU CAUTIs decreased during the study period (P = .04). Concordance between electronic identification and validation by infection control staff was 83% and increased to 100% with correction of nursing documentation.

      Key Words

      To read this article in full you will need to make a payment

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bi X.C.
        • Zhang B.
        • Ye Y.K.
        • He H.C.
        • Han Z.D.
        • Dai Q.S.
        • et al.
        Pathogen incidence and antibiotic resistance patterns of catheter-associated urinary tract infection in children.
        J Chemother. 2009; 21: 661-665
        • Duenas L.
        • Bran de Casares A.
        • Rosenthal V.D.
        • Jesus Machuca L.
        Device-associated infections rates in pediatrics and neonatal intensive care units in El Salvador: findings of the INICC.
        J Infect Dev Ctries. 2011; 5: 445-451
        • Esteban E.
        • Ferrer R.
        • Urrea M.
        • Suarez D.
        • Rozas L.
        • Balaguer M.
        • et al.
        The impact of a quality improvement intervention to reduce nosocomial infections in a PICU.
        Pediatr Crit Care Med. 2013; 14: 525-532
        • Rasslan O.
        • Seliem Z.S.
        • Ghazi I.A.
        • El Sabour M.A.
        • El Kholy A.A.
        • Sadeq F.M.
        • et al.
        Device-associated infection rates in adult and pediatric intensive care units of hospitals in Egypt. International Nosocomial Infection Control Consortium (INICC) findings.
        J Infect Public Health. 2012; 5: 394-402
        • Rosenthal V.D.
        • Ramachandran B.
        • Duenas L.
        • Alvarez-Moreno C.
        • Navoa-Ng J.A.
        • Armas-Ruiz A.
        • et al.
        Findings of the International Nosocomial Infection Control Consortium (INICC), Part I: effectiveness of a multidimensional infection control approach on catheter-associated urinary tract infection rates in pediatric intensive care units of 6 developing countries.
        Infect Control Hosp Epidemiol. 2012; 33: 696-703
        • Davis K.F.
        • Colebaugh A.M.
        • Eithun B.L.
        • Klieger S.B.
        • Meredith D.J.
        • Plachter N.
        • et al.
        Reducing catheter-associated urinary tract infections: a quality-improvement initiative.
        Pediatrics. 2014; 134: e857-64
        • Centers for Disease Control and Prevention
        Frequently Asked Questions: Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events.
        (Available from:) (Accessed January 24, 2016)
        • Behta M.
        • Ross B.
        • Chaudhry R.
        A comprehensive decision support system for the identification, monitoring and management of patients with multi-drug resistant organisms (MDRO).
        AMIA Annu Symp Proc. 2008; 1218