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dc.contributor.authorBursle, EC
dc.contributor.authorDyer, J
dc.contributor.authorLooke, DFM
dc.contributor.authorMcDougall, DAJ
dc.contributor.authorPaterson, DL
dc.contributor.authorPlayford, EG
dc.date.accessioned2019-09-30T04:10:37Z
dc.date.available2019-09-30T04:10:37Z
dc.date.issued2015
dc.identifier.issn0163-4453
dc.identifier.doi10.1016/j.jinf.2015.01.001
dc.identifier.urihttp://hdl.handle.net/10072/387936
dc.description.abstractObjectives: Urinary catheter associated bloodstream infection (UCABSI) causes significant morbidity, mortality and healthcare costs. We aimed to define the risk factors for UCABSI. Methods: A case-control study was conducted at two Australian tertiary hospitals. Patients with urinary source bloodstream infection associated with an indwelling urinary catheter (IDC) were compared to controls with an IDC who did not develop urinary source bloodstream infection. Results: There were 491 controls and 67 cases included in the analysis. Independent statistically significant risk factors for the development of UCABSI included insertion of the catheter in operating theatre, chronic kidney disease, age-adjusted Charlson comorbidity index, accurate urinary measurements as reason for IDC insertion and dementia. IDCs were inserted for valid reasons in nearly all patients, however an appropriate indication at 48hpost-insertion was found in only 44% of patients. Initial empiric antibiotics were deemed inappropriate in 23 patients (34%). Conclusion: To our knowledge, this is the first study to look specifically at the risk factors for bloodstream infection in urinary catheterised patients. Several risk factors were identified. IDC management and empiric management of UCABSI could be improved and is likely to result in a decreased incidence of infection and its complications.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom585
dc.relation.ispartofpageto591
dc.relation.ispartofissue6
dc.relation.ispartofjournalJournal of Infection
dc.relation.ispartofvolume70
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.subject.keywordsBacteraemia
dc.subject.keywordsBacteriuria
dc.subject.keywordsBloodstream infection
dc.subject.keywordsUrinary catheter
dc.subject.keywordsUrinary tract infection
dc.titleRisk factors for urinary catheter associated bloodstream infection
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBursle, EC; Dyer, J; Looke, DFM; McDougall, DAJ; Paterson, DL; Playford, EG, Risk factors for urinary catheter associated bloodstream infection, Journal of Infection, 2015, 70 (6), pp. 585-591
dcterms.dateAccepted2015-01-04
dc.date.updated2019-09-30T04:09:54Z
gro.hasfulltextNo Full Text
gro.griffith.authorPlayford, Elliott G.


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