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Risk factors for urinary tract infections in geriatric hospitals
R Girard1, S Gaujard2, V Pergay1
1Service Hygiène et Prévention, Institut du vieillissement, Hospices Civils de Lyon, Lyon, France.
The Journal of Hospital Infection
|May 21, 2017
Summary
Nosocomial urinary tract infections (UTIs) are common in elderly patients, particularly in those with catheters. Prevention strategies should expand to include non-catheterized individuals to reduce infection rates.
Area of Science:
- Geriatric Medicine
- Infectious Diseases
- Epidemiology
Background:
- Urinary tract infections (UTIs) represent the most frequent nosocomial infections in geriatric units.
- Identifying risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To identify risk factors associated with nosocomial urinary tract infections (NUTIs) in elderly patients.
- To inform targeted prevention efforts in geriatric care settings.
Main Methods:
- Retrospective analysis of three prospective cohorts of hospitalized geriatric patients (2009, 2012, 2015).
- Data collection included patient demographics, catheter use, risk factors, and NUTI occurrence.
- Univariate and multivariate Cox regression analyses were performed using SPSS software.
Main Results:
- A total of 4669 patients were analyzed, with 189 (4.0%) developing NUTIs.
- Higher NUTI incidence was observed in female patients, rehabilitation units, immunosuppressed individuals, and those with urinary retention or a history of UTI.
- Catheterized patients (intermittent, indwelling, suprapubic) had significantly higher rates of NUTI.
Conclusions:
- Nosocomial UTIs are a significant concern in both catheterized and non-catheterized geriatric patients.
- Current prevention programs for NUTIs should be broadened to encompass non-catheterized patient populations.
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