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Catheter-associated urinary tract infections in surgical patients: a controlled study on the excess morbidity and
Abstract:
The increased hospital stay and excess hospitalization costs that resulted from Foley catheter-associated urinary tract infection after 5 common surgical procedures were evaluated in a case-matched and controlled study. Nosocomial urinary tract infections increased postoperative hospital stay by an average of 2.4 days (p equals 0.017) and increased hospital costs by $558 per patient. Recommendations for prevention of urinary catheter-associated infections can be assessed accurately by comparison to the parameters of morbidity and cost.
Insights
Foley catheter-associated urinary tract infections prolong hospital stays by 2.4 days and increase costs by $558 per patient. Prevention strategies should consider these impacts on patient morbidity and healthcare expenses.
Area of Science:
- Healthcare-associated infections
- Surgical patient outcomes
- Health economics
Background:
- Urinary tract infections (UTIs) are common nosocomial infections.
- Foley catheter use is a significant risk factor for UTIs.
- The economic and clinical impact of these infections post-surgery requires quantification.
Purpose of the Study:
- To evaluate the increased hospital stay and costs associated with Foley catheter-associated urinary tract infections (CAUTIs).
- To assess the impact of CAUTIs following five common surgical procedures.
- To provide data for evaluating the effectiveness of CAUTI prevention strategies.
Main Methods:
- A case-matched and controlled study design was employed.
- Data were collected on hospital stay duration and costs.
- Infections were specifically Foley catheter-associated urinary tract infections.
Main Results:
- CAUTIs led to an average increase of 2.4 days in postoperative hospital stay (p=0.017).
- CAUTIs resulted in excess hospitalization costs of $558 per patient.
- The study focused on patients undergoing five common surgical procedures.
Conclusions:
- CAUTIs significantly increase patient morbidity and healthcare expenditures.
- Cost and morbidity data are crucial for assessing the value of CAUTI prevention measures.
- Implementing effective prevention protocols for CAUTIs is essential for improving surgical outcomes and reducing healthcare costs.