To analyze epidemiological data of catheter-associated urinary tract infection (CAUTI) in critically ill patients admitted to Spanish ICUs in order to assess the need of implementing a nationwide intervention program to reduce these infections.
Non-intervention retrospective annual period prevalence analysis.
Participating ICUs in the ENVIN-UCI multicenter registry between the years 2007-2016.
Critically ill patients admitted to the ICU with catheter-associated urinary tract infection (CAUTI).
Incidence rates per 1,000 catheter-days; urinary catheter utilization ratio; proportion of CAUTIs in relation to total health care-associated infections (HAIs).
A total of 187,100 patients, 137,654 (73.6%) of whom had a urinary catheter in place during 1,215,673 days (84% of days of ICU stay) were included. In 4,539 (3.3%) patients with urinary catheter, 4,977 CAUTIs were diagnosed (3.6 episodes per 100 patients with urinary catheter). The CAUTI incidence rate showed a 19% decrease between 2007 and 2016 (4.69 to 3.8 episodes per 1,000 catheter-days), although a sustained urinary catheter utilization ratio was observed (0.84 [0.82-0.86]). The proportion of CAUTI increased from 23.3% to 31.9% of all HAIs controlled in the ICU.
Although CAUTI rates have declined in recent years, these infections have become proportionally the first HAIs in the ICU. The urinary catheter utilization ratio remains high in Spanish ICUs. There is room for improvement, so that a CAUTI-ZERO project in our country could be useful.
Medicina intensiva. 2018 Feb 06 [Epub ahead of print]
F Álvarez Lerma, P Olaechea Astigarraga, X Nuvials, R Gimeno, M Catalán, M P Gracia Arnillas, I Seijas Betolaza, M Palomar Martínez, Grupo de Estudio ENVIN-HELICS
Servicio de Medicina Intensiva, Hospital del Mar, Barcelona, España; Universitat Autònoma de Barcelona, Barcelona, España; GREPAC, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España. Electronic address: ., Servicio de Medicina Intensiva, Hospital de Galdakao, Galdakao, Vizcaya, España., Servicio de Medicina Intensiva, Hospital Vall de Hebrón, Barcelona, España., Servicio de Medicina Intensiva, Hospital La Fe, Valencia, España., Servicio de Medicina Intensiva, Hospital 12 de Octubre, Madrid, España., Servicio de Medicina Intensiva, Hospital del Mar, Barcelona, España; Universitat Autònoma de Barcelona, Barcelona, España; GREPAC, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España., Servicio de Medicina Intensiva, Hospital de Cruces, Baracaldo, Vizcaya, España., Servicio de Medicina Intensiva, Hospital Arnau de Vilanova, Lleida, España.