Urinary Tract Infections Diagnosed Within Two Weeks Prior to Shoulder Arthroplasty Are Associated with Increased Postoperative Infection Rates

Larger Numbers Needed

PEDIATRICS ◽

10.1542/peds.80.5.764 ◽

1987 ◽

Vol 80 (5) ◽

pp. 764-764

Author(s):

THOMAS E. WISWELL

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Urinary Tract Infections ◽

First Year ◽

Infection Rates ◽

Symptomatic Urinary Tract Infection ◽

Tract Infections ◽

First Year Of Life

In Reply.— Dr Altschul presents data on urinary tract infections during infancy and reports infection rates substantially lower than those we have previously reported.1,2 He then makes several conclusions based on these differences. His data indicate that the maximum infection rates would be 0.11% among girls and 0.02% and 0.12% among circumcised and uncircumcised boys, respectively. In contrast, from a population of 422,328 infants, we found the overall incidence of symptomatic urinary tract infection during the first year of life to be 0.57% in girls, 0.11% in circumcised boys, and 1.12% in uncircumcised boys.

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Effect of Bacteriologic Monitoring of Urinary Catheters on Recognition and Treatment of Hospital-Acquired Urinary Tract Infections

Infection Control ◽

10.1017/s0195941700055119 ◽

1981 ◽

Vol 2 (3) ◽

pp. 227-232 ◽

Cited By ~ 10

Author(s):

Jay A. Jacobson ◽

John P. Burke ◽

Evelyn Kasworm

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Monitoring Program ◽

Hospital Service ◽

Infection Rates ◽

Urinary Catheters ◽

Hospital Acquired Infection ◽

Daily Monitoring ◽

Tract Infections ◽

Hospital Acquired

AbstractCatheter-associated urinary tract infections remain the most common hospital-acquired infection. Regular bacteriologie monitoring of urine from catheterized patients has been advocated as a measure for reducing the morbidity associated with this infection. To assess the effectiveness of this measure we reviewed the records of 100 catheterized patients hospitalized before implementation of a monitoring program and 200 such patients admitted after a daily monitoring program was operational. We found that culturing urine from catheterized patients was infrequent prior to monitoring but, when done, patients usually were febrile, cultures usually were positive, and patients were treated. Monitoring identified more cases of bacteriuria, but less than half of the patients so identified were treated. Being febrile was associated with receiving antibiotics. Infection rates increased with duration of catheterization; long periods of catheterization typically occurred on the neurosurgical, orthopedic, and medical services. Daily bacteriologie monitoring of all catheterized patients is relatively inefficient and does not predictably lead to therapeutic intervention in infected patients. The cost:benefit ratio of this measure might be decreased by applying it to selected patients chosen on the basis of risk factors, including hospital service assignment (Infect Control 1981; 2(3):227-232.)

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Multicenter Study of the Prevalence of Nosocomial Infections in Italian Hospitals

Infection Control and Hospital Epidemiology ◽

10.1086/502299 ◽

2004 ◽

Vol 25 (1) ◽

pp. 85-87 ◽

Cited By ~ 13

Author(s):

Carlo Di Pietrantonj ◽

Lorenza Ferrara ◽

G. Lomolino

Keyword(s):

Urinary Tract ◽

Urinary Tract Infections ◽

Multicenter Study ◽

Nosocomial Infections ◽

Point Prevalence ◽

Prevalence Study ◽

Infection Rates ◽

Point Prevalence Study ◽

Tract Infections

AbstractA point-prevalence study of nosocomial infections was conducted in 10 generai hospitals in northwestern Italy in June and July 2000. Infection rates were compared by type and site among the different hospitals. Urinary tract infections were most frequent, accounting for 57.8% of 128 nosocomial infections.

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Reducing Hospital-acquired Catheter-associated Urinary Tract Infections and Clostridium difficile Infection Rates through a Multi-disciplinary Approach

American Journal of Infection Control ◽

10.1016/j.ajic.2019.04.163 ◽

2019 ◽

Vol 47 (6) ◽

pp. S12-S13

Author(s):

Chelsea Ludington ◽

Nicole Pahl ◽

Vivek Kak

Keyword(s):

Urinary Tract ◽

Clostridium Difficile ◽

Urinary Tract Infections ◽

Clostridium Difficile Infection ◽

Infection Rates ◽

Tract Infections ◽

Hospital Acquired

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Abbreviated Surveillance of Nosocomial Urinary Tract Infections: A New Approach

Infection Control ◽

10.1017/s0195941700062433 ◽

1985 ◽

Vol 6 (1) ◽

pp. 11-13 ◽

Cited By ~ 16

Author(s):

Esther E. Costel ◽

Sue Mitchell ◽

Allen B. Kaiser

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Urinary Tract Infections ◽

Passive Surveillance ◽

Infection Rates ◽

New Approach ◽

Time Commitment ◽

Nosocomial Urinary Tract Infection ◽

Tract Infections

AbstractAn abbreviated method for the surveillance of nosocomial urinary tract infection is described. Combining desirable features of both active and passive surveillance, this new method involves concurrent review of microbiology reports. Compared to traditional active surveillance methods which require review of individual patient charts, the abbreviated method requires only one-fifth the time commitment while maintaining a 98% sensitivity. Although some degree of overestimation is inherent in this method, the primary goals of surveillance—monitoring infection rates and identifying clusters of infection—should be preserved.

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Device-Associated Infection Rates in 20 Cities of India, Data Summary for 2004–2013: Findings of the International Nosocomial Infection Control Consortium

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2015.276 ◽

2015 ◽

Vol 37 (2) ◽

pp. 172-181 ◽

Cited By ~ 25

Author(s):

Yatin Mehta ◽

Namita Jaggi ◽

Victor Daniel Rosenthal ◽

Maithili Kavathekar ◽

Asmita Sakle ◽

...

Keyword(s):

Urinary Tract ◽

Nosocomial Infection ◽

Infection Control ◽

Urinary Tract Infections ◽

Central Line ◽

Mechanical Ventilator ◽

Infection Rates ◽

Healthcare Associated Infection ◽

Device Use ◽

Tract Infections

OBJECTIVETo report the International Nosocomial Infection Control Consortium surveillance data from 40 hospitals (20 cities) in India 2004–2013.METHODSSurveillance using US National Healthcare Safety Network’s criteria and definitions, and International Nosocomial Infection Control Consortium methodology.RESULTSWe collected data from 236,700 ICU patients for 970,713 bed-daysPooled device-associated healthcare-associated infection rates for adult and pediatric ICUs were 5.1 central line–associated bloodstream infections (CLABSIs)/1,000 central line–days, 9.4 cases of ventilator-associated pneumonia (VAPs)/1,000 mechanical ventilator–days, and 2.1 catheter-associated urinary tract infections/1,000 urinary catheter–daysIn neonatal ICUs (NICUs) pooled rates were 36.2 CLABSIs/1,000 central line–days and 1.9 VAPs/1,000 mechanical ventilator–daysExtra length of stay in adult and pediatric ICUs was 9.5 for CLABSI, 9.1 for VAP, and 10.0 for catheter-associated urinary tract infections. Extra length of stay in NICUs was 14.7 for CLABSI and 38.7 for VAPCrude extra mortality was 16.3% for CLABSI, 22.7% for VAP, and 6.6% for catheter-associated urinary tract infections in adult and pediatric ICUs, and 1.2% for CLABSI and 8.3% for VAP in NICUsPooled device use ratios were 0.21 for mechanical ventilator, 0.39 for central line, and 0.53 for urinary catheter in adult and pediatric ICUs; and 0.07 for mechanical ventilator and 0.06 for central line in NICUs.CONCLUSIONSDespite a lower device use ratio in our ICUs, our device-associated healthcare-associated infection rates are higher than National Healthcare Safety Network, but lower than International Nosocomial Infection Control Consortium Report.Infect. Control Hosp. Epidemiol. 2016;37(2):172–181

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