Ponte Academic Journal Mar 2017, Volume 73, Issue 3 |
ANALYSIS CATHETER ASSOCIATED URINARY TRACT INFECTION IN CHILDREN: THE EDIMO STUDY Author(s): Putri Eyanoer ,Rosmayanti Syafriani Siregar, Putri Chairani Eyanoer, Rafita Ramayati J. Ponte - Mar 2017 - Volume 73 - Issue 3 doi: 10.21506/j.ponte.2017.3.28 Abstract: Catheter-associated urinary tract infection (CAUTI) is the most common type of healthcare-associated infection. Education-implementation and monitoring (EDIMO) study was one of project to decrease CAUTI rate in our hospital. We evaluate the effect of EDIMO targeted on modifiable risk factors on CAUTI rates. This study was cohort prospective between January 1st, 2015 and September 30th, 2016. Urinary tract infection was defined as if patients with an indwelling urinary catheter (in place for more 2 calender days) have at least 1 of the following sign or symptoms. Compliance was assessed as all or none, meaning that each patient�s event had to comply with all elements of the bundle to be considered compliant. Bacteria were identified by using an ATB kit, and the antibiotic sensitivities were tested by using the Kirby-Bauer method. There were 354 children enrolled in EDIMO study and 165 CAUTI episodes occurred among 153 children. Eschericia coli (27.9%) and Enterobacter (26.1%) predominated for CAUTI infection. Compliance with education (RR,0.68; 95% CI,0.50-0.84), implementation (RR,0.69; 95% CI,0.51-0.83) and monitoring (RR,0.39; 95% CI,0.33-0.82) was independently associated with a lower risk of CAUTI. Compliance with standardized practices for EDIMO study was associated with lower risk of CAUTI infection in pediatric patients.\\\\r\\\\n\\\\r\\\\nKey words: catheter urine, infection , pediatric, education, implementation and monitoring
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