{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:50:17Z","timestamp":1760205017221,"version":"3.40.5"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T00:00:00Z","timestamp":1560988800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X1900148X_as1\"><jats:title>Objective:<\/jats:title><jats:p>Current surveillance for healthcare-associated (HA) urinary tract infection (UTI) is focused on catheter-associated infection with hospital onset (HO-CAUTI), yet this surveillance does not represent the full burden of HA-UTI to patients. Our objective was to measure the incidence of potentially HA, community-onset (CO) UTI in a retrospective cohort of hospitalized patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X1900148X_as2\"><jats:title>Design:<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X1900148X_as3\"><jats:title>Setting:<\/jats:title><jats:p>Academic, quaternary care, referral center.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X1900148X_as4\"><jats:title>Patients:<\/jats:title><jats:p>Hospitalized adults at risk for HA-UTI from May 2009 to December 2011 were included.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X1900148X_as5\"><jats:title>Methods:<\/jats:title><jats:p>Patients who did not experience a UTI during the index hospitalization were followed for 30 days post discharge to identify cases of potentially HA-CO UTI.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X1900148X_as6\"><jats:title>Results:<\/jats:title><jats:p>We identified 3,273 patients at risk for potentially HA-CO UTI. The incidence of HA-CO UTI in the 30 days post discharge was 29.8 per 1,000 patients. Independent risk factors of HA-CO UTI included paraplegia or quadriplegia (adjusted odds ratio [aOR], 4.6; 95% confidence interval [CI], 1.2\u201318.0), indwelling catheter during index hospitalization (aOR, 1.5; 95% CI, 1.0\u20132.3), prior piperacillin-tazobactam prescription (aOR, 2.3; 95% CI, 1.1\u20134.5), prior penicillin class prescription (aOR, 1.7; 95% CI, 1.0\u20132.8), and private insurance (aOR, 0.6; 95% CI, 0.4\u20130.9).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X1900148X_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>HA-CO UTI may be common within 30 days following hospital discharge. These data suggest that surveillance efforts may need to be expanded to capture the full burden to patients and better inform antibiotic prescribing decisions for patients with a history of hospitalization.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2019.148","type":"journal-article","created":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T06:56:23Z","timestamp":1561013783000},"page":"863-871","source":"Crossref","is-referenced-by-count":4,"title":["Healthcare-associated urinary tract infections with onset post hospital discharge"],"prefix":"10.1017","volume":"40","author":[{"given":"Miriam R.","family":"Elman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig D.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David T.","family":"Bearden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Townes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Heintzman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodi A.","family":"Lapidus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravina","family":"Kullar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila","family":"Markwardt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda T.","family":"Trieu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arrash A.","family":"Vahidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6093-5444","authenticated-orcid":false,"given":"Jessina C.","family":"McGregor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,6,20]]},"reference":[{"key":"S0899823X1900148X_ref4","unstructured":"4. National Heatlhcare Saftey Network. Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection [USI]) events. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/7psccauticurrent.pdf. Published 2018. Accessed May 15, 2018."},{"key":"S0899823X1900148X_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000326"},{"key":"S0899823X1900148X_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200205"},{"key":"S0899823X1900148X_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1306801"},{"key":"S0899823X1900148X_ref10","unstructured":"10. R: A Language and Environment for Statistical Computing [computer program]. Vienna, Austria: R Foundation for Statistical Computing; 2015."},{"volume-title":"Rural-urban commuting areas (RUCAs) geographic taxonomy","year":"2014","author":"Hart","key":"S0899823X1900148X_ref8"},{"key":"S0899823X1900148X_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199801000-00004"},{"key":"S0899823X1900148X_ref6","unstructured":"6. HCUP Comorbidity Software [computer program]. Version 3.7. Rockville, MD: Agency for Healthcare Research and Quality; 2015."},{"key":"S0899823X1900148X_ref3","doi-asserted-by":"publisher","DOI":"10.1086\/664048"},{"key":"S0899823X1900148X_ref9","unstructured":"9. RUCA Data. Rural Health Research Center website. http:\/\/depts.washington.edu\/uwruca\/ruca-uses.php. Accessed November 10, 2015."}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X1900148X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T10:31:02Z","timestamp":1608114662000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X1900148X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,20]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["S0899823X1900148X"],"URL":"https:\/\/doi.org\/10.1017\/ice.2019.148","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"type":"print","value":"0899-823X"},{"type":"electronic","value":"1559-6834"}],"subject":[],"published":{"date-parts":[[2019,6,20]]}}}