{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:06:58Z","timestamp":1791616018973,"version":"4.3.4"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Catheter\u2010associated urinary tract infections (CAUTIs) are common among patients admitted to the intensive care unit (ICU). ICU\u2010related CAUTI is associated with longer hospital stays, greater financial burden, greater antibiotic use and impact on mortality.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n This study aimed to address the incidence and risk factors, causative pathogens and outcomes of CAUTI among patients admitted to the ICU of a tertiary University Hospital.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n This is a prospective study. All adult patients admitted to the ICU of a University Hospital who had indwelling urinary catheters (IUCs) at admission were included. Based on the occurrence of CAUTI, the study cohorts were divided into two groups: those with CAUTI and those without CAUTI. The incidence, risk factors, causative pathogens and the outcomes of patients with CAUTI were addressed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One hundred and forty patients were enrolled, with a mean age of 43.84\u2009\u00b1\u200913.86\u2009years, and 69\/140 (49.3%) were male. The incidence of\n CAUTI<\/jats:styled-content>\n was 43.5.\n CAUTI<\/jats:styled-content>\n were significantly related to older age, female sex, smoking, post\u2010surgery, diabetes mellitus (\n DM<\/jats:styled-content>\n ), obstructive uropathy, immobility, faecal incontinence and the duration of urinary catheterisation. Cox regression analysis revealed that the most significant risk factors for\n CAUTI<\/jats:styled-content>\n were the duration of urinary catheterisation,\n DM<\/jats:styled-content>\n and post\u2010surgery, with hazard ratio of 7.14, 95% confidence interval (CI) 3.78\u201314.63,\n p<\/jats:italic>\n \u2009<\u20090.001, 6.25, 95%\n CI<\/jats:styled-content>\n 3.13\u201311.47,\n p<\/jats:italic>\n \u2009<\u20090.001 and 2.34, 95%\n CI<\/jats:styled-content>\n 1.23\u20134.45,\n p<\/jats:italic>\n \u2009=\u20090.010, respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The current study shows that the incidence of CAUTI among ICU patients is high. Numerous risk factors for CAUTI were identified and included older age, female sex, longer duration of catheterisation, smoking, post\u2010surgery, DM, obstructive uropathy and immobility. The most significant risk factors for CAUTI were the duration of urinary catheterisation, DM and post\u2010surgery. Special precautions are needed to prevent CAUTI among ICU patients with those risk factors.<\/jats:p>\n <\/jats:sec>\n \n Relevance to Clinical Practice<\/jats:title>\n The results of this study will have implications for daily ICU practice. It is important to identify high\u2010risk patients and consider targeted preventive measures. Ongoing education for healthcare workers on CAUTI prevention and management should be taken into account.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/nicc.70135","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T10:29:33Z","timestamp":1754908173000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Risk Factors and Outcomes of Catheter\u2010Associated Urinary Tract Infections in the Intensive Care Unit of a Tertiary University Hospital: A Prospective Study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2526-9789","authenticated-orcid":false,"given":"Ghada S. K.","family":"Mahran","sequence":"first","affiliation":[{"name":"Department of Critical Care and Emergency Nursing, Faculty of Nursing Assiut University Assiut Egypt"},{"name":"Nursing Department, Faculty of Nursing Irbid National University Irbid Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5327-9250","authenticated-orcid":false,"given":"Ahmed A.","family":"Jarelnape","sequence":"additional","affiliation":[{"name":"Department of Medical\u2010Surgical Nursing, Faculty of Nursing Al\u2010Baha University Al\u2010Baha Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer A. T.","family":"Dwairi","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing Irbid National University Irbid Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa M. A.","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Nursing, Faculty of Nursing Assiut University Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Abdelwahab","sequence":"additional","affiliation":[{"name":"College of Medicine Al Faisal University Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9437-4799","authenticated-orcid":false,"given":"Sherif","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Chest Diseases and Tuberculosis, Faculty of Medicine Assiut University Assiut Egypt"},{"name":"Department of Internal Medicine Sultan Bin Abdulaziz Humanitarian City Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa A.","family":"Tolba","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Nursing, Faculty of Nursing Assiut University Assiut Egypt"},{"name":"Nursing Department, College of Applied Medical Sciences King Faisal University Hofuf Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1306801"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200205"},{"key":"e_1_2_15_4_1","first-page":"1","volume-title":"Annual Epidemiological Report for 2018","author":"European Centre for Disease Prevention and Control","year":"2023"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.5772\/23113"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.07.012"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010020\u201001001\u20102"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0309755"},{"issue":"22","key":"e_1_2_15_9_1","first-page":"268","article-title":"Bacteriological Profile of Catheter Associated Urinary Tract Infection and Its Antimicrobial Susceptibility Pattern in a Tertiary Care Hospital","volume":"4","author":"Bagali S.","year":"2021","journal-title":"International Journal of Health and Clinical Research"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2024.10.003"},{"key":"e_1_2_15_11_1","unstructured":"National Healthcare Safety Network \u201cUrinary Tract Infection (Catheter\u2010Associated Urinary Tract Infection [CAUTI] and Non\u2010Catheter\u2010Associated Urinary Tract Infection [UTI]) Events \u201dwww.cdc.gov\/nhsn\/pdfs\/pscmanual\/7psccauticurrent.pdf."},{"issue":"2","key":"e_1_2_15_12_1","first-page":"23","article-title":"Microbiological Evaluation of Catheter\u2010Associated Urinary Tract Infection in a Tertiary Care Hospital","volume":"8","author":"Bagchi I.","year":"2015","journal-title":"People's Journal of Scientific 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