{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:29:47Z","timestamp":1740176987175,"version":"3.37.3"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: Urinary tract infections are the most frequent healthcare associated infections, being related to both high costs and morbidity.\u00a0Our intention was to carry out an epidemiological characterization of hospital acquired urinary tract infections that occurred in an\u00a0internal medicine department of a Portuguese hospital.Material and Methods: Retrospective cohort study (historic cohort). Data were analysed from a systematic random sample of 388\u00a0patients, representative of the 3492 admissions occurred in 2014 in that department.Results: One in four patients underwent the placement of a bladder catheter [24.7% (n = 96); 95% CI: 20% - 29%], 36.5% (95% CI:\u00a033% - 48%) of which in the absence of clinical criteria for that procedure. The global cumulative incidence rate for nosocomial urinary\u00a0tract infections was 4.6% (95% CI: 2.5% - 6.7%). Most hospital acquired urinary tract infections (61.1%) were related to bladder catheter\u00a0use. We quantified 3.06 infections \/ 1000 patient-days and 14.5 infections \/ 1000 catheter-days. Catheter associated urinary tract infection\u00a0occurred at an early stage of hospitalization. The vast majority of patients (66.7%) that developed a catheter associated urinary\u00a0tract infection were subjected to bladder catheter placement at emergency department. Seventy one per cent of catheter associated\u00a0urinary tract infection occurred in patients that were subjected to bladder catheter placement without criteria.Discussion: These results point to an excessive and inadequate use of urinary catheters, highlighting the need for judicious use taking\u00a0into account the formal clinical indications. The incidence of catheter associated urinary tract infection is similar to what we found\u00a0in other studies. Nevertheless we found a very high incidence density per catheter-days that may foresee a problem probably related\u00a0to the absence of early withdrawal of the device, and to both bladder catheter placement and maintenance practices. A significant part\u00a0of catheter associated urinary tract infection occurred in patients that had the bladder catheter placed in the emergency department,\u00a0before the admission to the internal medicine ward, which highlights the need to assess the urinary catheterization practices in those\u00a0departments.Conclusion: The high rate of catheter associated urinary tract infection that occurred in the absence of bladder placement indication\u00a0reinforces the need to implement prevention strategies that contemplate the reduction of its use. Emergency departments should be\u00a0part of quality improvement projects in this area. Causes for the early onset of catheter associated urinary tract infection in this cohort\u00a0should be investigated.<\/jats:p>","DOI":"10.20344\/amp.8606","type":"journal-article","created":{"date-parts":[[2017,10,11]],"date-time":"2017-10-11T07:48:34Z","timestamp":1507708114000},"page":"608-614","source":"Crossref","is-referenced-by-count":6,"title":["Hospital-Acquired Urinary Tract Infections: Results of a Cohort Study Performed in an Internal Medicine Department"],"prefix":"10.20344","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3837-4476","authenticated-orcid":false,"given":"Maria Jo\u00e3o","family":"Lob\u00e3o","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2017,9,29]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/8606\/5148","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/8606\/5148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T20:29:46Z","timestamp":1666729786000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/8606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,29]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2017,9,29]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.8606","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"type":"electronic","value":"1646-0758"},{"type":"print","value":"0870-399X"}],"subject":[],"published":{"date-parts":[[2017,9,29]]}}}