Factors Related to Catheter-Associated Urinary Tract Infection Among Acute Stroke Patients in Thammasat University Hospital
Keywords:
Urinary tract infection, Indwelling catheterization, Acute stroke patientsAbstract
Catheter-associated urinary tract infection (CAUTI) is a common complication of acute stroke, resulting in inefficient recovery and increased mortality. A retrospective analytic study was conducted to determine factors associated with CAUTI in 147 stroke patients who were admitted between January 2021-December 2022. The content validity index (CVI) of the data collection form developed by the researcher was 1.0. Statistical analysis included percentage, mean, and standard deviation. Binary logistic regression analysis was used to analyze factors associated with CAUTI.
The study found that factors significantly associated with CAUTI included being female (OR = 1.21, 95% CI: 0.559-2.618, p < .05), being younger (<60 years old) (OR = 0.58, 95% CI: 0.239-1.392, p < .05), being a patient with DM (OR = 2.70, 95% CI: 1.239-5.884), p < .01), the severity of the stroke (NIHSS score 16-42) (OR = 2.93, 95% CI: 1.223-6.996, p < .05), neurological disability (mRS ≥ 4 score) (OR = 1.20, 95% CI: 0.780-6.180, p < .05), a duration of catheterization ≥5 days (OR = 2.38, 95% CI: 1.077-5.243, p < .05), and a fasting blood sugar level ≥ 181 mg% (OR = 5.16, 95% CI: 2.292-11.614, p < .001).
The results of this study can be used to develop a model of care for stroke patients in the acute phase to prevent CAUTI infection and to provide guidelines for further research on predicting factors for CAUTI.
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