711. Preventing Catheter-Associated Urinary Tract Infection in Thailand
Session: Poster Abstract Session: UTIs - Epidemiology and Prevention
Friday, October 21, 2011
Room: Poster Hall B1
Background:  Catheter-associated urinary tract infection (CAUTI) is the second most common nosocomial infection in Thailand.  However, national data describing CAUTI prevention practices have not been systematically collected among hospitals in Thailand.  We performed a national study to evaluate the current practices used by hospitals in Thailand to prevent CAUTIs.

Methods: Between 1 January 2010 and 31 October 2010, research nurses collected data from all hospitals in Thailand with an intensive care unit and > 250 hospital beds (n = 256).  The survey asked about hospital characteristics, as well as practices to prevent CAUTI and other device-associated infections. Logistic regression was used to assess relationships between hospital characteristics and regular use of select CAUTI prevention practices.

Results: A total of 204 hospitals responded, yielding a response rate of 80%. Very few of the responding hospitals reported regular use of suprapubic catheters, silver alloy foley catheters, portable bladder ultrasound scanners, or nitrofurazone-releasing urinary catheters (6%, 4%, 2%, and 2%, respectively). Approximately 47% of hospitals reported regular use of condom catheters in men, and 33% reported regular use of urinary catheter reminders/stop-orders.   The number of ICU beds (p = 0.007), having good/excellent infection control program support (p = 0.037), and having established systems in place for monitoring duration and/or discontinuation of urinary catheters (p = 0.006) were significantly associated with increased odds of reporting regular use of condom catheters.  Hospitals with urinary catheter teams were more likely to report regular use of urinary catheter reminders/stop-orders (p=0.048).

Conclusion: Few infection prevention practices to reduce CAUTI are being used regularly in Thai hospitals despite the commonness of CAUTI. Our data suggest the need for a national policy about CAUTI prevention. Additionally, a national campaign to educate healthcare workers about evidence-based practices to reduce CAUTI in Thailand would be welcome.


Subject Category: N. Hospital-acquired and surgical infections, infection control, and health outcomes including general public health and health services research

Anucha Apisarnthanarak, MD1, Todd Greene, PhD, MPH2,3, Edward Kennedy, MS2, Thana Khawcharoenporn, MD1, Sarah Krein, PhD, RN2,3,4 and Sanjay Saint, MD, MPH2,3,4, (1)Thammasat University, Pathumthani, Thailand, (2)Department of Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, MI, (3)The University of Michigan Health System, Ann Arbor, MI, (4)Center for Clinical Management Research, Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI

Disclosures:

A. Apisarnthanarak, None

T. Greene, None

E. Kennedy, None

T. Khawcharoenporn, None

S. Krein, None

S. Saint, None

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