(HealthDay)—Healthcare-associated (HA), community-onset (CO) urinary tract an infection (UTI) could also be frequent inside 30 days following hospital discharge, in accordance with a examine revealed on-line June 20 in An infection Management & Hospital Epidemiology.
Miriam R. Elman, from Oregon Well being and Science College in Portland, and colleagues used knowledge from a tutorial, quaternary care, referral heart to retrospectively establish three,273 hospitalized adults in danger for HA-UTI from Could 2009 to December 2011. There was a 30-day, post-discharge follow-up for sufferers who didn’t expertise a UTI throughout the index hospitalization to establish circumstances of probably HA-CO UTI.
The researchers discovered that the incidence of HA-CO UTI within the 30 days submit discharge was 29.eight per 1,000 sufferers. Some unbiased threat elements for HA-CO UTI had been paraplegia or quadriplegia (adjusted odds ratio [aOR], four.6; 95 % confidence interval [CI], 1.2 to 18.zero), indwelling catheter throughout index hospitalization (aOR, 1.5; 95 % CI, 1.zero to 2.three), prior piperacillin-tazobactam prescription (aOR, 2.three; 95 % CI, 1.1 to four.5), prior penicillin class prescription (aOR, 1.7; 95 % CI, 1.zero to 2.eight), and personal insurance coverage (aOR, zero.6; 95 % CI, zero.four to zero.9).
“These knowledge recommend that surveillance efforts could have to be expanded to seize the total burden to sufferers and higher inform antibiotic prescribing choices for sufferers with a historical past of hospitalization,” conclude the authors.
One researcher experiences ties to the pharmaceutical business.
Extra monitoring wanted to scale back post-hospitalization urinary tract infections
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Higher UTI monitoring wanted after hospital admission in adults (2019, July 1)
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