Nosocomial urinary tract infection in the intensive care unit: when should Pseudomonas aeruginosa be suspected? Experience of the French national surveillance of nosocomial infections in the intensive care unit, Rea-Raisin

Clin Microbiol Infect. 2012 Jan;18(1):E13-5. doi: 10.1111/j.1469-0691.2011.03686.x. Epub 2011 Oct 25.

Abstract

Individual and ward risk factors for P. aeruginosa-induced urinary tract infection in the case of nosocomial urinary tract infection in the intensive care unit were determined with hierarchical (multilevel) logistic regression. The 2004-2006 prospective French national intensive care unit nosocomial infection surveillance dataset was used and 3252 patients with urinary tract infection were included; 16% were infected by P. aeruginosa. Individual risk factors were male sex, duration of stay, antibiotics at admission and transfer from another intensive care unit. Ward risk factors were patient turnover and incidence of P. aeruginosa-infected patients.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cross Infection / epidemiology*
  • Cross Infection / etiology
  • Cross Infection / microbiology*
  • Female
  • France / epidemiology
  • Humans
  • Intensive Care Units
  • Male
  • Middle Aged
  • Prohibitins
  • Pseudomonas Infections / diagnosis*
  • Pseudomonas Infections / epidemiology*
  • Pseudomonas aeruginosa / pathogenicity
  • Risk Factors
  • Urinary Tract Infections* / diagnosis
  • Urinary Tract Infections* / epidemiology
  • Urinary Tract Infections* / microbiology