Infections associated with bladder catheter in intensive care: a systematic review
DOI:
https://doi.org/10.37914/riis.v8i2.438Keywords:
urinary catheters, urinary tract infection, intensive care units, nursingAbstract
Background: the risk of healthcare associated infections is significantly increased when associated with the use of invasive devices. It is estimated that around 80% of urinary tract infections are associated with bladder catheterization, representing up to 40% of the healthcare associated infections. Objectives: to identify the risk factors for catheter-associated urinary tract infections, their incidence and the preventive and corrective nursing interventions in intensive care. Methodology: systematic review, organized according to the steps recommended by the Joanna Briggs Institute, and developed according to the PRISMA flowchart. Results: 10 studies were analysed, allowing to identify the risk factors such as age, gender, comorbidities and the length of time the bladder catheter has been in the patient, and an incidence between 2,7% and 19,3%. Nursing interventions included the implementation of general healthcare associated infections control measures and those specific to bladder catheters. Conclusion: patients who are older, female, have Diabetes Mellitus, are immunocompromised and have been with longer permanence of the bladder catheter have a higher probability of contracting a catheter-associated urinary tract infection.
References
Alexander, M. (2024). Pathology of Diabetes-Induced Immune Dysfunction. International Journal of Molecular Sciences, 25(13), 7105. https://doi.org/10.3390/ijms25137105 DOI: https://doi.org/10.3390/ijms25137105
Al-Hameed, F. M., Ahmed, G. R., Alsaedi, A. A., Bhutta, M. J., Al-Hameed, F. F., & Alshamrani, M. M. (2018). Applying preventive measures leading to significant reduction of catheter-associated urinary tract infections in adult intensive care unit. Saudi Medical Journal, 39(1), 97–102. https://doi.org/10.15537/smj.2018.1.20999 DOI: https://doi.org/10.15537/smj.2018.1.20999
Alrebish, S. A., Yusufoglu, H. S., Alotibi, R. F., Abdulkhalik, N. S., Ahmed, N. J., & Khan, A. H. (2022). Epidemiology of healthcare-associated infections and adherence to the HAI prevention strategies. Healthcare (Basel, Switzerland), 11(1), 63. https://doi.org/10.3390/healthcare11010063 DOI: https://doi.org/10.3390/healthcare11010063
Araújo, W. C. O. (2020). Recuperação da informação em saúde: construção, modelos e estratégias. ConCI: Convergências em Ciência da Informação, 3(2), 100–134. https://doi.org/10.33467/conci.v3i2.13447 DOI: https://doi.org/10.33467/conci.v3i2.13447
Aromataris, E., & Munn, Z. (2017). Chapter 1: JBI Systematic Reviews. In E. Aromataris & Z. Munn (Eds.), JBI Manual for Evidence Synthesis. Joanna Briggs Institute. https://doi.org/10.46658/JBIMES-20-02 DOI: https://doi.org/10.46658/JBIMES-20-02
Barbosa, L. R., Mota, É. C., & Oliveira, A. C. (2019). Infecção do trato urinário associada ao cateter vesical em unidade de terapia intensiva. Revista de Epidemiologia e Controle de Infecção, 9(2), 4–9. https://doi.org/10.17058/reci.v9i1.11579 DOI: https://doi.org/10.17058/reci.v9i1.11579
Centers for Disease Control and Prevention. (2025). Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) events. National Healthcare Safety Network. https://www.cdc.gov/nhsn/pdfs/pscmanual/7psccauticurrent.pdf
Charrier, L., Argentero, P. A., Farina, E. C., Serra, R., Mana, F., & Zotti, C. M. (2014). Surveillance of healthcare-associated infections in Piemonte, Italy: results from a second regional prevalence study. BMC Public Health, 14, 558. https://doi.org/10.1186/1471-2458-14-558 DOI: https://doi.org/10.1186/1471-2458-14-558
Cunha, J. C. V. (2020). Prevenção da infeção urinária na pessoa em situação crítica: intervenção especializada de enfermagem [Tese de Mestrado, Escola Superior de Enfermagem de Lisboa]. Repositório Comum. http://hdl.handle.net/10400.26/37412
Direção-Geral da Saúde. (2022). Norma nº 019/2015 atualizada a 29/08/2022. “Feixe de Intervenções” para a prevenção da infeção urinária associada a cateter vesical. https://normas.dgs.min-saude.pt/wp-content/uploads/2015/12/norma_019_2015_atualizada_29_08_2022_feixe-de-intervencoes-de-prevencao-de-infecao-urinaria-associada-a-cateter-vesical.pdf
Giles, M., Graham, L., Ball, J., Watts, W., King, J., Bantawa, K., Paul, M., Harris, A., O’Brien, A. P., & Parker, V. (2019). Variations in indwelling urinary catheter use in four Australian acute care hospitals. Journal of Clinical Nursing, 28(23–24), 4572–4581. https://doi.org/10.1111/jocn.15048 DOI: https://doi.org/10.1111/jocn.15048
Imam, T. H. (2024). Infecções bacterianas do trato urinário relacionadas a catéter. Manual MSD. https://www.msdmanuals.com/pt-pt/profissional/distúrbios-geniturinários/infecções-do-trato-urinário/infecções-bacterianas-do-trato-urinário-itus
Keten, D., Aktas, F., Tunccan, O. G., Dizbay, M., Kalkanci, A., Biter, G., & Keten, H. S. (2014). Catheter-associated urinary tract infections in intensive care units at a university hospital in Turkey. Bosnian Journal of Basic Medical Sciences, 14(4), 227–233. https://doi.org/10.17305/bjbms.2014.4.140 DOI: https://doi.org/10.17305/bjbms.2014.4.140
Marlene, R., Ramos, V., Patrícia, S., Coelho, F., Celeste, M., Ferreira, S., Pedro, J., & Coelho De Oliveira, P. (2018). Revisão integrativa: avaliação da necessidade de algaliação/manutenção do cateter vesical na pessoa em situação crítica. Cadernos de Saúde, 10(1), 5–13. https://doi.org/10.34632/cadernosdesaude.2018.7216
Moolasart, V., Manosuthi, W., Thienthong, V., Vachiraphan, A., Judaeng, T., Rongrungrueng, Y., Vanprapar, N., & Danchaivijitr, S. (2019). Prevalence and risk factors of healthcare-associated infections in Thailand 2018: a point-prevalence survey. Journal of the Medical Association of Thailand, 102(12), 1309–1316. http://www.jmatonline.com/view.php?id=2306
Mota, É. C. (2019). Infecção do trato urinário associada ao uso do cateter vesical em paciente crítico: impacto do bundle na prevenção [Tese de doutorado, Universidade Federal de Minas Gerais]. Repositório Institucional UFMG. https://repositorio.ufmg.br/handle/1843/35366
Nicolle, L. E., Gupta, K., Bradley, S. F., Colgan, R., DeMuri, G. P., Drekonja, D., Eckert, L. O., Geerlings, S. E., Köves, B., Hooton, T. M., Juthani-Mehta, M., Knight, S. L., Saint, S., Schaeffer, A. J., Trautner, B., Wullt, B., & Siemieniuk, R. (2019). Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 68(10), e83–e110. https://doi.org/10.1093/cid/ciy1121 DOI: https://doi.org/10.1093/cid/ciy1121
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71). https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71
Reyes, S. V. F., Castellanos, M. R. P., N., R. Z., Veranes, F. N. L., & Fernández, Z. R. F. (2014). Infección del tracto urinario por uso del catéter vesical en pacientes ingresados en cuidados intensivos. Medisan, 18(11), 1524–1530. https://doaj.org/article/3265183672df4791916dc59f0dedaeaf
Tukenmez Tigen, E., Dogru, A., Koltka, E. N., Ünlü, C., & Maden, M. (2014). Device-associated nosocomial infection rates and distribution of antimicrobial resistance in a medical-surgical intensive care unit in Turkey. Japanese Journal of Infectious Diseases, 67(1), 5–8. https://doi.org/10.7883/yoken.67.5 DOI: https://doi.org/10.7883/yoken.67.5
Véliz, E., & Vergara, T. (2020). Factores de riesgo para infección del tracto urinario asociado al uso de catéter urinario permanente en pacientes adultos hospitalizados. Revista Chilena de Infectología, 37(5), 509–514. https://doi.org/10.4067/s0716-10182020000500509 DOI: https://doi.org/10.4067/S0716-10182020000500509
Viderman, D., Khamzina, Y., Kaligozhin, Z., Khudaibergenova, M., Zhumadilov, A., Crape, B., & Azizan, A. (2018). An observational case study of hospital associated infections in a critical care unit in Astana, Kazakhstan. Antimicrobial Resistance and Infection Control, 7, 57. https://doi.org/10.1186/s13756-018-0350-0 DOI: https://doi.org/10.1186/s13756-018-0350-0
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