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Med Intensiva. 2013 Mar;37(2):75-82. doi: 10.1016/j.medin.2012.02.013. Epub 2012 May 11.

Urethral catheter-related urinary infection in critical patients admitted to the ICU. Descriptive data of the ENVIN-UCI study.

[Article in English, Spanish]

Collaborators (792)

Hazañas FH, Castillo ML, Alfaro CG, González PI, Vilches PL, Legaz IF, Herrero MM, Seisdedos ÁA, Bulnes ML, Valero AM, López GA, Crespo RM, Laza EL, Carbajo VG, Millán MJ, González CA, Ordóñez JM, Verdú MD, Villanova FR, González ME, Troyano MM, García DJ, Ruiz MA, Prados MV, Gómez FH, del Fresno LR, Zamboschi N, Trujillano C, Casas JF, García MI, Pedregosa AT, Mata AF, Sanz AB, Zorrilla MM, Frías JA, Aguilar CC, Campos-Lucha JN, Ortega Ade M, Risquez IH, Sánchez JM, Sánchez MJ, Lorente EC, Salvago JF, Ossorio EY, Ojeda JM, López RH, Pérez MA, Puerta RR, Pareja JC, Peña CY, Trujillo F, Cobos A, Garrido CS, Jerez JG, Quintana Mdel M, de Cienfuegos MM, Quintero JP, Sánchez FP, López FG, Iglesias JL, Bolaños SR, Laborías ME, Ruiz MB, González MC, González AS, Camerino RS, Alonso BH, López SP, Bendicho MJ, Ruiz LB, Núñez MD, de Austria RB, Ruiz JS, Romero MG, Ramos JM, Navarro E, Rodríguez JV, Bermejo FJ, Ranchal MJ, Álvaro JL, Delgado JA, Laderas JC, Muñoz GA, Delgado EM, Rodríguez LB, Parra PR, del Río IQ, Perea AR, Moreno AP, Cifuentes DA, Gómez AM, Arista JC, Pérez MJ, Ruiz JR, Reyes JC, Panadero JA, Cabello MA, Santos ML, Aguayo PL, Martos Cde L, Rodríguez FS, Alonso EA, Amezcua MI, Fernández EM, Carvajal MR, Clarós AD, López DM, Sánchez MG, Fernández MM, Garzón AT, Quintero MC, Flores EM, Lozano Mdel V, Tornay HG, Mera J, Cejudo JC, de la Rosa MP, Téllez EM, Barroso IR, Sáiz AÁ, Moya EP, Zarza PO, Shrem OB, Gómez FJ, Orellana MB, Rodríguez AC, López JM, Marín AA, Fernández I, Barranquero GF, Rodríguez JP, Morales IC, Martínez AA, Fernández DO, Jurado JA, Pérez FJ, Acedo AF, Fuentes MG, Vilchez FD, Escámez JC, Marsilla JI, Artigas IO, Sanz VG, Puente MG, Aguilar PA, Bartolomé BJ, Rodríguez RB, Sáez RR, Gómez PL, Núñez CL, Galindo AI, Anglés GT, Polo CM, Hinojosa JM, Cía IG, Celaya S, Zalba B, Larraga J, Diarte J, Herrera MJ, Valero FJ, García RN, Martín JI, Mateo ML, Azcona AL, Monzón JL, Orta JE, Arbeloa CS, Chavala MA, Claver JC, Lacueva IM, de Arellano IG, Trivez PM, Fumanal CC, Castro MA, Garces CS, Chica JP, Andrés MJ, Dito JM, de Travecedo JF, Mahave CV, Torralba JC, Saray J, Vicente AB, Ruiz DP, Prieto EG, Escudero RY, Iglesias LM, García EF, Espina LF, Soria LV, Fraile LI, Esteban MA, Asensio MT, González CP, Silva EP, Rodríguez JR, Castaño BA, Ruiz JM, Acuña MS, Jiménez JA, Méndez MV, Mariño AL, Fernández MJ, Rodríguez ÁG, Alvárez LV, López SD, Ferrá AC, Rota JI, Serlavós MF, Povedano MM, López AC, Guardiola MB, Lucia PI, Socias A, del Castillo A, Gutiérrez L, Aranda M, Muñiz D, Caraballo EA, Socías JM, Vilar M, Simeón RG, Flors RP, Noguera SR, Murcia MB, Morillas FV, Llodrà EB, Garau AA, Marcos RJ, Alvarez OP, Munguira EB, de Cos PM, García PM, Cuadrillero EE, Lobato EB, Sánchez JG, Leon GT, Palacios MS, Rodríguez AM, Jauregui LU, Luján JL, Viera MA, Morant VP, Santana MC, Ramírez CS, Caipe L, Heredia MS, Marcos y Ramos A, Silva Mdel C, Alvarez SA, García CA, Quintero ML, Iniesta RS, Álvarez SP, Marzo AR, Bermudo MD, Godoy JS, González RM, Ripollés FB, García MC, Poignon GG, Pérez MS, Izquierdo AR, Mujica MD, Ramos JS, Ojeda CM, Platt BQ, Cosculluela MÁ, Elias EF, Alonso JM, Noguero SS, Blanco ML, Gómez AR, Leganes NC, Linde FA, García FA, Fernández RC, Ortega WR, Taberna MA, Rosino CC, Martin AS, Blanco NS, Abellanas GL, López FG, García AM, González VC, González MG, Valderrey FP, Angel Mde L, Fernández AM, Alvarez HA, Migallón MM, Lazaro AS, Díaz MJ, Marquez CC, Dominguez LJ, García JJ, González MC, Checa AA, Moreno AA, Silva A, Yáñez E, Jorquera Mdel C, Agurto N, Gamero D, Romo J, Quirós E, Benito C, Marían C, Cebolla JL, Peces R, Borrallo JM, Martín J, Catalina MA, García JÁ, Luengo AM, Monge RH, Ballesteros JS, Rodríguez LF, García JÁ, Casado MÁ, Lomas LT, Monge RH, de Lamo FB, Amador AF, González FJ, Martín LN, Pérez GG, Calvo AD, Páez ZF, Miguel AG, Robledo JG, Herráez JC, Martínez NA, Lorenzo MJ, Cheng MP, de Diego AC, Serrano MG, García SR, Cambra MJ, Alfonso AT, Esqueda AT, Pueyo MJ, Berrazueta A, Echeverri SO, López DF, Martín SG, Domínguez JD, Luengo RG, Crespo MR, de Castro RG, Rodríguez JV, Soto MÁ, Álvarez Ade C, Palomo DR, Jiménez CM, Macias EM, González SM, Díaz SM, Zirena AC, Rovira A, Molins J, López A, Oussedik L, Berrade J, Rico N, Clanchet Mde N, Albalad MD, Fernández RC, Pérez PT, Ansorregui SB, Felip CS, Palomar M, Arnau E, Nuvials X, Laborda C, Caballero J, Farré M, Borgata B, Gatarello S, Malpica K, Martínez MB, Janillo VQ, González MD, Cuello XP, Zegarra EZ, Bartolomé RA, Sánchez-Etayo G, Jarque SB, Cañada MG, Rivero FV, Santandreu MA, Tort-Martorell MI, Artázcoz PV, Nievas V, de Irujo JB, Plazolles ME, Arnillas MP, Ferrándiz AZ, Jordana ID, Lerma FA, Moreno JR, Sánchez RG, Arango MV, Urbano FE, Vicente RM, Quintana CM, Bayarri MF, Muntaña JU, Naranjo AB, Martínez MB, Naranjo MA, García OR, Ros MC, Sanz SG, Lladó OF, Trujillo AF, Gonzalvez LA, Arambula DG, Sánchez JM, Sánchez LS, Catalan MO, Plarromaní AR, Pérez AL, Zubiri JB, Mas LO, Villoria NR, Roca RF, Sala NF, García MR, Herrerías CN, Alvarez JT, Amérigo JA, Castro MT, Burgueño MJ, Martín AI, Daunis JV, Pujol JA, Reyes JC, Andreu GM, Poveda RM, Perlasia MS, Terrón Mde L, Santos ED, Fernández CL, Rodríguez BC, Serra AM, Real KP, Utset JM, Becher SV, Rico PS, Soriano OG, Asensi Dde M, López MR, Catalán I, Tarres i García E, Giralt E, Gijón C, Moreno C, Taltavull MC, Llobet RT, Martínez PG, Tura LB, Rodrigues MB, Cortacans JX, Saris AB, Sánchez LS, Sirvent JM, Riera CF, Vidal MV, Garrido BB, Gaite FB, Rodríguez GB, Izquierdo EV, Torres PJ, Marco JD, Romero PL, Pobo A, Moreno O, Cos E, Benedicto PG, Rovira i Anglès C, Ribas AM, Calderón BC, González MD, Velarde RA, Araújo MM, Sánchez MA, González CG, González CS, Lamas AM, Pereira FM, Fuentes RA, García LP, Villanueva JR, Lago AM, Velasco CR, López CM, Sedes PR, Bouza AS, Orjales MJ, González CJ, Canosa SG, Ciudad VJ, Alvite EM, Cortés PV, Sanz JP, Varela AI, Fernández ME, Veloso MA, Cañones JR, Chana BG, Ugidos PF, López RG, Piñeiro SL, Durán MV, Otero YS, Torres MB, Villaverde BC, Parada PD, Paredes CG, Pardal CB, Vega Sel D, Roibal Mde L, Pardavila EA, Montes AO, Ramos SF, Melgar JL, de Dios TS, Osinaga IJ, Almozara AP, Rodríguez CG, González PP, Pérez CV, Adrio SV, Avión RC, Martínez MR, Seijo AG, Loureiro MA, Caamaño RP, García BP, Alvarez HG, Alvarez AL, Alvarez FZ, Lamas MV, Martínez MV, Vilanova V, Pérez JB, Lata RÁ, Dopazo VC, García MS, Gallego MÁ, Guadalajara AI, García MS, Elío JE, Guijo BG, de Maeyer AG, Martínez NA, Carmona SA, Simón IF, Valbuena BL, Sainz NM, Cabrera MN, Berzeruelo JA, Velasco GN, Cubells M, Rivera IA, Francos AV, Zayas MJ, Jiménez PB, Silvero EM, Serrano FM, Blázquez AB, Monje RM, González JC, González MC, González JC, Fuentes CG, Vazquez DT, Fernández MC, Gomez RL, Jane FM, Aznárez SB, López EA, Galache JA, Talou JM, Juanas CA, Ramos EM, Delgado CP, Mas M, Fernández MA, Domínguez MT, Alvarez AA, Vidal FG, Rubio AM, Robledo IA, Riestra EM, Vázquez CM, Gude FT, Sendín IC, López PA, Joaniquet NC, Kenji M, Rodríguez ED, Noriega SP, Fernández MT, Alonso SS, Afamefule FA, de la Cruz PA, Tejedor MC, Hermida Ade P, Losada EN, Calero MO, Muñoz SZ, Sánchez EG, Sánchez EM, Matamala BL, Gómez-Casero RB, Sistiaga FM, Herrejón EP, Aguirregabiria MR, Torrejón MC, Simón NV, del Prado JA, Buil RM, Delgado MC, Redondo NC, Soler EA, Reparaz MR, Pellús AM, Rueda BG, Fernández NL, Villarroya AR, Payá JF, Carrión Mde L, Freire AO, Sánchez RJ, Acebes SR, Ferrer MÁ, Mondejar JJ, Julia CM, Vigil M, Villa GR, Ruiz M, Romero CR, Martínez DP, Hernandez PM, Cordoba FG, Quintana M, Olivas JA, Palanco JL, Andrés SB, Ansón MB, Orce AM, Guilarte MT, Viguera RF, Álvarez SC, Hualde JB, Urra IJ, Matín AT, Basualdo CL, Costa RG, Ferraz CL, López IM, Sahuquillo MG, Seller AD, Esteve IS, Palomares JM, Montes MC, Ruiz JR, Santamaría MA, Sanz MG, Sempere MF, Garcés AH, Sala MR, Cerdá RF, Ibáñez JM, Moran AR, Bayarri VM, Navarro CH, Sanz LC, García MÁ, Camps VL, López MF, Cayuela MJ, González RG, Pérez AB, Parra AM, Ferrandiz ST, García AA, Portaceli LA, Baeza JA, Laguarda GA, Aguilar GA, Márquez CG, Gencheva G, Bernabeu JP, López JA, Guerrero LH, Quiles RB, Paulino AM, Ortolá CF, Nácher F, Moreno AI, Suárez MS, Gutiérrez EH, Picos SA, López AB, Muñoz IS, Robles JC, Sánchez FA, García RS, Martín LP, Barranco MD, de Vargas MJ, Lorenzo MG, García-Fontecha ME, López AA, Terrado CA, Izquierdo KP, Román AB, Pascual JL, Moreno CD, Cerdeño C, Jiménez CM, Pacheco FS, García MC, Peñalver LM, Requena CP, Jaime JM, Valero RR, Ahuir MJ, Portillo JR, Monzón IC, Adell AB, Ribes CM, Luis RG, Pareja MM, Sánchez RA, Rodado EP, López AM, González HB, Alutiz SM, Ramirez AM, Arenal CC, Castedo J, Sánchez JM, Otaolea JL, Peñarrubia OG, Lozano CV, Cortajerena NA, Larrañaga L, Barrera NM, Hurtado AS, Gorostidi AM, Zabarte M, Amiano JR, Gutiérrez MU, Arteche IS, del Río EB, Roqueiro BS, Manzano A, Rodríguez T, Peña JM, Sainz JJ, de Tuesta JL, Negrete IL, Soto MT, Astigarraga PM, Sheen CC, Azpiazu EG, Ugarte CS, Amiano JR, del Campo MD, Gómez JL, González RP, Garmendia ED, Fernández TN, Viguera LR, Betolaza IS, Esquino MA, Corcóstegui PR, Benguría ST, Sánchez PP, Varela A, Borregán JC, Sanz MA, Sánchez ML, de los Ríos IL, Barbero JL, Ruiz AM.

Abstract

OBJECTIVE:

To describe trends in national catheter-related urinary tract infection (CRUTI) rates, as well as etiologies and multiresistance markers.

DESIGN:

An observational, prospective, multicenter voluntary participation study was conducted from 1 April to 30 June in the period between 2005 and 2010.

SETTING:

Intensive Care Units (ICUs) that participated in the ENVIN-ICU registry during the study period.

PATIENTS:

We included all patients admitted to the participating ICUs and patients with urinary catheter placement for more than 24 hours (78,863 patients).

INTERVENTION:

Patient monitoring was continued until discharge from the ICU or up to 60 days.

VARIABLES OF INTEREST:

CRUTIs were defined according to the CDC system, and frequency is expressed as incidence density (ID) in relation to the number of urinary catheter-patients days.

RESULTS:

A total of 2329 patients (2.95%) developed one or more CRUTI. The ID decreased from 6.69 to 4.18 episodes per 1000 days of urinary catheter between 2005 and 2010 (p<0.001). In relation to the underlying etiology, gramnegative bacilli predominated (55.6 to 61.6%), followed by fungi (18.7 to 25.2%) and grampositive cocci (17.1 to 25.9%). In 2010, ciprofloxacin-resistant E. coli strains (37.1%) increased, as well as imipenem-resistant (36.4%) and ciprofloxacin-resistant (37.1%) strains of P. aeruginosa.

CONCLUSIONS:

A decrease was observed in CRUTI rates, maintaining the same etiological distribution and showing increased resistances in gramnegative pathogens, especially E. coli and P. aeruginosa.

PMID:
22579562
DOI:
10.1016/j.medin.2012.02.013
[Indexed for MEDLINE]
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