Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2021 Sep-Oct;28(5):290-297.
doi: 10.1097/JTN.0000000000000603.

Reducing Catheter-Associated Urinary Tract Infection: The Impact of Routine Screening in the Geriatric Hip Fracture Population

Shridevi Singh  1 , L D George Angus, Swapna Munnangi, Dooniya Shaikh, Jody C Digiacomo, Vivek C Angara, Aaron Brown, Tayo Akadiri
Affiliations
Observational Study

Reducing Catheter-Associated Urinary Tract Infection: The Impact of Routine Screening in the Geriatric Hip Fracture Population

Shridevi Singh et al. J Trauma Nurs. 2021 Sep-Oct.

Abstract

Background: Catheter-associated urinary tract infection (CAUTI) is a noted complication among geriatric hip fracture patients. This complication results in negative outcomes for both the patients and the institution providing care. Screening measures to identify predisposing factors, with early diagnosis and treatment of urinary tract infection (UTI) present on admission, may lead to reduced rates of CAUTI.

Objective: The goals of this study were to determine the prevalence of UTI on admission among geriatric hip fracture patients and whether routine screening for UTI or predisposing factors at presentation resulted in reduced rates of CAUTI.

Methods: A retrospective observational study of geriatric hip fracture patients from January 2017 to December 2018 at a Level I trauma center was performed. Rates of UTI on admission and CAUTI were calculated using routine admission urinalysis.

Results: Of the 183 patients in the sample, 36.1% had UTI on admission and 4.4% of patients developed CAUTI. There were no significant differences in patient demographics, comorbidities, and complications between those with UTI on admission and those without.

Conclusions: Urinary tract infection on admission may be present among a large portion of geriatric hip fracture patients, leading to increased rates of CAUTI. Routine screening for UTI and its predisposing factors at admission can identify these patients earlier and lead to earlier treatments and prevention of CAUTI.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Alpay Y., Aykin N., Korkmaz P., Gulduren H. M., Caglan F. C. (2018). Urinary tract infections in the geriatric patients. Pakistan Journal of Medical Sciences, 34(1), 67–72. doi:10.12669/pjms.341.14013
    1. Aubron C., Huet O., Ricome S., Borderie D., Pussard E., Leblanc P.-E., Duranteau J. (2012). Changes in urine composition after trauma facilitate bacterial growth. BMC Infectious Diseases, 12, 330. doi:10.1186/1471-2334-12-330
    1. Bail K., Goss J., Draper B., Berry H., Karmel R., Gibson D. (2015). The cost of hospital-acquired complications for older people with and without dementia: A retrospective cohort study. BMC Health Services Research, 15, 91. doi:10.1186/s12913-015-0743-1
    1. Bliemel C., Buecking B., Hack J., Aigner R., Eschbach D.-A., Ruchholtz S., Oberkircher L. (2017). Urinary tract infection in patients with hip fracture: An underestimated event? Geriatrics & Gerontology International, 17(12), 2369–2375. doi:10.1111/ggi.13077
    1. Bohl D. D., Iantorno S. E., Saltzman B. M., Tetreault M. W., Darrith B., Della Valle C. J. (2017). Sepsis within 30 days of geriatric hip fracture surgery. The Journal of Arthroplasty, 32(10), 3114–3119. doi:10.1016/j.arth.2017.05.024

Publication types