Volume 19 Supplement 1

35th International Symposium on Intensive Care and Emergency Medicine

Open Access

Effect of chlorhexidine and urinary catheter infection prevention in a Brazilian coronary ICU

  • GM Plantier1,
  • CE Bosso1,
  • BN Azevedo2,
  • AC Correa3,
  • AL Silva3 and
  • V Raso2
Critical Care201519(Suppl 1):P80

https://doi.org/10.1186/cc14160

Published: 16 March 2015

Introduction

Urinary catheter insertion is a common procedure in ICUs and can be an important cause of infection in the hospital environment [1, 2]. We aimed to analyze the effect of chlorhexidine on long-term urinary catheter insertion and urinary tract infection (UTI) during a 5-year period in patients admitted to a coronary ICU.

Methods

Analysis of patients admitted to a coronary ICU of a medium-sized hospital in Brazil from January 2010 to May 2014. The institutional protocol of periprocedural antisepsis was changed from iodine-based antiseptic to chlorhexidine in 2012. The UTI diagnosis was based on urine culture (>105 colony-forming units per ml of urine) associated with at least one clinical/laboratory abnormality (fever >38°C, urination urgency, increased urinary frequency, dysuria, or suprapubic or lumbar pain). The UTI rate represents the urinary tract infections associated with long-term urinary catheter (patient with UTI associated with long-term urinary catheter divided by patients with long-term urinary catheter × 1,000).

Results

The urinary tract infection rates were 4.8 (year 2010: patients·day-1 (n: 2,511), long-term urinary catheter·day-1 (n: 1,455), device usage rate 958%)), 4.4 (year 2011: patients·day-1 (n: 2,529), long-term urinary catheter·day-1 (n: 1,140), device usage rate (45%)), 0.0 (year 2012: patients·day-1 (n: 2,660), long-term urinary catheter·day-1 (n: 783), device usage rate (29%)), 0.0 (year 2013: patients·day-1 (n: 2,573), long-term urinary catheter·day-1 (n: 960), device usage rate (37%)), and 0.0 (year 2014: patients·day-1 (n: 1,070), long-term urinary catheter·day-1 (n: 444), device usage rate (42%)).

Conclusion

The use of chlorhexidine in the periprocedural antisepsis of urinary catheterization contributed to the decrease of urinary tract infections associated with long-term urinary catheter in patients admitted to the coronary ICU.

Authors’ Affiliations

(1)
Instituto do Coração de Presidente Prudente
(2)
Faculdade de Medicina - UNOESTE, Presidente Prudente
(3)
Santa Casa de Presidente Prudente

References

  1. Silva E, et al: Crit Care. 2004, 8: R251-60. 10.1186/cc2892.PubMed CentralView ArticlePubMedGoogle Scholar
  2. Vincent JL, et al: JAMA. 2009, 302: 2323-9. 10.1001/jama.2009.1754.View ArticlePubMedGoogle Scholar

Copyright

© Plantier et al.; licensee BioMed Central Ltd. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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