Nosocomial urinary tract infection in patients with no Foley catheter [non-catheter-associated urinary tract infection (non-CAUTI)] has been a serious health issue that is associated with an increase in the cost of care, morbidity, and mortality. Identifying the risk factors of non-CAUTI would help determine patients at high risk and prevent complications. This study aims to identify the risk factors of non-CAUTI.
This study was conducted in four hospitals in three Middle Eastern countries: Jordan, Qatar, and Saudi Arabia. A convenience sample of 189 participants was recruited, of which 83 had non-CAUTI. Case-control design was used. Patients who had non-CAUTI while hospitalized were compared with others who did not. A questionnaire was developed based on the non-CAUTI diagnostic criteria from the Centers for Disease Control and Prevention. The questionnaire contained two parts: part one included participants' characteristics and part two assessed the symptoms of non-CAUTI.
Comorbidity is associated with a higher risk of having nosocomial non-CAUTI among hospitalized patients. This study showed that the diagnosis and management of comorbidity is important in lowering the risk of non-CAUTI in hospitalized patients. Age and antibiotic administration were statistically significant; however, their effects were small and were unlikely to have any clinical significance.
Identifying patients at high risk is imperative to prevent the development of non-CAUTI. Nurse practitioners may implement an early intervention for patients with comorbidity to counteract its effect on patients' health.
Journal of the American Association of Nurse Practitioners. 2019 Mar 22 [Epub ahead of print]
Sami M Aloush, Mohammad Al Qadire, Kholoud Assmairan, Hind Al Sheikh, Adel Mosbah, Hamzah Hussien, Bahaʼa Al Bzoor
Pediatric Nursing Department, Adult Health Nursing, Al al bayt University, School of Nursing, Mafraq, Jordan., Intensive Care Unit, King Saud Medical City, Riyadh, Saudi Arabia., Department of Education, Almoosa Hospital, al Mubarraz, Saudi Arabia., Trauma Resuscitation Unit, Hamad Medical Corporation, Doha, Qatar.