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022 _a EISSN 2076-2607
028 _b Phone: +255 28 298 3384
028 _b Fax: +255 28 298 3386
028 _b Email: vc@bugando.ac.tz
028 _bWebsite: www.bugando.ac.tz
040 _cDLC
041 _aEnglish
100 _aAsteria LM Ndomba
_945410
222 _a Bugando Medical Centre; Escherichia coli; indwelling urinary catheterization; Klebsiella species; urinary tract infections
245 _aUrinary tract infections and associated factors among patients with indwelling urinary catheters attending Bugando Medical Centre a Tertiary Hospital in Northwestern Tanzania
260 _aMwanza, Tanzania:
_b MDPI &
_b Catholic University of Health and Allied Sciences [CUHAS – Bugando]
_c 2022/2/21
300 _a Pages 473
490 _vMicroorganisms Volume 10 Issue 2
520 _aAbstract Complications of indwelling urinary catheterization (IUC) are associated with significant morbidity and mortality, thus affecting patient’s well-being. Understanding the magnitude and factors associated with complications is crucial in designing appropriate preventive strategies. A cross-sectional study was conducted at Bugando Medical Centre, involving patients with long-term and short-term IUC from December 2016 to September 2017. The data were analyzed by STATA 13.0. Catheter-associated urinary tract infection (CA-UTI) was the leading (56.8%; 250/440) complication among patients with IUC. Gram-negative bacteria were predominantly isolated (98.1%, 252/257), whereas E. coli (30.7%, 79/257) and Klebsiella spp. (29.6%, 76/257) were the leading pathogens. CA-UTI was significantly higher among out-patients than in-patients (82.2% v 35.3%, p < 0.001). Older age (OR: 1.3, (95%CI: 1.1–1.5), p < 0.001), level of education (OR: 1.8, (95%CI: 1.1–3.1), p = 0.029) and catheter duration of ≥6 weeks (OR: 2.43, (95%CI: 1.1–5.5), p = 0.031) independently predicted CA-UTI among outpatients, while female gender (OR: 2.1, (95%CI: 1.2–3.7), p = 0.014), catheter bags not freely hanging (OR: 0.4, (95%CI: 0.2–0.7), p = 0.002) and residing outside Mwanza region (OR: 0.4, (95%CI: 0.2–0.6), p < 0.001) predicted CA-UTI among in-patients. CA-UTI is the common complication among patients with IUC, significantly higher in out-patients than in-patients. We recommend involving patients and carers in infection prevention and control measures in out-patients living with IUC.
700 _aRose M Laisser
_922831
700 _aVitus Silago
_919665
700 _aBenson R Kidenya
_922909
700 _a Joseph Mwanga
_923077
700 _a Jeremiah Seni
_919633
700 _a Stephen E Mshana
_915820
856 _uhttps://doi.org/10.3390/microorganisms10020473
942 _2ddc
_cVM
999 _c19438
_d19438