AI Article Synopsis

  • The study aimed to investigate the link between stress hyperglycemia and catheter-related urinary tract infections (CAUTI) in stroke patients with retained catheters.
  • Researchers analyzed data from stroke patients who underwent catheterization from January 2016 to March 2020, employing a case-control design and multivariate logistic regression.
  • Findings showed that stress hyperglycemia doubled the risk of CAUTI compared to non-stress hyperglycemia and was associated with a significantly longer hospital stay for those affected.

Article Abstract

Objective To verify the relationship between catheter-related urinary tract infection(CAUTI)and stress hyperglycemia during catheter retention in stroke patients. Methods We used nosocomial infection monitoring system to track the status of CAUTI in stroke patients in a hospital.The study cohort was all the patients who received retention catheterization from January 2016 to March 2020.According to the nested case-control design,multivariate logistic regression analysis was performed to explore the relationship between stress hyperglycemia and CAUTI in stroke patients with indwelling catheter. Results A total of 322 cases of CAUTI and 644 cases of non-CAUTI were enrolled in this study.The length of stay in the case group was(20.68 ± 3.73)d,significantly longer than that[(13.00 ± 4.01)d]in the control group(t=29.473,P <0.001).Compared with non-stress hyperglycemia,stress hyperglycemia posed a higher risk of CAUTI in the stroke patients with indwelling catheter(OR=2.020,95% CI=1.447-2.821,P=0.000)and led to the higher incidence of CAUTI in one thousand days(P<0.001). Conclusion Stress hyperglycemia in the stroke patients with indwelling catheter can significantly increase the risk of CAUTI.

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http://dx.doi.org/10.3881/j.issn.1000-503X.12916DOI Listing

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