title: Reduction of urinary tract infections acquired in an intensive care unit during a 10-year surveillance program.
abstract: OBJECTIVE
  To describe trends of urinary catheter-related infections (UCRIs) acquired by patients hospitalized in intensive care units (ICU) in relation with an infection control program.
  
  
  METHODS
  Prospective surveillance in one ICU of a university hospital in Lyon (France) between 1995 and 2004.
  
  
  RESULTS
  A 66% reduction of urinary catheter-related infections (UCRIs) acquired by patients hospitalized was observed between 1995 and 2004 after adjustment on age, gender, antibiotic use at admission, and duration of exposure to urinary catheter.
  
  
  CONCLUSIONS
  These results, obtained by continuous epidemiological monitoring of nosocomial infections, are encouraging with regard to the improvement of infection control measures and the evolution of medical practices. Further studies in ICUs are needed to confirm this trend.
authors.affiliation: Department of Hygiene, Epidemiology and Prevention, Edouard Herriot Hospital, Place d'Arsonval, Lyon Cedex 03, 69437 Lyon, France. philippe.vanhems@chu-lyon.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Vanhems
authors.forename: Dominique
authors.initials: D
authors.lastname: Baratin
authors.forename: Nicolas
authors.initials: N
authors.lastname: Voirin
authors.forename: Anne
authors.initials: A
authors.lastname: Savey
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Caillat-Vallet
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: Metzger
authors.forename: Alain
authors.initials: A
authors.lastname: Lepape
mesh_terms: D000328:Adult; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011159:Population Surveillance; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000517:prevention & control