title: [Urinary catheters prevalence study in a university hospital].
abstract: BACKGROUND
  Urinary tract infection is the most common healthcare-association infection, especially because of urinary catheter. We evaluated our practices concerning catheter insertion and management in our institution.
  
  
  METHODS
  We conducted a single-centre descriptive cross-sectional study during 1 week in September 2014 in all adult departments. We noted prevalence, indications, length, management of urinary catheter (UC) and symptomatic catheter-associated urinary tract infections (SCAUTI).
  
  
  RESULTS
  Amongst 1046 patients audited, 125 (12%) had UC. The mean age was 72 years (64.8-79.2). UC prevalence was higher in surgical (88%) and medical (87%) intensive care, urology (50%), geriatrics (18%) and long-term care (18%) departments. The average catheterisation length was 7.8 days (3.8-11.8); it was shorter in surgery than in medicine departments (3.6 vs 9.7 days, P<0.001). Catheters were present for more than 4 days in 60% of the cases. Acute urinary retention was the most frequent indication (59%), significantly more in medical than surgical departments (75% vs 26%). Others indications were perioperative (17%), diuresis monitoring (12%), strict immobilization (4%) and unnecessary indications or staff comfort (4%). A SCAUTI was present in 10% of cases, mostly in medicine department (30% vs 8%).
  
  
  CONCLUSIONS
  The prevalence of our institution is higher than the national prevalence (8.1%), but still below the European average (17.2%). Control of the risk of CAUTI requires compliance with UC appropriate indications, UC management, and prompt removal of unnecessary UC.
  
  
  METHODS
  4.
authors.affiliation: Département d'urologie, CHU d'Angers, 4, rue Larrey, 49100 Angers, France. Electronic address: julie.carrouget@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Carrouget
authors.affiliation: Unité de prévention et de lutte contre les infections nosocomiales, CHU d'Angers, 49100 Angers, France.
authors.forename: C
authors.initials: C
authors.lastname: Legeay
authors.affiliation: Unité de prévention et de lutte contre les infections nosocomiales, CHU d'Angers, 49100 Angers, France.
authors.forename: A
authors.initials: A
authors.lastname: Poirier
authors.affiliation: Département d'urologie, CHU d'Angers, 4, rue Larrey, 49100 Angers, France.
authors.forename: A-R
authors.initials: AR
authors.lastname: Azzouzi
authors.affiliation: Unité de prévention et de lutte contre les infections nosocomiales, CHU d'Angers, 49100 Angers, France.
authors.forename: J-R
authors.initials: JR
authors.lastname: Zahar
authors.affiliation: Département d'urologie, CHU d'Angers, 4, rue Larrey, 49100 Angers, France.
authors.forename: P
authors.initials: P
authors.lastname: Bigot
mesh_terms: D000368:Aged; D055499:Catheter-Related Infections / Q000453:epidemiology / Q000209:etiology*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology*; D003430:Cross-Sectional Studies; D005260:Female; D005602:France / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D014546:Urinary Catheterization / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology*
keywords: Health care-associated infection; Infection nosocomiale; Pratique professionnelle; Professional practices; Sondage vésical; Urinary catheter