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CURATOR
A pinboard by
Joselyne MUKANTWALI

assistant lecturer , university of Rwanda

PINBOARD SUMMARY

For promoting appropriate use of IUC and prevention of CAUTIs, antibiotic abuse and resistance.

The catheter-associated urinary tract infections (CAUTIs) are the most challenging Healthcare-associated infections (HCAIs) (1–4). Urinary catheters contribute 40% to HCAIs (3,5,6), 80% to urinary tract infections (UTIs) morbidity among hospitalized patients, 48% of antibiotic resistance and sources of epidemics of resistant bacteria in acute care facilities (7). Up to 86% of operated patients were candidates to routine indwelling urinary catheters (IUC) (8) and CAUTIs are the 3rd most common post-operative infections (9). A little was known about CAUTIs and IUC use in Rwandan hospitals. This study aim was to assess the use of indwelling urinary catheter among patients undergoing surgery at Rwandan referral hospital. Methods A cross-sectional study was conducted to Theatre of one Rwandan teaching hospital. An observation checklist was used. 207 patients admitted in Theatre for surgery were recruited. Data were analyzed by using descriptive and inferential statistics. The ethical principles were respected. Results: The prevalence of IUC use was 56.5% and significantly associated with female sex, age of 26-35 years, procedure such as obstetrics and gynecology, laparotomy, urology and neurosurgery, emergent surgery, Spinal anesthesia, and presence of physician order (P <0.001). The IUC were placed for appropriate indications (95.7%) but only one IUC (0.9%) was removed before patient left PACU and 56.5% of participants with IUC in place were not having documented removal instructions, especially cases of laparotomy (73.3%), orthopedic surgery (100%), neurologic surgery (100%) and general surgery (100%). Conclusion IUC was routinely used for some procedures such as obstetrics and gynecology, laparotomy, urology & neurosurgery. The absent of post-operative IUC removal instruction may lead to inappropriate duration of IUC. Recommendation The hospital would formulate procedures’ specific policies governing IUC use and conduct further researches on the duration of postoperative IUC retention and associated factors among patients undergoing surgery.