Analysis of prognosis in catheter-associated urinary tract infections among neurosurgical inpatients
10.3969/j.issn.1671-8348.2025.10.025
- VernacularTitle:神经外科住院患者导尿管相关尿路感染的预后分析
- Author:
Ting LI
1
;
Xiaoyan TANG
;
Chunhua JIANG
;
Hong PENG
;
Jing WANG
Author Information
1. 重庆市第七人民医院医院感染管理科,重庆 400054
- Keywords:
neurosurgery;
inpatients;
catheter-associated urinary tract infection;
propensity score matc-hing;
retrospective cohort study;
prognosis analysis
- From:
Chongqing Medicine
2025;54(10):2381-2385
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of catheter-associated urinary tract infection(CAUTI)on the prognosis of neurosurgical inpatients with indwelling catheters.Methods Neurosurgical inpatients with indwelling catheters and hospital stays＞2 days from January 2018 to December 2023 were selected as the study subjects.CAUTI during hospitalization was used as the exposure factor.A 1∶2 propensity score matc-hing method was applied to control for confounding factors,subsequently,63 patients were included in the CAUTI group and 121 in the non-CAUTI group.The impact of CAUTI on prognostic indicators in these pa-tients was analyzed.Results A total of 554 neurosurgical inpatients with indwelling catheters were included,among whom 70 developed CAUTI,yielding an infection rate of 12.64％.After propensity score matching,compared with the non-CAUTI group,the CAUTI group showed significantly longer hospital stays and in-dwelling catheter durations,higher total hospitalization costs,and higher out-of-pocket expenses,the differ-ences were statistically significant(P＜0.05).However,there was no significant difference in mortality be-tween the two groups(P＞0.05).Among the various medical cost items,significant differences were observed in medical service fees,diagnostic fees,other treatment fees,Western medicine fees,antibacterial drug fees,traditional Chinese medicine fees,consumable costs,and other expenses(P＜0.05),while no significant differ-ence was found in surgical treatment fees(P＞0.05).Conclusion CAUTI prolongs hospital stays and in-dwelling catheter durations,and increases medical costs.Effective measures should be taken to prevent and control CAUTI,thereby improving patient prognosis,reducing patients' direct financial burden,and enhancing the utilization of medical resources.
