投稿分類 感控監測

主委發表種類: 口頭

投稿標題(中): 2023年8至9月台灣護理之家醫療照護相關泌尿道感染監測試辦計畫

投稿標題(英): Prospective surveillance of healthcare-associated urinary tract infections in skilled nursing homes: A pilot study in Taiwan, August–September 2023

投稿摘要(前言): Urinary tract infections (UTIs) are most common healthcare-associated infections (HAI) in skilled nursing facilities (SNFs) and have a significant health impact on residents. However, surveillance for healthcare-associated UTIs is not widely conducted in Taiwan’s SNFs, leading to limited epidemiological data. This pilot study aimed to establish a UTI surveillance protocol and assess its feasibility in Taiwan’s SNF.

投稿摘要(方法): The case definition was adapted from the HAI in European Long-Term Care Facilities protocol. We used a standard investigation form to collect information on symptoms, sings and urine culture results. A catheter-associated UTI (CAUTI) event was deemed a UTI identified in a resident with an indwelling urinary catheter or who had removed it within 2 days before the event onset. Six SNFs voluntarily participated in the pilot surveillance from August to September 2023. The characteristics of SNFs, resident- and catheter-days, and UTI events were collected. A feedback questionnaire was administered to evaluate the surveillance protocol.

投稿摘要(結果): The average facility size was 110 beds (ranges: 46 –180). Total 20 UTI events, including 10 CAUTI and 10 non-CAUTI, were recorded, with 16 events having positive urine cultures. A total of 32,724 resident-days and 11,232 catheter-days were reported, with pooled UTI and CAUTI incidence rates of 0.61 per 1,000 resident-days and 0.89 per 1,000 catheter-days, respectively. All six facilities responded to the questionnaire. The most common challenges were evaluating residents’ symptoms, followed by unclear case definitions and limited access to culture results. No facility reported time constraints as a barrier to conducting surveillance.

投稿摘要(討論): Conducting UTI surveillance in Taiwan’s SNFs is possible. Before broader implementation of the protocol, further refinement of the case definition and additional training on the protocol are recommended.

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