oa Southern African Journal of Epidemiology and Infection - Guideline for the management of nosocomial urinary tract infections
The urinary tract is the commonest site of nosocomial infections, accounting for 40% of infections. Sixty-six to 86% of these infections follow instrumentation of the urinary tract, particularly catheterisation. In the USA, each hospital-acquired urinary tract infection adds approximately $675 to the costs of hospitalisation. When bacteraemia develops, this additional cost increases to at least $2800, and patient mortality may be as high as 30% Decreasing the inappropriate use of indwelling urinary catheters, using a closed drainage system, and ensuring that the catheter is removed as soon as it is no longer necessary, remain the main interventions in reduction of nosocomial urinary tract infections.
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