Document Type : Original Article
Authors
1
Department of Clinical Sciences, Faculty of Health Sciences, The University of Bamenda, Bamenda, Cameroon
2
Department of Medicine, Mutengene Baptist Hospital, Mutengene, Cameroon
3
Faculty of Medicine and Biomedical Sciences, University of Yaounde, Yaounde, Cameroon
4
Department of Surgery, Regional Hospital Bamenda, Bamenda, Cameroon
5
Department of Medicine, Baptist Hospital Mutengene, Mutengene, Cameroon
6
Department of Surgery and Specialties, Institut Supérieur de Technologie Médicale Nkolondom, Yaounde, Cameroon
7
MD Research Group, Bamenda, Cameroon
Abstract
Introduction: Catheter-Associated Urinary Tract Infections (CA-UTI) are a significant cause of morbidity and mortality in hospitalized patients. This study investigates the prevalence, aetiology, and risk factors associated with CA-UTI in male patients at a referral hospital in North West Cameroon.
Methods: A hospital-based cross-sectional study was conducted from March 1, 2022, to June 30, 2022, at the Nkwen Baptist Hospital. Male patients catheterized for bladder outlet obstruction (BOO) for at least two days were included. Data were collected using structured questionnaires and analysed with Python. Multivariate logistic regression identified independent predictors of CA-UTI.
Results: Out of 72 participants, 16 (22.2%) had CA-UTI. Significant risk factors included older age (OR = 1.086, p = 0.017), smoking (OR = 4.25, p < 0.001), diabetes (OR = 7.31, p < 0.001), HIV (OR = 5.87, p < 0.001), chronic kidney disease (CKD) (OR = 9.84, p < 0.001), malignancy (OR = 3.28, p = 0.015), and the use of latex catheters (OR = 2.57, p = 0.048). Shorter duration of catheter dependency also increased CA-UTI risk (OR = 0.020, p = 0.001).
Conclusion: The prevalence of CA-UTI was 22.2% among the study population. Significant associations were found with age, smoking, diabetes, HIV, CKD, malignancy, and latex catheter use. These findings highlight the need for targeted interventions to manage these risk factors and reduce CA-UTI incidence in clinical settings. Effective infection control practices, patient education, and risk factor management are essential for mitigating CA-UTI.
Keywords
