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The Potential Impact of Excluding Funguria from the Surveillance Definition of Catheter-Associated Urinary Tract Infection

  • Kristen V. Dicks (a1) (a2), Arthur W. Baker (a1) (a2), Michael J. Durkin (a1) (a2), Sarah S. Lewis (a1) (a2), Rebekah W. Moehring (a1) (a2), Deverick J. Anderson (a1) (a2), Daniel J. Sexton (a1) (a2) and Luke F. Chen (a1) (a2)...

Abstract

Funguria rarely represents true infection in the urinary tract. Excluding yeast from the catheter-associated urinary tract infection (CAUTI) surveillance definition reduced CAUTI rates by nearly 25% in community hospitals and at an academic, tertiary-care medical center.

Infect Control Hosp Epidemiol 2015;00(0): 1–3

Copyright

Corresponding author

Address correspondence to Kristen V Dicks, MD, PO Box 102359, Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, NC 27710 (kristen.dicks@duke.edu).

References

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1. Richards, MJ, Edwards, JR, Culver, DH, Gaynes, RP. Nosocomial infections in medical intensive care units in the United States. Crit Care Med 1999;27:887.
2. Kauffman, CA, Vazquez, JA, Sobel, JD, et al. Prospective multicenter surveillance study of funguria in hospitalized patients. Clin Infect Dis 2000;30:14.
3. Sobel, JD, Kauffman, CA, McKinsey, D, et al. Candiduria: a randomized, double-blind study of treatment with fluconazole and placebo. Clin Infect Dis 2000;30:1924.
4. Catheter-Associated Urinary Tract Infection (CAUTI) Event. Available at http://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. Published January 2014. Accessed July 1, 2014.
5. Anderson, DJ, Miller, BA, Chen, LF, et al. The network approach for prevention of healthcare-associated infections: long-term effect of participation in the Duke Infection Control Outreach Network. Infect Control Hosp Epidemiol 2011;32:315322.

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