Urinary Tract Infection Related to Indwelling Catheterization and Associated Factors Among ≥ 50-year-old Females at A Tertiary Care Hospital, Odisha, India

Abstract
This study determines the association factors of demographic variables with urinary tract infections (UTIs) among females ≥ 50 years or older. Routine microbiological analysis of the urine samples was done to find the dominant microorganisms in these older females and their level of drug resistance. One hundred elderly females with indwelling catheterization were admitted to two different hospitals. The semi-structured questionnaire tool has been used to collect socio-demographic variables and investigate UTIs. A structured 2-point rating scale was used to determine the factors associated with UTIs. A rating scale was employed, assigning a score of 1 for “yes” and 2 for “no”. Urine samples were collected from the participants and diagnosed with routine microbiological tests. UTIs related to indwelling catheterization were 20% between the ages of 50–59 years, and 92% were Married older females. There was an association of factors with marital status, P= 4.033782, df=1, andᵡ²=0.0446, to be statistically significant. Investigation with demographic variables and duration of indwelling catheterization was not statistically significant. Multidrug-resistant Escherichia coli and four different species of Candida were the dominant microorganisms isolated. The identification of UTIs and associated factors with catheterisation will help in controlling the UTIs related to indwelling catheterization and associated factors among older females≥ 50 years of age and endeavours by nursing staff for the good supervisory arrangement for nursing staff and students during indwelling catheterization of the patient. Further, the microbiological analysis results can help develop a suitable antibiotic usage policy for reducing antibiotic resistance.
Keywords: Antibiotic Resistance, Catheter-Associated Urinary Tract Infection, Old Females, Urinary Tract Infection.

Author(s): Rashmimala Pradhan, Pravati Tripathy, Debaprasad Kar, Puspanjali Mohapatro, Shakti Rath*
Volume: 5 Issue: 2 Pages: 714-722
DOI: https://doi.org/10.47857/irjms.2024.v05i02.0623