OBJECTIVES: To estimate the incidence of nosocomially acquired @entity293 (NAUTI) in Europe and provide information on the clinical characteristics, underlying conditions, etiology, management and outcome of @entity1 . MATERIALS AND METHODS: We collected clinical information from NAUTI @entity1 with a microbiology report on the named study day. RESULTS: A total of 141 hospitals from 25 European countries participated in the study. Written institutional bladder catheter guidelines were in place in 90.3% of EU hospitals and 55% of non-EU hospitals (P < 0.05). The total number of new NAUTI episodes on the day of the study was 298, representing an incidence of 3.55 episodes/1000 @entity1 -days and an estimated prevalence of 10.65/1000. The five most commonly isolated micro-organisms were @entity526 , Enterococcus sp., Candida sp., @entity4005 sp. and @entity796 . @entity1 from non-EU countries were younger, with more severe underlying diseases with a higher incidence of @entity3551 / @entity9279 . Overall, 22.8% of @entity1 had no 'classic' UTI-predisposing factors. Catheter-associated UTI (CAUTI) was present in 187 @entity1 (62.8%). A closed drainage system was used in only 78.5% of catheterised @entity1 . The indication for bladder catheterisation was not considered adequate in 7.6% of cases and continuation of bladder catheterisation was considered unnecessary in 31.3%. Opening of the closed drainage system was the most frequent major error in catheter management (16.8%). Antimicrobial treatment was not considered adequate in 19.8% of all cases. CONCLUSIONS: The incidence of NAUTI in a large European population is 3.55/1000 @entity1 -days. There is clearly room for improvement in the area of bladder catheterisation, catheter care and medical management of NAUTI. We recommend that European authorities draw up and implement practical and specific guidelines to reduce the incidence of this infection.

A European perspective on nosocomial XXXX II. Report on incidence, clinical characteristics and outcome (ESGNI-004 study). European Study Group on Nosocomial Infection.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity3551 :: ('MESH:C536483', 'Disease') :: ['obstructive uropathy'] @entity796 :: ('287', 'Species') :: ['Pseudomonas aeruginosa'] @entity9279 :: ('MESH:D020347', 'Disease') :: ['lithiasis'] @entity4005 :: ('MESH:D007710', 'Disease') :: ['Klebsiella'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infections'] @entity526 :: ('562', 'Species') :: ['Escherichia coli']
@entity293 :: (MESH:D014552,Disease) :: ['urinary tract infections']
