{
    "abstract": "The purpose of this study is to identify the rate of catheter-associated urinary tract infection (CAUTI) after Cesarean delivery (CD) and to determine if any factors increase risk of infection.\nA retrospective cohort study was performed at a multi-center institution for patients who underwent CD in 2013. All patients had urinary catheters inserted before surgery. Diagnosis followed IDSA guidelines with culture growing greater than 10\nOf 2419 patients, 36 patients developed CAUTI (1.5%). In the 24 (66.7%) cases diagnosed by IDSA guidelines, Escherichia coli was the most common causative organism (54.1%); followed by Enterococcus faecalis (16.7%), Streptococccus agalactiae (8.3%), and Group A Streptococcus (8.3%). Longer operative time (OR 1.013; 95% 1.002-1.023; p\u2009=\u2009.02) and pregnancies complicated by STI (OR 4.15; 95% CI 1.11-15.0; p\u2009<\u2009.05) were associated with higher rates of CAUTI.\nThe overall rate of CAUTI after CD was low at 1.5%. Escherichia coli was the most common causative pathogen. Identification of the patients at high risk for CAUTI allows for risk reduction measures.",
    "authors": [
        {
            "affiliation": "a Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic , Cleveland , OH , USA.",
            "firstname": "Laura",
            "initials": "L",
            "lastname": "Moulton"
        },
        {
            "affiliation": "b Department of Gynecology and Obstetrics , Emory University School of Medicine , Atlanta , GA , USA.",
            "firstname": "Mark",
            "initials": "M",
            "lastname": "Lachiewicz"
        },
        {
            "affiliation": "c Department of Quantitative Health Sciences , Cleveland Clinic , Cleveland , OH , USA.",
            "firstname": "Xiaobo",
            "initials": "X",
            "lastname": "Liu"
        },
        {
            "affiliation": "a Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic , Cleveland , OH , USA.",
            "firstname": "Oluwatosin",
            "initials": "O",
            "lastname": "Goje"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/14767058.2017.1286316",
    "journal": "The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians",
    "keywords": [
        "Catheter-associated urinary tract infection",
        "cesarean delivery",
        "nosocomial infection",
        "postpartum infection"
    ],
    "methods": null,
    "publication_date": "2017-01-25",
    "pubmed_id": "28114875",
    "results": "Of 2419 patients, 36 patients developed CAUTI (1.5%). In the 24 (66.7%) cases diagnosed by IDSA guidelines, Escherichia coli was the most common causative organism (54.1%); followed by Enterococcus faecalis (16.7%), Streptococccus agalactiae (8.3%), and Group A Streptococcus (8.3%). Longer operative time (OR 1.013; 95% 1.002-1.023; p\u2009=\u2009.02) and pregnancies complicated by STI (OR 4.15; 95% CI 1.11-15.0; p\u2009<\u2009.05) were associated with higher rates of CAUTI.",
    "title": "Catheter-associated urinary tract infection (CAUTI) after term cesarean delivery: incidence and risk factors at a multi-center academic institution.",
    "xml": "<Element 'PubmedArticle' at 0x788503e09940>"
}