Evidence map›Paper›PMID 39984831›Full record

ArticleBMC infectious diseases2025

A bundle-based approach on catheter-associated urinary tract infection: a multi-center study in Chinese tertiary hospitals.

Huiping Huang, Lei Huang, Sihan Yan, Chuanpeng Wang, Tingting Wu, Deqin Chen, Tingting Chen, Hongbing Chen, Weimin Huang, Alin Xue and 3 more

Abstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Urinary tract infections and stewardship practices - For a urologist (KIDNEY-AMSP model).Indian journal of urology : IJU : journal of the Urological Society of India
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Huiping HuangSchool of Public Health, Health Science Center, Xi'an Jiaotong University, 76 West Yanta Road, Xi'an, 710061, China.
Lei HuangDepartment of Infection Control, the First Affiliated Hospital of Xiamen University, 55 Zhenhai Road, Xiamen, 361003, China.
Sihan YanDepartment of Infection Control, Children's Hospital of Fudan University (Xiamen Branch), Xiamen Children's Hospital, 92 Yibing Road, Xiamen, 361006, China.
Chuanpeng WangDepartment of Infection Control, the First Affiliated Hospital of Xiamen University, 55 Zhenhai Road, Xiamen, 361003, China.
Tingting WuDepartment of Infection Control, Children's Hospital of Fudan University (Xiamen Branch), Xiamen Children's Hospital, 92 Yibing Road, Xiamen, 361006, China.
Deqin ChenDepartment of Infection Control, Xiamen Hospital of Traditional Chinese Medicine, 1739 Xianyue Road, Xiamen, 361015, China.
Tingting ChenDepartment of Infection Control, Xiamen Changgeng Hospital, Xiamen, 361028, China.
Hongbing ChenDepartment of Infection Control, Women and Children's Affiliated Hospital of Xiamen University, 10 Zhenhai Road, Xiamen, 361003, China.
Weimin HuangDepartment of Infection Control, Xiamen Medical College Affiliated Haicang Hospital, 89 Haiyu Road, Xiamen, 361026, China.
Alin XueLabor Union, Zhongshan Hospital(Xiamen), Fudan University, 668 Jinhu Road, Xiamen, 361015, China.
Jianzhou YangSchool of Public Health, Health Science Center, Xi'an Jiaotong University, 76 West Yanta Road, Xi'an, 710061, China.
Houzhi ChenDKU, Duke University, Durham, 27708, USA.
Guihua ZhuangSchool of Public Health, Health Science Center, Xi'an Jiaotong University, 76 West Yanta Road, Xi'an, 710061, China. zhuanggh@mail.xjtu.edu.cn.

Funding

Xiamen Health and Medicine Guidance Project 3502Z20224ZD1010
6 · The paper itself

Abstract

backgroundCatheter-associated urinary tract infections (CAUTIs) are one of the most common types of healthcare-associated infections (HAIs). Current studies mainly focus on risk factors, but the method to control them is unresolved. We aim to give an overview of the epidemiology of CAUTIs and explore the effects of bundle intervention on intensive care unit (ICU) inpatients.

methodsA multi-center, double-blind, retrospective study was conducted in eight Xiamen medical centers over six months; we recruited ICU inpatients with indwelling urinary catheters (UC) > = 48 h. Data were analyzed using Chi-Square and student's t-test.

resultsWith bundle interventions, the CAUTI rate in ICUs decreased from 3.84 to 1.31 per 1000 UC days. The UC utilization was significantly reduced after bundles (71.29-62.70%), and the average duration of indwelling UC was reduced considerably (7,035 days vs. 6,884 days). CAUTIs in patients over 60 years old were significantly reduced after bundles. There were 45 causative organisms detected from 36 cases of CAUTIs, including 12 multidrug-resistant bacteria.

conclusionsBundles have been shown to reduce the risk of CAUTIs in patients with indwelling catheters in the ICU, especially older adults. It also significantly reduces the use of Carbapenem. Therefore, CAUTI bundles are recommended to clinicians.

Indexed as

Catheter-Related InfectionsCross InfectionInfection ControlUrinary Tract InfectionsAdultAgedAged, 80 and overChinaDouble-Blind MethodEast Asian PeopleFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesBundlesCatheter-associated urinary tract infectionsIntensive care unitMulti-centers study

Identifiers

PMID39984831
PMCPMC11844056

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.