Patricia Volkow, Departamento de Infectología, Instituto Nacional de Cancerología, Ciudad de México, México
Héctor García-Aranda, Departamento de Infectología, Instituto Nacional de Cancerología, Ciudad de México, México
Angelita A. Vázquez-Gutiérrez, División de Enfermería, Instituto Nacional de Cancerología, Ciudad de México, México
Víctor Lárraga-Mancilla, Departamento de Infectología, Instituto Nacional de Cancerología, Ciudad de México, México
Andrea Dávila, Departamento de Infectología, Instituto Nacional de Cancerología, Ciudad de México, México
Consuelo Velázquez, Laboratorio de Microbiología, Instituto Nacional de Cancerología, Ciudad de México, México
Jorge Guerrero-Ixtláhuac, Radiología Intervencionista. Instituto Nacional de Cancerología, Ciudad de México, México
Patricia Cornejo-Juárez, Departamento de Infectología, Instituto Nacional de Cancerología, Ciudad de México, México
Background: Percutaneous nephrostomy tubes (PNT), which are used in some cancer hospitals, are associated with an increase in the incidence of urinary tract infections (UTI). Objective: To determine the impact of a standardized care program on the incidence of UTI requiring hospitalization (UTI-RH). Material and methods: Retrospective study that included patients with a first PNT inserted. The incidence, relative risk (RR), costs and outcomes of patients with UTI-RH were compared during the period before (P0) vs. after the intervention (P1). Results: 113 PNCs were inserted during P0, and 74 at P1. During P0, 61 patients (53.9%) experienced 64 UTI-RH events in 22,557 PNT days. At P1, four patients (5.4%) had a UTI-RH in 6,548 PNT days (IRR: 0.21, 95% CI: 0.05-0.57). The RR was 0.09 (95% CI: 0.03-0.25). Monthly cost per day/bed was USD 3,823 at P0 and USD 1,076 at P1, and for antibiotics, it was USD 790 at P0 and USD 123.5 at P1. Conclusions: This study highlights the importance of a standardized care program for permanent percutaneous devices, since this reduces antibiotic use, hospitalization, and the cost of care.
Keywords: Cancer. Percutaneous nephrostomy tube. Hospitalization. Urinary tract infection. Urinary tract obstruction.