The epidemiology of hospital-acquired urinary tract-related bloodstream infection in veterans

Payal K. Patel, M. Todd Greene, Mary A.M. Rogers, David Ratz, Latoya Kuhn, Jennifer Davis, Sanjay Saint

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: Hospital-acquired urinary tract-related bloodstream infections are rare but often lethal. Recent epidemiology of this condition among the United States veteran population is poorly described. Methods: We conducted a retrospective review of hospital-acquired urinary tract-related bloodstream infections of adult inpatients admitted to 4 Veterans Affairs hospitals over 15 years. Electronic medical records were used to obtain clinical, demographic, and microbiologic information. Descriptive statistical analyses were conducted using chi-square tests of association. Test for trend was performed by genus of organism and for case fatality rate over time. Results: While the most commonly isolated organisms were Staphylococcus spp. (36.5%), the incidence of infections caused by Escherichia and Klebsiella increased over time (P =.02 and P =.03, respectively). The overall in-hospital case fatality rate was 24.2% in 499 patients. The case fatality rate was 25.8% for patients with Staphylococcus infections and 20.7% for patients with enterococcal infections. Conclusions: Hospital-acquired urinary tract-related bloodstream infection is commonly due to Staphylococcus spp. and is related to the high fatality among United States veterans. Focused infection control efforts could decrease the incidence of this fatal infection.

Original languageEnglish (US)
Pages (from-to)747-750
Number of pages4
JournalAmerican Journal of Infection Control
Issue number7
StatePublished - Jul 2018


  • Hospital-acquired infection
  • Infection control
  • Urinary tract infection

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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