Objectives
Cesarean delivery (CD) rates have risen steadily and until recently, the traditional surgical dogma of indwelling urethral catheters prior to CD was standard practice. While recent evidence suggests that avoiding use of catheters for CD may decrease rates of UTI and facilitate early ambulation, urinary catheters are still used widely. The objective of this study was to identify the rate of catheter-associated urinary tract infection (CAUTI) after CD within a modern obstetrical population and determine patient and surgical factors associated with increased risk of CAUTI.
Methods
A retrospective review was performed from January 1, 2013 through December 31, 2013 at a multi-center tertiary care center for patients who underwent CD. All patients who undergo CD at our institution have urinary catheters inserted prior to surgery. Statistical analysis for categorical and continuous covariates were assessed using Chi Square and student’s t-test respectively, and regression models were used to identify risk factors.
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