Özet:

Introduction and Target: One of the most common infections related to healthcare is urine catheter-related urinary tract infections (TOC), morbidity, mortality, the duration and cost of staying in the hospital. From 2008 to 2017, there has been a 70 percent decline in the rate of UCI-USSE in Turkey. But in 2017, according to surveillance data, one of the most common infections related to healthcare in Turkey was IYE, 77.9% of which were related to urine catheter. This study is aimed at investigating the death-related factors in patients developing in intensive care units. Method and Requirements: The universe of this retrospective cohort study is the CAUTI patients diagnosed in Turkey over the age of 18 in the years 2015-2017. The data was collected by infection control nurses, within the framework of the active and forward-looking National Health Service Related Infections Survey, carried out in all hospitals in Turkey. The dependent variable of the study is the way out of the hospital and was dealt with in two categories: dismissal and death. Independent variables in the study are age, gender, patient day, entubation, diabetes, kidney failure, secondary blood circulation infection. Multi-variable logistical regression analysis has been conducted to simultaneously examine the impact of influential factors on the dependent variable. Bootstrap re-sample method has been used to verify the regression model. In intensive care units, independent factors affecting death in advanced patients have been found as age group, day of the patient, the presence of diabetes, the presence of kidney insufficiency, the application of entubation and the development of secondary blood circulation infection. It is quite difficult to understand and determine the structure of causes-effective factors on death and the relationships between these factors in developing patients, but it is clear that this structure is complex. In addition to the difficulty of modifying these risk factors, the effect of modifying these risk factors on death is unknown. Therefore, the most reasonable and efficient approach to the reduction of deaths in this patient group is to prevent the development of TOC.

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