Uncomplicated urinary tract infections: Impact of increasing antibiotic resistance in the community - Abstract

Uncomplicated urinary tract infections are commonly encountered in primary care and frequently lead to empirical antibiotic prescriptions.

Bacteriophages with the ability to degrade uropathogenic Escherichia coli biofilms - Abstract

Escherichia coli-associated urinary tract infections (UTIs) are among the most common bacterial infections in humans.

Urine flow cytometry as a primary screening method to exclude urinary tract infections - Abstract

PURPOSE: To exclude urinary tract infections, culture is the gold standard method, although it is time consuming and costly.

Proteus mirabilis urinary tract infection and bacteremia: risk factors, clinical presentation, and outcomes - Abstract

BACKGROUND/PURPOSE: Proteus mirabilis is a common pathogen responsible for complicated urinary tract infections (UTIs) that sometimes causes bacteremia.

BJUI Mini Reviews - An indwelling urinary catheter for the 21st century

BERKELEY, CA ( - The indwelling urinary catheter is the most common cause of infections in hospitals and other healthcare facilities.[1] As long ago as 1958, Paul Beeson [2] warned ‘...the decision to use this instrument should be made with the knowledge that it involves the risk of producing a serious disease which is often difficult to treat.' Since then, scientific studies have progressed revealing a greater understanding of the bladder’s defence mechanisms against infection and how they are undermined by the Foley catheter.[3-5] In addition, the complications caused by the development of bacterial biofilms on catheters have been recognised and the ways in which these bacterial communities develop on catheters have become clear.[5, 6] It is now obvious that fundamental problems with the basic design of the catheter, which has changed little since it was introduced into urological practice by Dr. Fredricc Foley in 1937,[7] induce susceptibility to infection. These issues need to be addressed urgently if we are to produce a device suitable for use in the 21st century...View or save the full text Mini Review as a .pdf file

What's known on the subject? and What does the study add?
A vast literature has been published on the prevalence, morbidity and microbiology of catheter-associated urinary tract infections. Research and development in recent years has focused on producing antibacterial coatings for the indwelling Foley catheter with insufficient attention to its design.
This article provides a critical examination of the design of the indwelling Foley catheter. Design specifications are outlined for a urine collection device that should reduce the vulnerability of catheterised urinary tract to infection.

Roger C.L. Feneley, Calvin M. Kunin,* and David J. Stickler

North Bristol NHS Trust, Southmead Hospital, Bristol, England, School of Biosciences, Cardiff University, Cardiff, Wales, UK, *Department of Medicine, University of Arizona, Tuscon, Arizona,and Dept of Medicine, Ohio State University, Columbus Ohio, USA


More BJUI Mini Reviews and Archives


Bacterial characteristics and glycemic control in diabetic patients with Escherichia coli urinary tract infection - Abstract

BACKGROUND:Patients with diabetes mellitus have an increased risk of infection.

Virulence factors and phylogenetic grouping of Escherichia coli isolates from patients with bacteraemia of urinary tract origin relate to sex and hospital- vs. community-acquired origin - Abstract

Worldwide, Escherichia coli is a leading cause of bloodstream infections.

Comparison of ertapenem and ceftriaxone therapy for acute pyelonephritis and other complicated urinary tract infections in Korean adults: A randomized, double-blind, multicenter trial - Abstract

The efficacy and safety of ertapenem, 1 g once daily, were compared with that of ceftriaxone, 2 g once daily, for the treatment of adults with acute pyelonephritis (APN) and complicated urinary tract infections (cUTIs) in a prospective, multicenter, double-blinded, randomized study.

Uncomplicated UTIs in women - Abstract

Empirical diagnosis and treatment of lower urinary tract infection (UTI) in women is the most common clinical approach due to the urgency of symptoms and cost.

Imaging in upper urinary tract infections - Abstract

Most infections of the upper urinary tract are straightforward and do not require any emergency radiological investigations.

Imaging in lower urinary tract infections - Abstract

In epididymo-orchitis, a sonogram shows a non-homogenous and hypertrophied epididymis and testis, with increased vascularisation seen on a Doppler sonogram.

Evaluation of healthcare-associated infection surveillance in Pennsylvania hospitals - Abstract

Objective: In Pennsylvania, reporting of healthcare-associated infections (HAIs) was mandated in 2007, and hospitals were encouraged to implement qualified electronic surveillance (QES) systems to assist HAI detection.

Addressing the problems of long-term urethral catheterization: Part 1 - Abstract

This is that first of a two-part article looking at the indications for long-term urethral catheterization and good practice, including the use of aseptic non-touch technique used in insertion, and the choice of catheter length and Charrière size.

Prevention of catheter-associated urinary tract infections in patients with hip fractures through education of nurses to specific catheter protocols - Abstract

The majority of patients who experience hip fractures are elderly, and complications in these patients increase length of hospital stays, medical costs, and mortality rates.

WCE 2011 - A prospective study examining the incidence of bacteriuria and urinary tract infection post-shockwave lithotripsy - Session Highlights


Who needs a urine culture prior to SWL? Answer: Everyone

Characteristics of Escherichia coli causing persistence or relapse of urinary tract infections: Phylogenetic groups, virulence factors and biofilm formation - Abstract

Recurrent urinary tract infections (RUTIs) pose a major problem but little is known about characteristics of Escherichia coli associated with RUTI.

Factors associated with catheter-associated urinary tract infections and the effects of other concomitant nosocomial infections in intensive care units - Abstract

Background: Catheter-associated urinary tract infections (CAUTIs) are the most common nosocomial infections in intensive care units (ICUs).

Systematic review of urological followup after spinal cord injury - Abstract

Department of Urology, University of Michigan, Ann Arbor, Michigan.

Malnutrition and clinical outcome in urological patients - Abstract

INTRODUCTION: In a previous study we evaluated the risk for malnutrition among urological patients in a German university hospital.

Bacterial toxin tied to chronic urinary tract infections

SALT LAKE CITY, UT USA (Press Release) - January 17, 2012 - Newswise - Researchers from the University of Utah have identified a process by which the most common types of urinary tract infection-causing bacteria are able to trigger bladder cell shedding and disable immune responses.