Relationship of catheter-associated urinary tract infection to mortality and length of stay in critically ill patients: a systematic review and meta-analysis of observational studies - Abstract

OBJECTIVE: To determine whether catheter-associated urinary tract infections are associated with increased morbidity and mortality in critically ill patients.

Device-associated infection rates and bacterial resistance in the intensive care units of a Turkish referral hospital - Abstract

OBJECTIVE: To determine device-associated infection (DAI) rates, and the microbiological and antibiotic resistance profiles of infecting pathogens in our hospital.

Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract infections in acute spinal cord injury: A prospective, randomized, multicenter trial - Abstract

OBJECTIVE: To investigate whether intermittent catheterization (IC) with a hydrophilic-coated catheter delays the onset of the first symptomatic urinary tract infection (UTI) and reduces the number of symptomatic UTIs in patients with acute spinal cord injury (SCI) compared with IC with standard, uncoated catheters.

DESIGN: A prospective, randomized, parallel-group trial.

SETTING: Fifteen North American SCI centers. Participants were followed up while in the hospital or rehabilitation unit (institutional period) and up to 3 months after institutional discharge (community period). The maximal study period was 6 months.

PARTICIPANTS: A total of 224 subjects with traumatic SCI of less than 3 months' duration who use IC.

METHODS: The participants were randomized within 10 days of starting IC to either single-use hydrophilic-coated (SpeediCath) or polyvinyl chloride uncoated (Conveen) catheters.

MAIN OUTCOME MEASUREMENTS: The time from the first catheterization to the first antibiotic-treated symptomatic UTI was measured as well as the total number of symptomatic UTIs during the study period.

RESULTS: The time to the first antibiotic-treated symptomatic UTI was significantly delayed in the hydrophilic-coated catheter group compared with the uncoated catheter group. The delay corresponded to a 33% decrease in the daily risk of developing the first symptomatic UTI among participants who used the hydrophilic-coated catheter. In the institutional period, the incidence of antibiotic-treated symptomatic UTIs was reduced by 21% (P < .05) in the hydrophilic-coated catheter group.

CONCLUSIONS: The use of a hydrophilic-coated catheter for IC is associated with a delay in the onset of the first antibiotic-treated symptomatic UTI and with a reduction in the incidence of symptomatic UTI in patients with acute SCI during the acute inpatient rehabilitation. Using a hydrophilic-coated catheter could minimize UTI-related complications, treatment costs, and rehabilitation delays in this group of patients, and reduce the emergence of antibiotic-resistant organisms.

Comment in:
Author response to commentary. [PM R. 2011] Commentary to "Intermittent catheterization with a hydrophilic-coated catheter delays the occurrence of urinary tract infection in patients with acute spinal cord injury: a prospective, randomized, parallel, multicenter trial". [PM R. 2011]

Written by:
Cardenas DD, Moore KN, Dannels-McClure A, Scelza WM, Graves DE, Brooks M, Busch AK Are you the author?
Department of Rehabilitation Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

Reference: PM R. 2011 May;3(5):408-17.
doi: 10.1016/j.pmrj.2011.01.001

PubMed Abstract
PMID: 21570027

Urologic complications in kidney transplantation: a single-center experience - Abstract

INTRODUCTION: Urologic complications are an important cause of morbidity in kidney transplantation.

A hospital-site controlled intervention using audit and feedback to implement guidelines concerning inappropriate treatment of catheter-associated asymptomatic bacteriuria - Abstract

BACKGROUND: Catheter-associated urinary tract infection (CAUTI) is one of the most common hospital-acquired infections.

Urinary diversion/reconstruction for cases of catheter intolerant secondary progressive multiple sclerosis with refractory urinary symptoms - Abstract

PURPOSE: We assessed surgical outcomes for patients intolerant of catheters with secondary progressive multiple sclerosis undergoing urinary diversion/reconstruction for refractory urinary symptoms.

Recommendations of the Infectious Disease Committee of the French Association of Urology. Diagnosis, treatment and monitoring candiduria - Abstract

[Article in French]

The candiduria are frequently encountered in urology. We present the recommendations of the Infectious Diseases Committee of the French Association of Urology for diagnosis, treatment and monitoring of urinary tract infections.

The efficacy of a novel antibacterial hydroxyapatite nanoparticle-coated indwelling urinary catheter in preventing biofilm formation and catheter-associated urinary tract infection in rabbits - Abstract

The aim of this study was to investigate of the efficacy and reliability of a novel antimicrobial hydroxyapatite (HA) nanoparticle coating of urethral catheters, in the prophylaxis of biofilm formation and bacteriuria in rabbits.

Prevalence and molecular epidemiology of meticillin-resistant Staphylococcus aureus in nursing home residents in northern Germany - Abstract

Nursing home residents are a population at risk for carrying meticillin-resistant Staphylococcus aureus (MRSA).

Benchmarking of urinary tract infection rates: Experiences from the intensive care unit component of the German national nosocomial infections surveillance system - Abstract

The aim of this study was to investigate whether surveillance of symptomatic catheter-associated urinary tract infections (CAUTI) in intensive care units (ICUs) leads to reduced CAUTI rates.

Noble metal alloy-coated latex versus silicone Foley catheter in short-term catheterization: a randomized controlled study - Abstract

OBJECTIVE: The primary aim of this study was to compare the incidence of catheter-associated bacteriuria with a noble metal alloy-coated latex catheter or a non-coated silicone catheter in patients undergoing elective orthopaedic surgery with short-term catheterization.

Nosocomial urinary tract infection in critical pediatric patients - Abstract

[Article in Spanish]

OBJECTIVE: To determine the incidence, etiology and risk factors of nosocomial urinary tract infections (nUTI) in a second level Pediatric Intensive Care Unit (PICU).

National incidence and impact of noninfectious urethral catheter related complications on the Surgical Care Improvement Project - Abstract

PURPOSE: We defined the incidence and health outcomes related impact of noninfectious urethral catheter related complications for the 7 surgical procedures monitored by the Joint Commission as part of the Surgical Care Improvement Project.

Silver alloy vs. uncoated urinary catheters: a systematic review of the literature - Abstract

AIMS AND OBJECTIVES: This systematic review aimed to determine whether there was enough evidence to conclude that silver-alloy urinary catheters reduce catheter-associated urinary tract infections compared with silicone or latex urinary catheters in adult inpatients.

Should ureteral catheterization be systematically used in kidney transplants? - Abstract

[Article in Spanish]

OBJECTIVE: To assess if the systematic use of double J ureteral catheters in ureteroneocystostomies of kidney transplants reduces the rate of complications.

Update on biofilm infections in the urinary tract - Abstract

Purpose: Biofilm infections have a major role in implants or devices placed in the human body. As part of the endourological development, a great variety of foreign bodies have been designed, and with the increasing number of biomaterial devices used in urology, biofilm formation and device infection is an issue of growing importance.

The Colorado Patient-Centered Interprofessional Evidence-Based Practice Model: A framework for transformation - Abstract

BACKGROUND: Evidence-based practice (EBP) models provide a framework to guide organizations and their clinicians to implement evidence-based policies, protocols, and guidelines.

High rates of quinolone resistance among urinary tract infections in the ED - Abstract

OBJECTIVES: The objectives of this study are to examine antibiotic resistance rates and to determine appropriate empiric oral antibiotic for patients with urinary tract infections (UTIs) evaluated and discharged from the ED.

Clinical predictors of Enterobacter bacteremia among patients admitted to the ED - Abstract

OBJECTIVES: This study was performed to evaluate clinical features of community-onset Enterobacter bacteremia and determine the risk factors for Enterobacter bacteremia among patients admitted to the emergency department.

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