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

Stenzelius, Karin LU ; Persson, Siv; Olsson, Ulla-Britt and Stjärneblad, Monica (2011) In Scandinavian journal of urology and nephrology 45. p.258-264
Abstract
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. Secondary objectives included identifying risk factors for bacteriuria and catheter-associated urinary tract symptoms. Material and methods. The study compared 217 patients randomized to and receiving a silicone catheter with 222 patients treated with a coated latex catheter. Before removal of the catheter a sample for urinary culture was obtained. Bacteriuria was defined as the growth of ≥100 000 cfu/ml. A logistic regression model was used to identify risk groups... (More)
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. Secondary objectives included identifying risk factors for bacteriuria and catheter-associated urinary tract symptoms. Material and methods. The study compared 217 patients randomized to and receiving a silicone catheter with 222 patients treated with a coated latex catheter. Before removal of the catheter a sample for urinary culture was obtained. Bacteriuria was defined as the growth of ≥100 000 cfu/ml. A logistic regression model was used to identify risk groups for bacteriuria. Patients were interviewed about urinary tract symptoms during and after catheterization. Results. The incidence of bacteriuria was 1.5% with the coated latex catheter and 5.5% with the silicone catheter (p = 0.027) after a mean period of 2 days' catheterization time. Female gender (odds ratio 6.02) and obesity (odds ratio 5.08) were significant risk factors for bacteriuria. A quarter of the patients reported at least one symptom from the urinary tract during and after catheterization. Most patients defined the symptoms as "yes, a little" and a few consulted a healthcare professional because of the symptoms. Conclusion. This study confirmed previous results that the noble metal alloy coating significantly reduces the risk of catheter-associated bacteriuria in short-term catheterization (1-3 days). Female gender and obesity were significant risk factors for developing bacteriuria, while the use of an open drainage system and insertion of the catheter on the ward were not. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian journal of urology and nephrology
volume
45
pages
258 - 264
publisher
Taylor & Francis
external identifiers
  • WOS:000293909300006
  • PMID:21452931
  • Scopus:80051752419
ISSN
1651-2065
DOI
10.3109/00365599.2011.560007
language
English
LU publication?
yes
id
036b2479-5133-455d-ae09-1fdd20706645 (old id 1937675)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21452931?dopt=Abstract
date added to LUP
2011-05-02 09:01:39
date last changed
2016-11-18 11:24:00
@misc{036b2479-5133-455d-ae09-1fdd20706645,
  abstract     = {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. Secondary objectives included identifying risk factors for bacteriuria and catheter-associated urinary tract symptoms. Material and methods. The study compared 217 patients randomized to and receiving a silicone catheter with 222 patients treated with a coated latex catheter. Before removal of the catheter a sample for urinary culture was obtained. Bacteriuria was defined as the growth of ≥100 000 cfu/ml. A logistic regression model was used to identify risk groups for bacteriuria. Patients were interviewed about urinary tract symptoms during and after catheterization. Results. The incidence of bacteriuria was 1.5% with the coated latex catheter and 5.5% with the silicone catheter (p = 0.027) after a mean period of 2 days' catheterization time. Female gender (odds ratio 6.02) and obesity (odds ratio 5.08) were significant risk factors for bacteriuria. A quarter of the patients reported at least one symptom from the urinary tract during and after catheterization. Most patients defined the symptoms as "yes, a little" and a few consulted a healthcare professional because of the symptoms. Conclusion. This study confirmed previous results that the noble metal alloy coating significantly reduces the risk of catheter-associated bacteriuria in short-term catheterization (1-3 days). Female gender and obesity were significant risk factors for developing bacteriuria, while the use of an open drainage system and insertion of the catheter on the ward were not.},
  author       = {Stenzelius, Karin and Persson, Siv and Olsson, Ulla-Britt and Stjärneblad, Monica},
  issn         = {1651-2065},
  language     = {eng},
  pages        = {258--264},
  publisher    = {ARRAY(0xb54e668)},
  series       = {Scandinavian journal of urology and nephrology},
  title        = {Noble metal alloy-coated latex versus silicone Foley catheter in short-term catheterization: A randomized controlled study.},
  url          = {http://dx.doi.org/10.3109/00365599.2011.560007},
  volume       = {45},
  year         = {2011},
}