Noble metal alloy-coated latex versus silicone Foley catheter in short-term catheterization: A randomized controlled study.
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1937675
- author
- Stenzelius, Karin LU ; Persson, Siv ; Olsson, Ulla-Britt and Stjärneblad, Monica
- organization
- publishing date
- 2011
- 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
- pmid:21452931
- ISSN
- 1651-2065
- DOI
- 10.3109/00365599.2011.560007
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000)
- 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
- 2016-04-04 09:39:58
- date last changed
- 2022-02-13 18:25:38
@article{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 = {{Taylor & Francis}},
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}},
doi = {{10.3109/00365599.2011.560007}},
volume = {{45}},
year = {{2011}},
}