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Catheter-associated urinary tract infections and other infections in patients hospitalized for acute stroke : A prospective cohort study of two different silicone catheters

Stenzelius, Karin LU ; Laszlo, Liselott; Madeja, Magdalena; Pessah-Rasmussen, Hélène LU and Grabe, Magnus LU (2016) In Scandinavian Journal of Urology2013-01-01+01:00 50(6). p.483-488
Abstract

Objective: Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection. The primary aim of this study was to investigate whether the use of a silicone catheter coated with an ultrathin layer of a combination of the noble metals gold, palladium and silver (BIP™–silicone catheter) could reduce the incidence of CAUTI and antibiotic prescription compared with a standard silicone catheter in a cohort of acute neurological patients suffering primarily from stroke. At the same time, all infectious events requiring prescription of an antimicrobial agent were registered and are reported. Materials and methods: The study was designed as a crossover cohort study enrolling men and women aged over 18 years,... (More)

Objective: Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection. The primary aim of this study was to investigate whether the use of a silicone catheter coated with an ultrathin layer of a combination of the noble metals gold, palladium and silver (BIP™–silicone catheter) could reduce the incidence of CAUTI and antibiotic prescription compared with a standard silicone catheter in a cohort of acute neurological patients suffering primarily from stroke. At the same time, all infectious events requiring prescription of an antimicrobial agent were registered and are reported. Materials and methods: The study was designed as a crossover cohort study enrolling men and women aged over 18 years, requiring emergency management for stroke including the insertion of an indwelling catheter. Data on patient characteristics, urinary tract infections (UTIs), other infectious events and all antibiotic prescriptions were recorded prospectively. Results: The patients’ characteristics differed in the two centres in terms of age but not in diagnosis distribution. UTIs were recorded in 78 (24.2%) of the patients, ahead of pulmonary tract infections (n = 65; 20.2%). There was no difference in terms of CAUTI in the two catheter groups, even in subgroups with catheter treatment for 1 week or less. The patients with a diagnosed UTI required 3.5 more days of hospitalization than those without a UTI. Conclusion: CAUTIs were the most frequent healthcare-associated infections, slightly ahead of pulmonary tract infections. No advantages of the coated catheter could be found in this cohort of critically ill patients.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute neurological conditions, Bactiguard catheter, catheter-associated urinary tract infection (CAUTI), healthcare-associated infection, indwelling catheter, silicone catheter, stroke, urinary tract infection
in
Scandinavian Journal of Urology2013-01-01+01:00
volume
50
issue
6
pages
6 pages
publisher
Taylor & Francis
external identifiers
  • scopus:84975284857
  • wos:000386895900013
ISSN
2168-1805
DOI
10.1080/21681805.2016.1194459
language
English
LU publication?
yes
id
7b06f98b-2fa0-4c7c-a8f3-fa3c6e8f6617
date added to LUP
2016-06-30 13:17:51
date last changed
2017-07-02 04:52:35
@article{7b06f98b-2fa0-4c7c-a8f3-fa3c6e8f6617,
  abstract     = {<p>Objective: Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection. The primary aim of this study was to investigate whether the use of a silicone catheter coated with an ultrathin layer of a combination of the noble metals gold, palladium and silver (BIP™–silicone catheter) could reduce the incidence of CAUTI and antibiotic prescription compared with a standard silicone catheter in a cohort of acute neurological patients suffering primarily from stroke. At the same time, all infectious events requiring prescription of an antimicrobial agent were registered and are reported. Materials and methods: The study was designed as a crossover cohort study enrolling men and women aged over 18 years, requiring emergency management for stroke including the insertion of an indwelling catheter. Data on patient characteristics, urinary tract infections (UTIs), other infectious events and all antibiotic prescriptions were recorded prospectively. Results: The patients’ characteristics differed in the two centres in terms of age but not in diagnosis distribution. UTIs were recorded in 78 (24.2%) of the patients, ahead of pulmonary tract infections (n = 65; 20.2%). There was no difference in terms of CAUTI in the two catheter groups, even in subgroups with catheter treatment for 1 week or less. The patients with a diagnosed UTI required 3.5 more days of hospitalization than those without a UTI. Conclusion: CAUTIs were the most frequent healthcare-associated infections, slightly ahead of pulmonary tract infections. No advantages of the coated catheter could be found in this cohort of critically ill patients.</p>},
  author       = {Stenzelius, Karin and Laszlo, Liselott and Madeja, Magdalena and Pessah-Rasmussen, Hélène and Grabe, Magnus},
  issn         = {2168-1805},
  keyword      = {Acute neurological conditions,Bactiguard catheter,catheter-associated urinary tract infection (CAUTI),healthcare-associated infection,indwelling catheter,silicone catheter,stroke,urinary tract infection},
  language     = {eng},
  month        = {06},
  number       = {6},
  pages        = {483--488},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Urology2013-01-01+01:00},
  title        = {Catheter-associated urinary tract infections and other infections in patients hospitalized for acute stroke : A prospective cohort study of two different silicone catheters},
  url          = {http://dx.doi.org/10.1080/21681805.2016.1194459},
  volume       = {50},
  year         = {2016},
}