The Chronic Indwelling Catheter and Urinary Infection in Long-Term–Care Facility Residents

@article{Smith2001TheCI,
  title={The Chronic Indwelling Catheter and Urinary Infection in Long-Term–Care Facility Residents},
  author={Philip Smith and Lindsay E. Nicolle},
  journal={Infection Control \&\#x0026; Hospital Epidemiology},
  year={2001},
  volume={22},
  pages={316 - 321}
}
Abstract From 5% to 10% of residents of long-term–care facilities have urinary drainage managed with chronic indwelling catheters. These residents are always bacteriuric, usually with a complex microbiological flora of two to five organisms and a biofilm on the catheter that may contribute to obstruction. Residents with chronic indwelling catheters have increased morbidity from urinary infection compared to bacteriuric residents without chronic catheters. The most effective means to prevent… Expand
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Catheter-Related Urinary Tract Infection: Practical Management in the Elderly
TLDR
Treatment algorithms with a goal of limiting inappropriate treatment of asymptomatic bacteriuria have been developed and guidelines for prevention of catheter-acquired urinary infection should be followed. Expand
Catheter associated urinary tract infections
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TLDR
The most important interventions to prevent bacteriuria and infection are to limit indwelling catheter use and, whenCatheter use is necessary, to discontinue the catheter as soon as clinically feasible. Expand
Manage catheter-related urinary tract infection in the elderly in long-term care by limiting catheter use and avoiding the inappropriate use of antimicrobials
Elderly residents of long-term care facilities often require chronic indwelling catheterization for the management of urinary voiding. As a result of urethral catheterization, residents are… Expand
Chronic Catheter Associated Complications and Catheter-Associated Urinary Tract Infection
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Avoiding placement of indwelling catheters and promoting early removal of the catheter when appropriate are the most effective interventions to prevent CAUTI. Expand
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Regular catheter change and newer catheter materials have not been proven to reduce the incidence of symptomatic UTIs in those with a long-term urinary catheter in situ. Expand
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The study showed a higher prevalence of CAUTI in Hospitalized patients in LASUTH, and Contrary to previously held opinion, majority of the infections were upper Urinary Tract infections. Expand
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The CAUTI surveillance protocol and data definitions appeared to be robust and easily adapted for use in care home settings thus providing a valuable surveillance tool for these resident populations. Expand
Preventing Infection Associated with Urethral Catheter Biofilms
TLDR
Prevention of CA-UTI includes avoidance ofCatheter use, correct catheter insertion and maintenance and efficient use of programs to monitor catheter use and duration. Expand
Care of the Indwelling Urinary Catheter: Is It Evidence Based?
  • S. Cochran
  • Medicine
  • Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
  • 2007
TLDR
Evidence-based practice guidelines for the care of indwelling urinary catheters in acute, long-term, and home care settings are reviewed and practices that are no longer recommended, as well as present research on the use of silver alloyCatheters and their role in preventing infection are summarized. Expand
Evaluating the potential of removing long-term urinary catheters among home care recipients in Taiwan
TLDR
None of the long-term urinary catheterized home care recipients in this study demonstrated the ability of self-voiding, and those who had a residual-urine volume more than 160 cc were more likely to be people with diabetes and physical dependence. Expand
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