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

  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},
  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… 

Catheter-Related Urinary Tract Infection: Practical Management in the Elderly

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.

Catheter associated urinary tract infections

  • L. Nicolle
  • Medicine, Biology
    Antimicrobial Resistance and Infection Control
  • 2014
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.

Treatment, Management and Prevention of Catheter-associated Urinary Tract Infection

The clinician should be aware of two priorities: the catheter system should remain closed and the duration of catheterization should be minimal, and systemic antimicrobial treatment of asymptomatic catheter-associated bacteriuria is not recommended, except for some special cases.

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

Chronic Catheter Associated Complications and Catheter-Associated Urinary Tract Infection

Avoiding placement of indwelling catheters and promoting early removal of the catheter when appropriate are the most effective interventions to prevent CAUTI.

Long-term urinary catheter-associated urinary tract infection (UTI)

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.

Localization of Urinary Tract Infection In Catheterized Adults Patients: Experience With The Bladder Washout Technique

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.

Care of the Indwelling Urinary Catheter: Is It Evidence Based?

  • Sandra Cochran
  • Medicine
    Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
  • 2007
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.



Chronic indwelling catheter replacement before antimicrobial therapy for symptomatic urinary tract infection.

Low risk of bacteremia during catheter replacement in patients with long-term urinary catheters.

Bacteremia induced by routine replacement of long-term urinary catheters occurred in 4.2% of replacements in geriatric patients, but did not have a detectable clinical relevance in this study.

Catheter-associated urinary tract infections.

  • J. Warren
  • Medicine
    Infectious disease clinics of North America
  • 1987

Bacteriuria and bacteraemia in patients with long-term indwelling catheters--a domiciliary study.

Bacteraemia was demonstrated after 20 of 197 changes of urethral catheter and after one of 19 changes of suprapubic catheter; but no patient had pyrexia or other symptoms, but two had rigors on other occasions.

Fever, bacteremia, and death as complications of bacteriuria in women with long-term urethral catheters.

In the individual patient, these risks should be weighed against benefits of patient comfort, family satisfaction, and prevention and management of decubitus ulcers.

Bacterial changes in the urine samples of patients with long-term indwelling catheters.

Routine monthly cultures are of little predictive value in patients with indwelling catheters and this study does not support the efficacy of sulfamethoxazole and trimethoprim prophylaxis in such patients.

A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters.

The very high prevalence of bacteriuria--virtually 100%--was a result of a high incidence caused by many different species combined with the prolonged residence of some gram-negative bacilli in the catheter and urinary tract.

Restriction of long-term indwelling urethral catheterisation in the elderly.

More than half of the catheters that were inserted in the hospital could be removed within 4 weeks of admission to the centre, implying that a more restricted use of indwelling catheter in hospitals is possible.

Cephalexin for susceptible bacteriuria in afebrile, long-term catheterized patients.

Routine treatment with cephalexin of asymptomatic long-term catheterized patients, even for susceptible organisms, does not seem to be warranted.