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… 

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References

SHOWING 1-10 OF 42 REFERENCES

The chronic indwelling catheter and urinary infection in long-term-care facility residents.

  • N. Le
  • Medicine, Biology
  • 2001
From 5% to 10% of residents of long-term–care facilities have urinary drainage managed with chronic indwelling catheters, usually with a complex microbiological flora of two to five organisms and a biofilm on the catheter that may contribute to obstruction.

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.