全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

Catheter Induced Urinary Tract Infection: Post Surgical Prevalence with Curative and Preventive Management

DOI: 10.4236/oalib.1109513, PP. 1-11

Subject Areas: Urology, Surgery & Surgical Specialties

Keywords: Biofilm, Bacteriuria, Laparotomy, Hysterectomy, Total Knee Replacement, Coagulase, Suprapubic Pain

Full-Text   Cite this paper   Add to My Lib

Abstract

Urinary Tract Infection (UTI) is one of the most common infective diseases nowadays. There are many factors like clinical, anatomical, and environmental that triggered this disease. In gender differentiation, women are more prone to UTI than men though male UTI is not a rare issue overall. But above all, the impact of clinical factors on UTI has been proven to disease aggravating undoubtedly. Different recent scientific surveys showed organisms that expand nosocomial infection prevalence, are mostly inducers of UTI. So, perspective nosocomial UTI is rising day by day. Bi-channel or tri-channel urinary catheter insertion is a common part of clinical procedure mostly for those who have pathologies in the urethra like impaction of stones or any obstruction in the ureter. Emergency urinary catheterization is common in road traffic accidents in the presence or absence of urethral injury. In postoperative thoracic, abdominal surgery insertion of a catheter is not uncommon. How long this catheter is needed to be inserted is depend upon some factors. So, the duration of a catheter is a burning question. Objective: Postoperative urinary catheterization duration is not the same in all cases. Patients who needed to insert a catheter and keep it for a long time and how this duration effect UTI prevalence is the main objective. Method: 49 patients were the object of our cross-sectional study. They were inserted into urinary catheters for different durations in the postoperative period. At first, we started with 52 patients, but 3 of them have been excluded due to previous UTI diagnosis which might occur result in errors. Direct questionnaire about their comorbidities history, drug history, and operation history with catheterization history where applicable. They were informed about the research and cordially participated in the research. Results and Discussion: Here, we observed 49 patients of Islami Bank Central Hospital who had a catheterization history. 31 of them were operated by laparoscopic procedure and 6 of them were UTI diagnosed with a hospitalization history of 1 - 2 days. 8 patients had a history of post-Caesarean hospitalization, and 3 had been diagnosed with UTI during culture. Average hospitalization here 2 days. In a vaginal hysterectomy, 3 of 4 patients diagnosed with UTI had a 6-day average history of hospitalization. The rest of the patients was female and voluntarily used to resist urinary urgency at different times. They were not UTI diagnosed but along with postoperative hospitalization history and anatomical affiliation stimulated the infection process. Prolonged hospital staying is a rising etiology for urinary tract infection is the ultimate proof from this research.

Cite this paper

Kabir, C. M. N. (2022). Catheter Induced Urinary Tract Infection: Post Surgical Prevalence with Curative and Preventive Management. Open Access Library Journal, 9, e9513. doi: http://dx.doi.org/10.4236/oalib.1109513.

References

[1]  Lo, E., Nicolle, L.E., Coffin, S.E., Gould, C., Maragakis, L., Meddings, J., Pegues, D.A., Pettis, A.M., Saint, S. and Yokoe, D.S. (2014) Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals: 2014 Update. Infection Control & Hospital Epidemiology, 35, 464-479. https://doi.org/10.1086/675718
[2]  Arnoldo, L., Migliavasca, R., Regastin, L., Raglio, A., Pagani, L., Nucleo, E., Spalla, M., Vailati, F., Agodi, A., Mosea, A., Zoth, C., Tardivo, S., Bianco, I., Rulli, A., Gualdi, P., Panetta, P., Pasini, C., Pedroni, M. and Brusaferro, S. (2013) Prevalence of Urinary Colonization by Extended Spectrum-Beta-Lactamase Enterobacteriaceae among Catheterized Inpatients in Italian Long Term Care Facilities. BMC Infectious Diseases, 13, Article No. 124. https://doi.org/10.1186/1471-2334-13-124
[3]  Mody, L., Matieshwari, S., Galecki, A., Kauffman, C.A. and Bradley, S.F. (2007) Indwelling Device Use and Antibiotic Resistance in Nursing Homes: Identifying a High-Risk Group. Journal of the American Geriatrics Society, 55, 1921-1926. https://doi.org/10.1111/j.1532-5415.2007.01468.x
[4]  Tambyah, P.A. and Maki, D.G. (2000) Catheter-Associated Urinary Tract Infection Is Rarely Symptomatic: A Prospective Study of 1497 Catheterized Patients. Archives of Internal Medicine, 160, 678-687. https://doi.org/10.1001/archinte.160.5.678
[5]  Leuck, A.-M., Wright, D., Ellingson, L., Kraemer, L., Kuskowski, M.A. and Johnson, J.R. (2012) Complications of Foley Catheters—Is Infection the Greatest Risk? The Journal of Urology, 187, 1662-1666. https://doi.org/10.1016/j.juro.2011.12.113
[6]  Pickard, R., Lam, T., MacLennan, G., Starr, K., Kilonzo, M., McPherson, G., Gillies, K., McDonald, A., Walton, K., Buckley, B., Glazener, C., Boachie, C., Burr, J., Norrie, J., Vale, L., Grant, A. and Nidow, J. (2012) Types of Urethral Catheter for Reducing Symptomatic Urinary Tract Infections in Hospitalized Adults Requiring Short-Term Catheterization: Multicenter Randomized Controlled Trial and Economic Evaluation of Antimicrobial- and Antiseptic-Impregnated Urethral Catheters (the CATHETER Trial). Health Technology Assessment, 16, 216 p. https://doi.org/10.3310/hta16470
[7]  Venhems, P., Baratin, D., Voirin, N., Savey, A., Caillat-Vallet, E., Metzger, M.-H. and Lepape, A. (2008) Reduction of Urinary Tract Infections Acquired in an Intensive Care Unit During a 10-Year Surveillance Program. European Journal of Epidemiology, 23, 641-645. https://doi.org/10.1007/s10654-008-9270-2
[8]  Gastmeier, P., Behnke, M., Schwab, F. and Geffers, C. (2011) Benchmarking of Urinary Tract Infection Rates, Experiences from the Intensive Care Unit Component of the German National Nosocomial Infections Surveillance System. Journal of Hospital Infection, 78, 41-44. https://doi.org/10.1016/j.jhin.2011.01.021
[9]  Rosenthal, V.D., Todi, S.K., Alvarez-Moreno, C., Pawar, M., Karlekar, A., Zeggwagh, A.A., Mitrev, Z., Udwadia, F.E., Navoa-Ng, J.A., Chakravarthy, M., Salomao, R., Sahu, S., Dilek, A., Kanj, S.S., Guanche-Garcell, H., Cuellar, L.E., Ersoz, G., Nevzat-Yolein, A., Jagg, N., Madeiros, E.A., Ye, G., Akan, D.A., Mapp, T., Castenada-Sabogal, A., Matta-Cortes, L., Sirmate, I.F., Olark, N., Torres-Hernandes, H., Barahona-Guzman, N., Fernandez-Hidalgo, R., et al. (2012) Impact of a Multidimensional Infection Control Strategy on Catheter-Associated Urinary Tract Infection Rates in the Adult Intensive Care Units of 15 Developing Countries: Findings of the International Nosocomial Infection Control Consortium. Infection, 40, 517-526. https://doi.org/10.1007/s15010-012-0278-x
[10]  Giks, A., Roumbelaki, M., Bagatzoumi-Pieridou, D., Alexandrou, M., Zinseri, V., Dimitradis, I. and Krixtsotaks, E.I. (2010) Device-Associated Infections in the Intensive Care Units of Cyprus: Results of the First National Incidence Study. Infection, 38, 165-171. https://doi.org/10.1007/s15010-010-0007-2
[11]  Burton, D.C., Edwards, J.R., Srinivasion, A., Fredkin, S.K. and Gould, C.V. (2011) Trends in Catheter-Associated Urinary Tract Infections in Adult Intensive Care Units—United States, 1990-2007. Infection Control & Hospital Epidemiology, 32, 748-756. https://doi.org/10.1086/660872
[12]  Crnich, C.J. and Drinka, P. (2012) Medical Device-Associated Infections in the Long-Term Care Setting. Infectious Disease Clinics of North America, 26, 143-164. https://doi.org/10.1016/j.idc.2011.09.007
[13]  Eilers, R., Veldman-Ariesen, M.J. and Van Bentham, B.H. (2012) Prevalence and Determinants Associated with Healthcare-Associated Infections in Long-Term care Facilities (HALT) in the Netherlands, May to June 2010. Eurosurveilance, 17, Article No. 20252. https://doi.org/10.2807/ese.17.34.20252-en
[14]  Moro, M.L., Ricchizzi, E., Morsillo, F., Marchi, M., Purs, V., Zotti, C.M., Prato, R., Privitera, G., Poli, A., Mora, I. and Fedeli, U. (2013) Infections and Antimicrobial Resistance in Long Term Care Facilities: A National Prevalence Study. Annali di Igiene: Medicina Preventiva e di Comunita, 25, 109-118.
[15]  Heudorf, L., Boehicke, K. and Schade, M. (2012) Healthcare-Associated Infections in Long-Term Care Facilities in Frankfurt am Main, Germany, January to March 2011. Eurosurveilance, 17, Article No. 20256. https://doi.org/10.2807/ese.17.35.20256-en
[16]  Jonsson, K., E-Son Loft, A.-L., Nasic, S. and Hedelin, H. (2011) A Prospective Registration of Catheter Life and Catheter Interventions in Patients with Long-Term Indwelling Catheters. Scandinavian Journal of Urology and Nephrology, 45, 401-403. https://doi.org/10.3109/00365599.2011.590998
[17]  Stevenson, K.B., Moore, J., Colwell, H. and Sleeper, B. (2005) Standardized Infection Surveillance in Long-Term Care Interfacility Comparisons from a Regional Cohort of Facilities. Infection Control & Hospital Epidemiology, 26, 231-238. https://doi.org/10.1086/502532
[18]  Nicolle, L.E. (2012) Urinary Catheter Associated Infections. Infectious Disease Clinics of North America, 26, 13-27. https://doi.org/10.1016/j.idc.2011.09.009
[19]  Warren, J.W., Damron, D., Tenney, J.H., Hoopes, J.M., Deforge, B. and Muncie Jr., H.L. (1987) Fever, Bacteremia and Death as Complications of Bacteriuria in Women with Long-Term Urethral Catheters. The Journal of Infectious Diseases, 155, 1151-1158. https://doi.org/10.1093/infdis/155.6.1151
[20]  Fortin, E., Rocher, I., Frenette, C., Temblay, C. and Quach, C. (2012) Healthcare-Associated Bloodstream Infections Secondary to a Urinary Focus The Quebec Provincial Surveillance Results. Infection Control & Hospital Epidemiology, 33, 456-462. https://doi.org/10.1086/665323
[21]  Mylotte, J.M. (2005) Nursing Home Acquired Bloodstream Infection. Infection Control & Hospital Epidemiology, 26, 838-837. https://doi.org/10.1086/502502
[22]  Nicolle, L.E. (2009) Urinary Tract Infections in the Elderly. Clinics in Geriatric Medicine, 25, 423-436. https://doi.org/10.1016/j.cger.2009.04.005
[23]  Hollingsworth, J.M., Rogers, M.A., Krein, S.L., Hickner, A., Kuhn, L., Cheng, A., Chang, R. and Saint, S. (2013) Determining the Noninfectious Complications of Indwelling Urethral Catheters: A Systematic Review and Meta-Analysis. Annals of Internal Medicine, 159, 401-410. https://doi.org/10.7326/0003-4819-159-6-201309170-00006
[24]  Saint, S., Baker, P.D., McDonald, L.L. and Ossenkop, K. (1999) Urinary Catheters: What Type Do Men and Their Nurses Prefer? Journal of the American Geriatrics Society, 47, 1453-1457. https://doi.org/10.1111/j.1532-5415.1999.tb01567.x
[25]  Chant, C., Smith, D.M., Marshall, J.C. and Friedrich, J.O. (2011) Relationship of Catheter Associated Urinary Tract Infection to Mortality and Length of Stay in Critically Ill Patients: A Systematic Review and Meta-Analysis of Observational Studies. Critical Care Medicine, 39, 1167-1173. https://doi.org/10.1097/CCM.0b013e31820a8581
[26]  Kunin, C.M., Chin, Q.F. and Chambers, S. (1987) Morbidity and Mortality Associated with Indwelling Urinary Catheters in Elderly Patients in a Nursing Home— Confounding due to the Presence of Associated Diseases. Journal of the American Geriatrics Society, 35, 1001-1006. https://doi.org/10.1111/j.1532-5415.1987.tb04003.x
[27]  Stickler, D.J. (2008) Bacterial Biofilms in Patients with Indwelling Urinary Catheters. Nature Clinical Practice Urology, 5, 598-608. https://doi.org/10.1038/ncpuro1231
[28]  Nicolle, L.E. (2001) The Chronic Indwelling Catheter and Urinary Infection in Long-Term-Care Facility Residents. Infection Control & Hospital Epidemiology, 22, 316-321. https://doi.org/10.1086/501908
[29]  Warren, J.W. (1991) The Catheter and Urinary Tract Infection. Medical Clinics of North America, 75, 481-493. https://doi.org/10.1016/S0025-7125(16)30465-5
[30]  Warren, J.W., Tenney, J.H., Hoopes, J.M., Muncie, H.L. and Anthony, W.C. (1982) A Prospective Microbiologic Study of Bacteriuria in Patients with Chronic Indwelling Urethral Catheters. The Journal of Infectious Diseases, 146, 719-723. https://doi.org/10.1093/infdis/146.6.719
[31]  Greene, M.T., Chang, R., Kuhn, L., Rogers, M.A., Chenoweth, C.E., Shuman, E. and Saint, S. (2012) Predictors of Hospital-Acquired Urinary Tract-Related Bloodstream Infection. Infection Control & Hospital Epidemiology, 33, 1001-1007. https://doi.org/10.1086/667731
[32]  Chang, R., Greene, M.T., Chenoweth, C.E., Kuhn, L., Shuman, E., Rogers, N.A.M. and Saint, S. (2011) Epidemiology of Hospital-Acquired Urinary-Tract Related Bloodstream Infection at a University Hospital. Infection Control & Hospital Epidemiology, 32, 1127-1129. https://doi.org/10.1086/662378
[33]  Melzer, M. and Welch, C. (2013) Outcomes in UK Patients with Hospital-Acquired Bacteremia and the Risk of Catheter-Associated Urinary Tract Infections. Postgraduate Medical Journal, 89, 329-334. https://doi.org/10.1136/postgradmedj-2012-131393
[34]  Sader, H.S., Flamm, R.K. and Jones, R.N. (2014) Frequency of Occurrence and Antimicrobial Susceptibility of Gram-Negative Bacteremia Isolates in Patients with Urinary Tract Infection: Results from United States and European Hospitals (2009-2011). Journal of Chemotherapy, 26, 133-138. https://doi.org/10.1179/1973947813Y.0000000121
[35]  Ortega, M., Marco, F., Soriano, A., Almela, M., Martinez, J.A., Pitart, C. and Mensa, J. (2013) Epidemiology and Proynostic Determinants of Bacteremic Catheter Acquired Urinary Tract Infection in a Single Institution from 1991-2010. Journal of Infection, 67, 282-287. https://doi.org/10.1016/j.jinf.2013.06.003
[36]  Matsukawa, M., Kunishima, Y., Takahashi, S., Takeyama, K. and Tsukamoto, T. (2005) Bacterial Colonization on Intraluminal Surface of Urethral Catheter. Urology, 65, 440-444. https://doi.org/10.1016/j.urology.2004.10.065
[37]  Getliffe, K.A. and Mulhall, A.B. (1991) The Encrustation of Indwelling Catheters. British Journal of Urology, 67, 337-341. https://doi.org/10.1111/j.1464-410X.1991.tb15157.x
[38]  Stickler, D.J. and Zimakoff, J. (1994) Complications of Urinary Tract Infections Associated with Devices Used for Long-Term Bladder Management. Journal of Hospital Infection, 28, 177-194. https://doi.org/10.1016/0195-6701(94)90101-5
[39]  Yenli, E., Ankrah, J., Zeyeh, D. and Ziem, J. (2019) Catheter-Associated Bacteria Urinary Tract Infection and Antibiotic Susceptibility Pattern in a Tertiary Hospital, in Ghana. Open Journal of Urology, 9, 140-151. https://doi.org/10.4236/oju.2019.99017

Full-Text


comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413