Bacterial Changes in the Urine Samples of Patients With Long-term Indwelling Catheters

Breitenbucher, Robert B.

doi:10.1001/archinte.1984.00350200077013

Cited by 88 publications

(20 citation statements)

References 11 publications

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“…We found no Providencia or Citrobacter and only a few isolates of Pseudomonas. These gram negative bacilli commonly colonize the urinary tract in patients with chronic indwelling catheters 22 – 25 . On the other hand, coagulase negative staphylococci were the organisms isolated most often in our patients.…”

Section: Discussionmentioning

confidence: 57%

Intermittent Urethral Catheterization in the Elderly

Terpenning¹,

Allada²,

Kauffman³

1989

J American Geriatrics Society

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Thirty-five elderly patients receiving intermittent urethral catheterization in a Veterans Administration Hospital and attached nursing home care unit were prospectively studied for development of bacteriuria and/or urinary tract infection. Thirty-one of the 35 patients (88.6%) developed urinary tract colonization. The mean time from initiation of catheterization to development of colonization was 5.7 +/- 1.3 days. Persistent bacteriuria with one or several different microorganisms developed in 17 patients. The most common colonizing organisms were coagulase negative staphylococci, Klebsiella pneumoniae, and enterococcus. Four patients (11%) developed symptomatic urinary tract infection. Although urinary tract colonization was common in patients receiving intermittent urethral catheterization, especially in those with poor functional status, infection was uncommon. Based on these results, intermittent urethral catheterization appears to be a safe and effective method of bladder drainage in elderly male patients when performed with sterile techniques over short periods of time in the nursing home or hospital setting.

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Section: Discussionmentioning

confidence: 57%

Intermittent Urethral Catheterization in the Elderly

Terpenning¹,

Allada²,

Kauffman³

1989

J American Geriatrics Society

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“…It is problematic to define the exact role of S. aureus as a cause of symptomatic urinary tract infection, as opposed to colonization, in this population. Long-term care patients have a high frequency of asymptomatic bacteriuria [5,6]. There is evidence to suggest that the majority of febrile episodes in long-term care patients with bacteriuria are not, in fact, due to urinary tract infection [7,8].…”

Section: Discussionmentioning

confidence: 99%

Isolation of Staphylococcus aureus from the Urinary Tract: Association of Isolation with Symptomatic Urinary Tract Infection and Subsequent Staphylococcal Bacteremia

Muder

Brennen

Rihs

et al. 2006

Clinical Infectious Diseases

155

132

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S. aureus is a cause of urinary tract infection among patients with urinary tract catheterization. The majority of isolates are methicillin-resistant S. aureus. S. aureus bacteriuria can lead to subsequent invasive infection. The efficacy of antistaphylococcal therapy in preventing late-onset staphylococcal infection in patients with persistent staphylococcal bacteriuria should be tested in controlled trials.

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“…long-term indwelling catheters as an alternative to prostatectomy in those unfit for surgery are associated with significant complications [2,8]. long-term indwelling catheters as an alternative to prostatectomy in those unfit for surgery are associated with significant complications [2,8].…”

Section: Discussionmentioning

confidence: 99%