Bladder Irrigation With Povidone-Iodine in Prevention of Urinary-Tract Infections Associated With Intermittent Urethral Catheterisation

Broek, P. J. Van Den; Daha, ThJ.; Mouton, R. P.

doi:10.1016/s0140-6736(85)91217-6

Cited by 46 publications

(12 citation statements)

References 16 publications

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“…Changes in the composition of patients' microbial flora have, indeed, been detected in this and previous studies of catherized patients who were given antibiotics (4,8,9,10,15,16,21) or underwent bladder irrigation with disinfectants (22)(23)(24)(25). However, other investigators have found that the composition of patients' (gut) flora returns to normal once the short-term prophylactic therapy is stopped (26).…”

Section: Discussionsupporting

confidence: 58%

Postoperative prophylaxis with norfloxacin in patients requiring bladder catheters

Groot

Andriesse³

et al. 1988

Eur. J. Clin. Microbiol. Infect. Dis.

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The effect of once daily doses of 200 mg oral norfloxacin on the occurrence of catheter-associated bacteriuria (greater than 1000 CFU/ml) and pyuria was studied in 105 post-operative gynaecologic patients. Norfloxacin was given from the second day after surgery until catheter removal. Bacteriuria developed in 32 of 51 (63%) control patients compared to 8 of 54 (15%) patients receiving norfloxacin (p less than 0.001). Pyuria was present in 22 of 51 (43%) control subjects versus only 3 of 54 (5%) patients treated with norfloxacin (p less than 0.001). Bacteria isolated from control patients comprised species of Enterobacteriaceae (40%), Staphylococcus (35%), and Streptococcus (17%); seven isolates were resistant to multiple antibiotics reflecting their nosocomial origin. In contrast, strains isolated from norfloxacin-treated patients comprised non-fermenting gram-negative rods (79%, usually Alcaligenes or Acinetobacter spp.) and faecal streptococci (12%). It is concluded that once daily doses of 200 mg oral norfloxacin are effective in reducing the rate of catheter-associated bacteriuria and pyuria following reconstructive gynaecologic surgery.

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Section: Discussionsupporting

confidence: 58%

Postoperative prophylaxis with norfloxacin in patients requiring bladder catheters

Groot

Andriesse³

et al. 1988

Eur. J. Clin. Microbiol. Infect. Dis.

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“…After the procedure, the urinary bladder was emptied using a 6‐Fr Foley catheter and flushed with a 0.1% povidone‐iodine solution to prevent the urinary tract infection 11 …”

Section: Methodsmentioning

confidence: 99%

Retrograde CT urethrography using a power injector quantitatively reveals effects of bladder distension on urethral size in healthy male Beagle dogs

Kang

Kim

et al. 2020

Vet Radiology Ultrasound

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Quantitative analysis of the normal retrograde urethrogram is well reported in radiography, but studies on CT urethrography are lacking. Recently, a method of retrograde CT urethrography using a power injector was described. The purpose of the current, prospective, analytical study was to quantify the urethral size of five, healthy, intact, male Beagle dogs using retrograde CT urethrography and a power injector. With the injection rate of the power injector set at 0.3 mL/s, 1 mL/kg of diluted contrast medium (15 mg I/mL) was injected, and a CT examination was performed. The state of the initial urethrogram taken was defined as "empty bladder." The same procedures were repeated with the injection of an additional 1 mL/kg of diluted contrast medium until the ureteral reflux was seen (distended bladder). There was a significant difference in volumes between the empty and distended bladder, but the membranous urethra showed the least difference (P = .0044) among the three regions (P < .0001 for the prostatic and penile urethra).Urethral diameters at six sites were measured from sagittal images, and the sites of measurements were adopted from the earlier radiographic studies. The most significant difference in the urethral diameters between the empty and distended bladder occurred at the cranial and middle prostatic urethra (P < .0001). The results of this study can be useful for interpreting the results of retrograde CT urethrography. Care must be taken when narrowing is suspected at the prostatic urethra, and if necessary, further distension of the urinary bladder should be tried. K E Y W O R D Scanine, urethral volume, volumetric segmentation

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“…In a randomized, controlled study of 57 orthopedic patients who underwent single or short-term intermittent urethral catheterization, bladder irrigation after each catheterization with povidone-iodine, compared with no irrigation, reduced the percentage of patients who developed CA-bacteriuria to 4%, compared with 28% in the control group ( ) [265]. In a randomized, controlled study of 89 men P p .03 who underwent transurethral operations, postoperative bladder irrigation with chlorhexidine reduced the percentage of patients with postoperative CA-bacteriuria to 12.8%, compared with 36.7% of saline control group patients ( ) [266].…”

Section: Evidence Summarymentioning

confidence: 99%

Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America

Hooton¹,

Bradley

Cardenas

et al. 2010

Clinical Infectious Diseases

1,740

1,584

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Guidelines for the diagnosis, prevention, and management of persons with catheter-associated urinary tract infection (CA-UTI), both symptomatic and asymptomatic, were prepared by an Expert Panel of the Infectious Diseases Society of America. The evidence-based guidelines encompass diagnostic criteria, strategies to reduce the risk of CA-UTIs, strategies that have not been found to reduce the incidence of urinary infections, and management strategies for patients with catheter-associated asymptomatic bacteriuria or symptomatic urinary tract infection. These guidelines are intended for use by physicians in all medical specialties who perform direct patient care, with an emphasis on the care of patients in hospitals and long-term care facilities.

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Bladder Irrigation With Povidone-Iodine in Prevention of Urinary-Tract Infections Associated With Intermittent Urethral Catheterisation

Cited by 46 publications

References 16 publications

Postoperative prophylaxis with norfloxacin in patients requiring bladder catheters

Postoperative prophylaxis with norfloxacin in patients requiring bladder catheters

Retrograde CT urethrography using a power injector quantitatively reveals effects of bladder distension on urethral size in healthy male Beagle dogs

Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America

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