Inappropriate use of urinary catheter and its common complications in different hospital wards

Kamarulzaman, Mohd Nazli

doi:10.4103/1319-2442.109614

Cited by 2 publications

(2 citation statements)

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“…29 In our study rate of CAUTI was lower due to high compliance towards strict infection control practices including hand hygiene, incorporation of catheter care bundle and it could also be due to short study period. 30 In the present study, CAUTI was seen among middle age group (35-55) which is contradict with Arunagiri Ramesh et al 31 shows older age group (>80 years). In critical care unit patients, gender was not a significant risk factor for catheter-associated bacteriuria/candiduria, as observed by a non-significant difference in male-to-female ratios between affected and unaffected patients.…”

Section: Discussioncontrasting

confidence: 85%

Microbiological aspects of catheter associated urinary tract (CAUTI) infections in tertiary care hospital: A prospective cross-sectional study

Chauhan,

Patel,

Pandya

et al. 2024

IJMMTD

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Urinary Tract Infections (UTIs) rank among the most common bacterial infections, affecting all demographics in community and hospital settings. Catheterized patients in critical areas are at increased risk of Catheter-associated UTIs (CAUTIs) due to bacterial or candidial infections. This study assesses CAUTI incidence, causative agents, and antibiotic susceptibility, vital for treatment and infection control.1. This study is aimed to find prevalence of catheter associated urinary tract infection rate among study population; 2. To find out mostly affected age group and gender; 3. The present study was taken to identify candida and bacterial uro-pathogens causing CAUTI -most common organism and their types and level of antimicrobial drug susceptibility attending a tertiary care hospital.A three-month Prospective Cross-sectional study was conducted at Dhiraj Hospital. Following approval from the ethical committee, data collection commenced. Patients with over two days of catheterization and clinical signs of UTI were enrolled. Bacterial identification and antibiotic sensitivity were analyzed using standard protocols, alongside calculation of the CAUTI rate.Out of 80 catheterized urine sample, 51 cases found to as CAUTI. With standard formula applied it was counted that CAUTI rate came to be 15.67%. In our study 55% men and 45% female were affected. In 45 Cases, Most common Gram Negative organisms were (37.2%), (19.6%), Pseudomonas spp (9.8%) and in 6 cases isolated. Most resistant drugs were Fluoroquinolones and Cephalosporin group. Amikacin, Fosfomycin, Meropenem and Imipenem sensitivity were 28.5%, 30%, 22.8% and 28.5% respectively. Most of candida urine infection were sensitive to azole group of antifungal.According to micro-organism and AST pattern found in CAUTI need to formulate Antibiotic policy and strictly follow CAUTI bundle care and infection control practices which may help in line of treatment and management of patient in respective area.

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Section: Discussioncontrasting

confidence: 85%

Microbiological aspects of catheter associated urinary tract (CAUTI) infections in tertiary care hospital: A prospective cross-sectional study

Chauhan,

Patel,

Pandya

et al. 2024

IJMMTD

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“…The rapid development of modern polymer medical devices significantly improves the quality of life of patients but also raises the problem of infection . As one of the most commonly used invasive polymer medical devices, − indwelling urinary catheters play an important role in alleviating diseases and improving the quality of healthcare . It has been reported that more than 30 million urinary catheters and 150 million intravascular catheters are consumed annually in the United States. , The use of medical catheters continues to grow with the increase in minimally invasive surgery, cardiovascular disease, and urologic disorders. − Catheter-related urinary tract infections (CAUTI) and catheter-related bloodstream infections (CRBSI) are currently the most common acquired infections in hospitals, with extremely high infection and mortality rates.…”

Section: Introductionmentioning

confidence: 99%

Multimechanism Long-Term Antibacterial Coating with Simultaneous Antifouling, Contact-Active, and Release-Kill Properties

Wang,

Zhong

et al. 2024

ACS Appl. Polym. Mater.

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Catheter-related infections are some of the most common acquired infections in hospitals, and designing functional coatings on the surface of medical catheters to limit bacterial colonization and biofilm formation can be effective in avoiding infections. In this study, a composite coating (PU-PDA-Ag-PDA-PHMG) with simultaneous antifouling, contact-active, and release-kill properties was prepared on polyurethane (PU) surfaces using polydopamine, Ag nanoparticles, and polyhexamethylene guanidine. This composite coating was systematically evaluated by studying its long-term hydrophilicity, long-term antibacterial property, antibiofilm property, silver release rate, mechanical property, and biocompatibility. The results of scanning electron microscopy, atomic force microscopy, Fourier transform infrared spectrometry, and X-ray photoelectron spectroscopy showed that the PU-PDA-Ag-PDA-PHMG composite coating with multimechanism antibacterial properties was successfully prepared on the PU surface. Relative to the value of 97.62° for the unmodified PU substrate, the water contact angle of this composite coating increased from 49.73° to 61.68° after 28 days of deionized water immersion, indicating excellent long-term hydrophilic properties. Also, this composite coating reduces protein adhesion by 58.67%. After 28 days of immersion in the PBS solution, the antibacterial rates against Staphylococcus aureus and Escherichia coli still reached 97.67% and 99.5%, respectively, indicating broad-spectrum and long-term antibacterial properties. The antibiofilm property of the composite coating surface was significantly improved compared with that of the single-mechanism coating, and the surface was almost free of any bacteria. The total amount of silver ions released from the composite coating was about 16.95% of that from PU-PDA-Ag within 14 days, which proved that the composite coating could significantly reduce the release rate of silver ions. The coating preparation process also did not change the original excellent mechanical properties and biocompatibility of PU (cytotoxicity level of 1). In conclusion, the composite coating developed in this study has great potential for reducing catheter-associated infections.

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Inappropriate use of urinary catheter and its common complications in different hospital wards

Cited by 2 publications

References 0 publications

Microbiological aspects of catheter associated urinary tract (CAUTI) infections in tertiary care hospital: A prospective cross-sectional study

Microbiological aspects of catheter associated urinary tract (CAUTI) infections in tertiary care hospital: A prospective cross-sectional study

Multimechanism Long-Term Antibacterial Coating with Simultaneous Antifouling, Contact-Active, and Release-Kill Properties

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