Nosocomial catheter-associated bacteriuria: a clinical trial comparing two closed urinary drainage systems

Wille, Jan; Alblas, A. Blussé van Oud; Thewessen, E. A. P. M.

doi:10.1016/0195-6701(93)90037-z

Cited by 31 publications

(16 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The difference between the groups appeared from the ®fth day and remained throughout the study period. The study con®rms the ®ndings of Wille et al [18] for the ®rst 5-day period, but during the last 5-day period shows a decrease in UTI, corresponding to a reduction ratio of 20%, although not statistically signi®cantly so.…”

Section: Ab-group Controlsupporting

confidence: 67%

“…Their test compared the`Curity' infection control system (Kendall Co., Boston, USA) which had a povidone-iodine releasing cartridge in line with the bottom outlet, with a simpler closed system (Urias A-4, Svend Andersen Export, Haarlev, Denmark) . The study of Wille et al [18] was in contrast to a previous study of Al-Juburi and Cicmanec [19] comparing the same`Curity' system and a standard closed drainage system; they concluded that in their patients the main entry for bacteria leading to UTI was through the collection bag.…”

Section: Ab-group Controlcontrasting

confidence: 53%

“…Sample (day) Censored UTI At risk Censored UTI At risk contamination of the bottom outlet of the drainage bag or accidental disconnection of the drainage tube resulted in bacteriuria within 32±48 h, while the entry time for the extraluminal route in a strictly managed closed system was 76±120 h. Wille et al [18], in a study on 251 patients, reported the discriminative strength of their trial suf®cient for 5 days and concluded that the admission of bacteriuria during the ®rst 120 h of catheterization was not in¯uenced by additional complex features to prevent the intraluminal spread of bacteria. Their test compared the`Curity' infection control system (Kendall Co., Boston, USA) which had a povidone-iodine releasing cartridge in line with the bottom outlet, with a simpler closed system (Urias A-4, Svend Andersen Export, Haarlev, Denmark) .…”

Section: Ab-group Controlmentioning

confidence: 99%

See 2 more Smart Citations

A prospective, controlled, randomized study of the effect of a slow‐release silver device on the frequency of urinary tract infection in newly catheterized patients

Reiche¹,

Lisby²,

Jørgensen³

et al. 2000

BJU International

View full text Add to dashboard Cite

Objective To test the effect on urinary tract infections (UTIs) in patients needing continuous indwelling catheterization, of a newly designed urine-collecting system containing an antibacterial device which slowly releases silver ions onto the inner surface of the system. Patients and methods The study comprised a prospective controlled randomized trial; 213 patients ful®lled the inclusion criteria. They were randomized to a urine drainage system (comprising a Unometer 400 metering system or PP 2000N closed urine-bag system, both from Maersk Medical, Denmark) either with or without the antibacterial device. The ef®cacy was assessed as the number of UTIs and the time to infection in the 170 patients eligible for analysis. Results There were fewer UTIs in those using the system containing the antibacterial device (19% vs 24%), but the difference was not statistically signi®cant (P<0.05). Conclusion The potential importance of different infection routes were highlighted, suggesting that modi®cations to Foley catheters and urine-collecting systems attempting to prevent UTIs should focus not only on the intraluminal pathway, but on the internal and external pathways of infection.

show abstract

Section: Ab-group Controlsupporting

confidence: 67%

Section: Ab-group Controlcontrasting

confidence: 53%

Section: Ab-group Controlmentioning

confidence: 99%

See 1 more Smart Citation

A prospective, controlled, randomized study of the effect of a slow‐release silver device on the frequency of urinary tract infection in newly catheterized patients

Reiche¹,

Lisby²,

Jørgensen³

et al. 2000

BJU International

View full text Add to dashboard Cite

show abstract

“…Other studies however with other methods to reduce bacterial ascension from the catheter bag (e.g. using disinfectants like povidone-iodine or hydrogen peroxide) [7][8][9]. Clinical trials are needed to prove whether this system and other interventions, e.g.…”

Section: Discussionmentioning

confidence: 96%

Comparison in a Laboratory Model between the Performance of a Urinary Closed System Bag with Double Non-return Valve and that of a Single Valve System

et al. 2006

View full text Add to dashboard Cite

show abstract

“…30 Other types of catheters which have also been investigated include a lubricating catheter (into which a mixture of methyl cellulose and polymixin B is inserted); vented catheters; silver oxide-coated catheters and catheters impregnated with antiseptics or antibiotics. 31 None of these have been adopted for routine use although research continues into the di erent catheter designs.…”

Section: Choice Of Cathetermentioning

confidence: 99%

Prevention of urinary tract infection in patients with spinal cord injury – a microbiological review

Galloway

1997

Spinal Cord

View full text Add to dashboard Cite

The importance of urinary tract infection (UTI) in patients with spinal cord injury cannot be understated. Many patients with signi®cant bacteriuria are considered to be colonised rather than infected, and treatment should be reserved for those with clinical symptoms or other signs of infection. 1 Published research on the prevention and management of UTI in patients with spinal cord injury often has limitations due to di erences in de®nitions of UTI, studies on groups using di erent urinary drainage appliances, the mixture of newly injured and longstanding injured patients and studies being carried out predominantly on male patients. 2 The complications due to UTI and the di culties in treating established infection mean that prevention is essential. Close urological follow-up is crucial in ensuring that adequate bladder drainage is achieved avoiding the use of long term indwelling urinary catheters if at all possible. 3 For those patients who require long term urinary appliances patient education and strict attention to hygiene and catheter care policies is important. The role of antiseptic/ antibiotics is strictly limited in preventing UTI in patients with spinal cord injury and may even be harmful. Further study into which groups of patients may bene®t from the use of antiseptics or antibiotics is urgently required. Continued research into di erent methods of prevention eg by vaccination, immunotherapy, the use of receptor analogues and bladder interference should also be encouraged.

show abstract

Nosocomial catheter-associated bacteriuria: a clinical trial comparing two closed urinary drainage systems

Cited by 31 publications

References 21 publications

A prospective, controlled, randomized study of the effect of a slow‐release silver device on the frequency of urinary tract infection in newly catheterized patients

A prospective, controlled, randomized study of the effect of a slow‐release silver device on the frequency of urinary tract infection in newly catheterized patients

Comparison in a Laboratory Model between the Performance of a Urinary Closed System Bag with Double Non-return Valve and that of a Single Valve System

Prevention of urinary tract infection in patients with spinal cord injury – a microbiological review

Contact Info

Product

Resources

About