Preventing Catheter-Associated Urinary Tract Infections with Incontinence Management Alternatives

Bagley, Kimberly; Severud, Lindsey

doi:10.1016/j.cnur.2021.05.002

Cited by 13 publications

(14 citation statements)

References 18 publications

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“…29 For men, condom catheters may be utilized, and recent advances have led to a viable external alternative for women. 30 In order to minimize catheter use, the infrastructure and program at the hospital level should be in place. Sufficient staffing and staff education, with access to necessary equipment should be ensured.…”

Section: General Prevention Strategiesmentioning

confidence: 99%

Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects

Werneburg¹

2022

RRU

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Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection and cause of secondary bloodstream infections. Despite many advances in diagnosis, prevention and treatment, CAUTI remains a severe healthcare burden, and antibiotic resistance rates are alarmingly high. In this review, current CAUTI management paradigms and challenges are discussed, followed by future prospects as they relate to the diagnosis, prevention, and treatment. Clinical and translational evidence will be evaluated, as will key basic science studies that underlie preventive and therapeutic approaches. Novel diagnostic strategies and treatment decision aids under development will decrease the time to diagnosis and improve antibiotic accuracy and stewardship. These include several classes of biomarkers often coupled with artificial intelligence algorithms, cell-free DNA, and others. New preventive strategies including catheter coatings and materials, vaccination, and bacterial interference are being developed and investigated. The antibiotic pipeline remains insufficient, and new strategies for the identification of new classes of antibiotics, and rational design of small molecule inhibitor alternatives, are under development for CAUTI treatment.

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Section: General Prevention Strategiesmentioning

confidence: 99%

Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects

Werneburg¹

2022

RRU

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“…infection (Bagley & Severud, 2021; Geng et al, 2016; Nazarko, 2018; Saint et al, 2020; Zaghbib et al, 2019),…”

Section: Literature Reviewmentioning

confidence: 99%

“…skin irritation (Bagley & Severud, 2021; DaSilva et al, 2019; Geng et al, 2016; Smart, 2014; Zaghbib et al, 2019),…”

Section: Literature Reviewmentioning

confidence: 99%

Male External Catheter Care and Maintenance

Steakin

2023

Rehabilitation Nursing

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“…Healthcare-associated infections (HAIs) are a significant concern worldwide, caused by a variety of factors such as poor hospital environments, and the use of invasive devices such as catheters and probes. CRIs are one of the most common HAIs and can lead to increased morbidity, mortality, longer hospital stays, and increased costs [ 1 , 2 , 3 , 4 ]. Catheterization is a common procedure in hospital settings, with up to 80% of patients in critical care, neonatology, and pediatrics being catheterized [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Investigating Catheter-Related Infections in Southern Benin Hospitals: Identification, Susceptibility, and Resistance Genes of Involved Bacterial Strains

et al. 2023

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The use of catheters and bladder catheters in hospitals can increase the risk of bacterial infections. This study aimed to identify the bacterial strains involved in catheter-related infections (CRI) in southern Benin hospitals. The study included 407 samples, including 95 catheter tip samples and 312 urine samples collected from bladder catheters from patients on the first day and 48 h after admission. The catheter tip samples were analyzed using traditional bacterial isolation and identification methods, while the urine samples were analyzed using VITEK-2. Antibiotic sensitivity was tested using the Kirby Bauer method, and virulence and resistance genes were detected through standard PCR. The results showed a predominance of Escherichia coli (53.5%), Klebsiella pneumoniae (23.3%), and Enterobacter aerogenes (7.0%) among Gram-negative bacilli, and coagulase-negative Staphylococcus as the most identified cocci. Bacterial susceptibility to antibiotics showed variable levels of resistance, with blaTEM being detected in 42.9% of identified bacterial species, followed by blaSHV (26.2%) and blaCTX-M-15 (16.7%). The blaNDM gene was only found in three identified bacterial strains, while vanA and vanB genes were detected in 3.2% of strains with a prevalence of 55% for the mecA gene. A prevalence of 18.8% for fimH was noted for the virulence genes. In conclusion, this study highlights the importance of following proper hygiene and aseptic practices during catheterization to effectively prevent CRIs. These findings should be used to improve interventions in hospitals and reduce healthcare-associated infections in developing countries.

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Preventing Catheter-Associated Urinary Tract Infections with Incontinence Management Alternatives

Cited by 13 publications

References 18 publications

Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects

Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects

Male External Catheter Care and Maintenance

Investigating Catheter-Related Infections in Southern Benin Hospitals: Identification, Susceptibility, and Resistance Genes of Involved Bacterial Strains

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