The role of antiseptics in the management of patients with long-term indwelling bladder catheters

Stickler, D.J.; Chawla, J C

doi:10.1016/0195-6701(87)90001-6

Cited by 40 publications

(3 citation statements)

References 42 publications

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“…Comprehensive List of Interventions Considered for Prevention of UTI and CAUTIThis table includes a comprehensive list of potential interventions that have been considered for prevention of UTI or CAUTI (including those in acute and long-term settings), as summarized from this evidence report, and prior comprehensive narrative[43][44][45][46][47][48][49][50][51][52][53][54][55][56][57] or systematic reviews 11,[58][59][60][61][62][63][64][65][66][67][68]. Blue-shaded cells describe interventions that are not recommended based on available evidence or rationale.…”

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confidence: 99%

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Meddings

Saint

Krein

et al. 2017

Journal of Hospital Medicine

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BACKGROUND Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE Systematic literature review of strategies to reduce UTIs in nursing home residents DATA SOURCES Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION Interventional studies with a comparison group reporting at least one outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use. DATA EXTRACTION Two authors abstracted study design, participant and intervention details, outcomes, and quality measures. DATA SYNTHESIS Of 5,794 records retrieved, 20 records describing 19 interventions were included: 8 randomized controlled trials, 10 pre-post non-randomized interventions, and 1 non-randomized intervention with concurrent controls. Quality (range 8-25, median 15) and outcome definitions varied greatly. Thirteen studies employed strategies to reduce catheter use or improve catheter care; nine studies employed general infection prevention strategies (e.g., improving hand hygiene, surveillance, contact precautions, reducing antibiotics). The nineteen studies reported 12 UTI outcomes, 9 CAUTI outcomes, 4 bacteriuria outcomes, and 5 catheter use outcomes. Five studies showed CAUTI reduction (1 significantly); nine studies showed UTI reduction (none significantly); 2 studies showed bacteriuria reduction (none significantly). Four studies showed reduced catheter use (1 significantly). LIMITATIONS Studies were often underpowered to assess statistical significance; none were pooled given variety of interventions and outcomes. CONCLUSIONS Several practices, often implemented in bundles, appear to reduce UTI or CAUTI in nursing home residents such as improving hand hygiene, reducing and improving catheter use, managing incontinence without catheters, and enhanced barrier precautions.

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confidence: 99%

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Meddings

Saint

Krein

et al. 2017

Journal of Hospital Medicine

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“…Many attempts have been made to employ biocides in the management of catheters to try to prevent bacteria gaining access to the catheterized bladder by all possible routes. It has become clear, however, that, in the long term, these strategies are generally ineffective and, in certain cases (such as policies based on chlorhexidine), facilitate the colonization of the catheter drainage system and catheterized bladder by drug‐resistant Gram‐negative pathogens (Stickler and Chawla 1987).…”

Section: Catheter‐associated Urinary Tract Infections and Cathetermentioning

confidence: 99%

Susceptibility of antibiotic-resistant Gram-negative bacteria to biocides: a perspective from the study of catheter biofilms

Stickler

2002

Journal of Applied Microbiology

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105

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“…Applying antibacterials to the urethral meatus, adding one to the lubricant, taking prophylactic antibiotics, or using antiseptic irrigations do not help prevent infection 24. Culture and treatment are needed if features of systemic or urogenital infection develop.…”

Section: Treatmentmentioning

confidence: 99%

Managing urinary tract infection in women

1998

DTB

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Each year, around 5% of women present to their GPs with dysuria and frequency.1 About half have a urinary tract infection, as confirmed by the presence of a threshold ( 'significant') number of bacteria in their urine (usually defined as >=10/mL). In the remaining women, symptoms occur in the absence of bacterial infection: this condition is referred to as urethral syndrome.1 In this article, we discuss the diagnosis and treatment of urinary tract infection in women.

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The role of antiseptics in the management of patients with long-term indwelling bladder catheters

Cited by 40 publications

References 42 publications

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Susceptibility of antibiotic-resistant Gram-negative bacteria to biocides: a perspective from the study of catheter biofilms

Managing urinary tract infection in women

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