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A Comparison of the Effect of Early Insertion of Standard Latex and Silver-Impregnated Latex Foley Catheters on Urinary Tract Infections in Burn Patients

  • Terry Newton (a1), Joseph M. Still (a1) and Edward Law (a1)

Abstract

A retrospective study was designed to compare the incidence of urinary tract infections during two different time periods in burn patients treated with two different types of Foley catheters. In time period 1, latex catheters present on admission were not changed. In time period 2, catheters were replaced on admission with silver alloy-impregnated catheters. In time period 1, the rate of symptomatic urinary tract infections was 7.2 per 1,000 catheter-days. In time period 2, the rate was 4.4 per 1,000 catheter-days. Results, compared using Fisher's exact test, revealed a statistically significant P value of .029. The use of silver-impregnated catheters significantly lowered the rate of urinary tract infection at our burn center.

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Corresponding author

Physicians' Multispecialty Group, 1220 George C. Wilson Drive, P.O. Box 3726, Augusta, GA30914-3726

References

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1.Saint, S, Veenstra, D, Sullivan, S, et al. Clinical and economic benefits of silver alloy urinary catheters in preventing urinary tract infection. Arch Intern Med 2000;160:26702675.
2.Karchmer, T, Giannetta, E, Muto, C, et al. Randomized crossover study of silver coated urinary catheters in hospitalized patients. Arch Intern Med. 2000;160:32943298.
3.Mayhall, CG, ed. Hospital Epidemiology and Infection Control, 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 1999.
4.Gerberding, J, Gaynes, RP, Horan, T, et al. National Nosocomial Infection Surveillance Semiannual Report. Atlanta, GA: Centers for Disease Control and Prevention; 2000:6.

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