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Nosocomial Bacteriuria: Estimating the Potential for Prevention by Closed Sterile Urinary Drainage

Published online by Cambridge University Press:  02 January 2015

John P. Burke ,
Robert A. Larsen  and
Lane E. Stevens
John P. Burke*
Affiliation:
Division of Infectious Disease, Department of Medicine, LDS Hospital, andthe University of Utah School of Medicine, Salt Lake City, Utah
Robert A. Larsen
Affiliation:
Division of Infectious Disease, Department of Medicine, LDS Hospital, andthe University of Utah School of Medicine, Salt Lake City, Utah
Lane E. Stevens
Affiliation:
Division of Infectious Disease, Department of Medicine, LDS Hospital, andthe University of Utah School of Medicine, Salt Lake City, Utah
*
Division of Infectious Disease, LDS Hospital, Eighth Avenue and C Street, Salt Lake City, UT 84143
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Extract

Urinary tract infections associated with the temporary use of indwelling bladder catheters remain a vexing problem in acute care hospitals. The appreciable morbidity and mortality from these infections are still under active investigation. Because of the large numbers of patients at risk, increased attention is also being given to the costs for prevention, detection, treatment, and follow-up of catheter-associated infections.

Before the advent of commercially available systems for maintaining closed sterile urinary drainage, infection was believed to be inevitable. In the past 25 years, the successful prevention of infection in 70% to 80% of catheterized patients by aseptic methods has undoubtedly prevented thousands of deaths from gram-negative bacteremia and stimulated efforts to further reduce the infection rate.

Type
Research Article
Information
Infection Control & Hospital Epidemiology , Volume 7 , supplement S2: Proceedings of the Second ICI/Stuart Workshop , February 1986 , pp. 96 - 99
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1986

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References

1.Haley, RW, Culver, DH, White, JW, et al: The nationwide nosocomial infection rate. A new need for vital statistics. Am J Epidemiol 1985; 121:159–167.Google Scholar
2.Platt, R, Polk, BF, Murdock, B, et al: Mortality associated with nosocomial urinary tract infection. N Engl J Med 1982; 307:637–642.Google Scholar
3.Bryan, CS, Reynolds, KL: Hospital-acquired bacteremic urinary tract infection: Epidemiology and outcome. J Urol 1984; 132:494–498.CrossRefGoogle ScholarPubMed
4.Krieger, JN, Kaiser, DL, Wenzel, RP: Nosocomial urinary tract infections: Secular trends, treatment and economics in a university hospital. JUrol 1983; 130:102–106.Google Scholar
5.Burke, JP: Sixth Annual National Foundation for Infectious Diseases Lecture. Randomized Controlled Trials in Hospital Epidemiology. Am J Infect Control 1983; 5:165–173.Google Scholar
6.Platt, R, Polk, BF, Murdock, B, et al: Reduction of mortality associated with nosocomial urinary tract infection. Lancet 1983; i:893–896.CrossRefGoogle Scholar
7.Rutala, WA, Kennedy, VA. Loflin, HP. et al: Serratia marcescens nosocomial infections of the urinary tract associated with urine-measuring containers and urinometers. Am J Med 1981; 70:659–663.Google Scholar
8.Thompson, RL, Haley, CE, Searcy, MA, et al: Catheter-associated bacteriuria. Failure to reduce attack rates using periodic instillations of a disinfectant into urinary drainage systems. JAMA 1984; 251:747–751.Google Scholar
9.Garibaldi, RA, Burke, JP, Britt, MR, et al: Meatal colonization and catheter-associated bacteriuria. N Engl J Med 1980; 303:316–318.Google Scholar
10.Schaeffer, AJ, Chmiel, J: Urethral meatal colonization in the pathogenesis of catheter-associated bacteriuria. J Urol 1983; 130:1096–1099.Google Scholar
11.Daifuku, R, Stamm, WE: Association of rectal and urethral colonization with urinary tract infection in patients with indwelling catheters. JAMA 1984; 252:2028–2030.Google Scholar
12.Burke, JP, Garibaldi, RA, Britt, MR. et al: Prevention of catheter-associated urinary tract infections. Efficacy of daily meatal care regimens. Am J Med 1981; 70:655–658.Google Scholar
13.Burke, JP, Jacobson, JA, Garibaldi, RA. et al: Evaluation of daily meatal care with polyantibiolic ointment in prevention of urinary catheter-associated bac-teriuria. JUrol 1983; 129:331–334.Google Scholar
14.Kunin, CM, Finkelberg, Z: Evaluation of an intraurethral lubricating catheter in prevention of catheter-induced urinary tract infections. J Urol 1971; 106:928–930.Google Scholar
15.Butler, HK, Kunin, CM: Evaluation of polymyxin catheter lubricant and impregnated catheters. J Urol 1968; 100:560–566.Google Scholar
16.Warren, JW, Platt, R, Thomas, RJ, et al: Antibiotic irrigation and catheter-associated urinary tract infections. N Engl J Med 1978; 299:570–573.CrossRefGoogle ScholarPubMed
17.Garibaldi, RA, Burke, JP, Dickinson, ML: Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med 1974; 291:215–219.Google Scholar
18.Shapiro, M, Simchen, E, Izraeli, S, et al: A multivariate analysis of risk factors for acquiring bacteriuria in patients with indwelling urinary catheters for longer than 24 hours. Infect Control 1984; 5:525–532.Google Scholar
19.Thornton, GF, Andriole, VT: Bacteriuria during in dwelling catheter drainage. II. Effect of a closed sterile drainage system. JAMA 1970; 214:339–342.Google Scholar