Catheter-Associated Bacteriuria in Long-Term Care Facilities
- 1 August 1994
- journal article
- Published by Cambridge University Press (CUP) in Infection Control & Hospital Epidemiology
- Vol. 15 (8), 557-562
- https://doi.org/10.2307/30148409
Abstract
Catheter-associated bacteriuria is the most common infection acquired in long-term care facilities. Complications include fever, acute pyelonephritis, bacteremia, catheter obstruction, urinary stones, chronic interstitial nephritis, renal failure, and death. The closed-catheter system has been the only innovation in this traditional method of care that has led to prevention of bacteriuria. Antimicrobial agents rarely are indicated to prevent or treat bacteriuria in long-term catheterized patients, except for those with symptomatic infection. Alternative devices are available and often may be preferable to the indwelling urethral catheter. These patients and their reservoirs of bacteriuric organisms are sources of nosocomial outbreaks. Such outbreaks can be prevented and controlled with attention to catheter hygiene, prevention of patient-to-patient transmission on the hands of caregivers, and possibly use of antimicrobials to diminish bacterial concentrations in the urineKeywords
This publication has 19 references indexed in Scilit:
- The Intraprostatic Spiral. New Treatment for Urinary RetentionBritish Journal of Urology, 1990
- Clean Intermittent Self‐catheterisation in 172 AdultsBritish Journal of Urology, 1990
- Infection of catheterised patients: bacterial colonisation of encrusted Foley catheters shown by scanning electron microscopyUrological Research, 1989
- Cephalexin for susceptible bacteriuria in afebrile, long-term catheterized patientsPublished by American Medical Association (AMA) ,1982
- Infections among Patients in Nursing HomesNew England Journal of Medicine, 1981
- Nosocomial infections in U.S. hospitals, 1975–1976American Journal Of Medicine, 1981
- Meatal Colonization and Catheter-Associated BacteriuriaNew England Journal of Medicine, 1980
- Randomized double-blind study of prophylactic methenamine hippurate treatment of patients with indwelling cathetersEuropean Journal of Clinical Pharmacology, 1980
- Antibiotic Irrigation and Catheter-Associated Urinary-Tract InfectionsNew England Journal of Medicine, 1978
- Resistance Plasmid Transfer by Serratia marcescens in UrineAntimicrobial Agents and Chemotherapy, 1977