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Organo Oficial de la Sociedad Mexicana de Urología

2020, Number 2

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Rev Mex Urol 2020; 80 (2)

The BIP Foley catheter is superior to the conventional Foley catheter in reducing catheter-associated urinary tract infections in hospitalized patients

Hernández-Farías MÁ, Hernández-Hernández RA, Serrano-Brambila EA, Jaspersen-Gastélum J, Acevedo-García C, Virgen-Gutiérrez JF, Rosas-Nava JE, Flores-García LR, Rico-Frontana E, Rodríguez-Sánchez Y, De Antuñano Ruíz JF, Carrillo-Córdova LD, Sánchez Núñez JE, Cabrera-Mora NA, Rodríguez-Valle ED, Álvarez-Maldonado P

Language: Spanish
References: 12
Page: 1-7
PDF size: 180.40 Kb.


ABSTRACT

Background: Catheter-associated urinary tract infections (CAUTIs) are the most frequent cause of infection related to healthcare. There are different strategies for preventing them and new ones, such as BIP Foley catheters (catheters coated in silver, gold, and palladium), should be considered as an alternative in reducing said infections.
Aims: To compare the incidence of CAUTIs in patients with BIP Foley catheters versus conventional Foley catheters.
Materials and methods: A double-blind clinical trial with simple randomization was conducted, obtaining a representative sample of 140 cases. A 95% confidence interval and error not greater than 5% were established.
Results: Of the 140 cases, 15 were excluded (11%), leaving a total of 125 cases. Mean patient age was 50 years ± 18; 52% were men and 48% were women. Mean time observed was 10 days ± 7. Overall incidence was 25 CAUTIs x 1000 days.
Discussion: Foley catheter use is an everyday practice. BIP Foley catheters reduce the incidence of CAUTIs.
Conclusions: CAUTIs are the most frequent infections associated with healthcare. Nosocomial infections are an indicator of the quality of patient care, negatively impacting morbidity and mortality, as well as patient economy. The use of coated catheters was an efficacious measure that considerably reduced the incidence of CAUTIs.


REFERENCES

  1. Burke JP. Infection Control — A Problem for Patient Safety. N Engl J Med. 2003 Feb 13;348(7):651–6. doi: https://doi.org/10.1056/ nejmhpr020557

  2. Lederer JW, Jarvis WR, Thomas L, Ritter J. Multicenter cohort study to assess the impact of a silver-alloy and hydrogel-coated urinary catheter on symptomatic catheterassociated urinary tract infections. Journal of Wound, Ostomy, and Continence Nursing. 2014;41(5):473. doi: https://dx.doi.org/10.109 7%2FWON.0000000000000056

  3. Schumm K, Lam TB. Types of urethral catheters for management of short-term voiding problems in hospitalised adults. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd; 2008. p. CD004013.pub3. [accessed 10 Apr 2020] Available from: http://doi.wiley. com/10.1002/14651858.CD004013.pub3

  4. Gentry H, Cope S. Using silver to reduce catheter-associated urinary tract infections. Nursing Standard. 2005 Aug 24;19(50):51–4. doi: http://dx.doi.org/10.7748/ns.19.50.51.s24

  5. Pickard R, Lam T, MacLennan G, Starr K, Kilonzo M, McPherson G, et al. Antimicrobial catheters for reduction of symptomatic urinary tract infection in adults requiring short-term catheterisation in hospital: a multicentre randomised controlled trial. The Lancet. 2012 Dec 1;380(9857):1927–35. doi: https://doi. org/10.1016/S0140-6736(12)61380-4

  6. Lai KK, Fontecchio SA. Use of silverhydrogel urinary catheters on the incidence of catheter-associated urinary tract infections in hospitalized patients. American Journal of Infection Control. 2002 Jun;30(4):221–5. doi: http://dx.doi.org/10.1067/mic.2002.120128

  7. Mabeck CE. Treatment of uncomplicated urinary tract infection in non-pregnant women. Postgraduate Medical Journal. 1972 Feb 1;48(556):69–75. doi: http://dx.doi. org/10.1136/pgmj.48.556.69

  8. Karchmer TB, Giannetta ET, Muto CA, Strain BA, Farr BM. A Randomized Crossover Study of Silver-Coated Urinary Catheters in Hospitalized Patients. Arch Intern Med. 2000 Nov 27;160(21):3294. doi: http://dx.doi. org/10.1001/archinte.160.21.3294

  9. Asscher A, Chick S, Radford N, et al.: natural history of bacteriuria in nonpregnant women. Brumfitt W Asscher A Urinary tract infection. 1973 University Press London 51

  10. Freedman LR. Natural history of urinary infection in adults. Kidney International Supplement. 1975;4:S96. patients. Infection Control & Hospital Epidemiology. 2002;23(4):217–8. doi: https://doi.org/10.1086/502038

  11. Guttmann D. Follow-up of urinary tract infection in domiciliary patients. Urinary Tract Infection. London, Oxford University Press; 1973.

  12. Newton T, Still JM, Law E. A comparison of the effect of early insertion of standard latex and silver-impregnated latex foley catheters on urinary tract infections in burn




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