Catheter-associated urinary tract infections account for >30% of infections in acute care hospitals. We hypothesized that coiling of/kinks in the indwelling urinary bladder catheter (IUBC) drainage bag tubing would increase the occurrence of infection/bacteriuria. Ninety-one patient events were evaluated over 60 days. All outcome variables trended with greater frequency among those with a coil in the IUBC tubing; only fever (temperature > 38.1°C) correlated significantly between groups (P = .003). If IUBC is unavoidable, strategies such as keeping collection bag below the level of bladder and avoiding any coiling in the drainage system should be employed. Further study of these phenomena is needed.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to American Journal of Infection Control
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Estimating health care-associated infections and deaths in US hospitals, 2002.Public Health Rep. 2007; 122: 160-166
- Overutilization of indwelling urinary catheters and the development of nosocomial urinary tract infections.Clin Perform Qual Health Care. 1998; 6: 99-102
- Do not go with the flow, remember indwelling catheters.J Am Geriatr Soc. 2002; 50: 1739-1740
- Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009.Infect Control Hosp Epidemiol. 2010; 31: 319-326
- Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America (practice guideline research support, non-US Gov't).Clin Infect Dis. 2010; 50: 625-663
- Reduction of catheter-associated urinary tract infections among patients in a neurological intensive care unit: a single institution's success (research support, non-US Gov't).J Neurosurg. 2012; 116: 911-920
- Bacteriuria in the catheterized patient: what quantitative level of bacteriuria is relevant?.N Engl J Med. 1984; 311: 560-564
- The prevention of hospital-acquired urinary tract infection (comment).Clin Infect Dis. 2008; 46: 251-253
Published online: September 16, 2013
Conflicts of interest: None to report.
© 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.