Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis

Carraro-Eduardo, José Carlos; Alves, Daniela da Silva; Hinden, Ingrid Ellis; Toledano, Ivan Penaloza; Freitas, Sarah Gomes; Mondino, Pedro Juan José; Moraes, José Rodrigo de; Faria, Carlos Augusto

doi:10.1590/1516-3180.2014.9071412

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…There is a significant or statistically significant difference between the two groups (p < 0.01). These findings reinforce previous research which states that the highest incidence rate of UTIs occurs on the 2 nd day of catheter usage [4], [5], [6]. From Table 3, 15 subjects (62.5%) from 24-36 h group had negative results for urinary tract infection, and 9 subjects (37.5%) had positive result of urinary tract infection.…”

Section: Discussionsupporting

confidence: 88%

“…One of the best indicators for surgical quality was UTI occurrence. In 2012, both the Center for Health Services and the Joint Commission on Health Organization Accreditation recommend all healthcare providers to report rates of surgical site infection including UTIs in a public registry [4], [5], [6], [7]. Marker qualities for gynecological surgery must include assessment of post-operative UTI which is needed to be more evaluated by various reports of post-operative UTI incidence.…”

Section: Introductionmentioning

confidence: 99%

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Prolonged Indwelling Foley Catheter Use in Post-operative Gynecology Patient Associated with an Increased Incidence of Urinary Tract Infections

Ardiansyah

Lubis

Syahputra

2021

Open Access Maced J Med Sci

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BACKGROUND: Urinary tract infection (UTI) is one of the common conditions and significantly contributes to expensive health treatment and associated with gynecological surgery which increases the cases up to 50% in women undergoing specific reconstructive procedures. Besides that, one indicator of surgical quality was post-operative UTI occurrence. AIM: This study aims to assess the relationship between Foley catheter usage and UTIs after gynecological surgery with a urinary catheter. METHODS: A total of 48 subjects examined at the Department of Obstetrics and Gynecology, Universitas Sumatera Utara Hospital, and Haji Adam Malik General Hospital, Medan, from June to September 2020. Subjects were performed urinalysis 8 days after surgery, or earlier if UTI symptoms occur. Personal data and illness data were taken from medical records. Statistical analysis was done using the Chi-square-based test. RESULTS: There was a significant difference of urine leukocytes in subjects with indwelled catheter for 24–36 h compared to subjects with 36–48 h of catheterization (p = 0.01). The 36–48 h group has a 2.15 odds of developing UTI compared to 24–36 h group (p = 0.01). CONCLUSION: This study found that prolonged indwelling Foley catheter usage may increase the risk of UTI after gynecology surgery.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Prolonged Indwelling Foley Catheter Use in Post-operative Gynecology Patient Associated with an Increased Incidence of Urinary Tract Infections

Ardiansyah

Lubis

Syahputra

2021

Open Access Maced J Med Sci

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“…After UC insertion, the bacteria that colonize the urethral meatus adhere to the internal and/or external surface of the catheter and can initiate biofilm formation, considered the most important factor for CAUTI. Thus, in addition to catheter removal, there is no evidence of effective methods for prevention or control of biofilm formation (17)(18)(19) .…”

Section: Discussionmentioning

confidence: 99%

Catheter-associated urinary tract infection: why do not we control this adverse event?

Mota

Oliveira

2019

Rev. esc. enferm. USP

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Objective: To identify factors related to the occurrence of urinary tract infection associated with urinary catheter use. Method: A longitudinal, retrospective cohort study carried out by analyzing the electronic medical records of patients admitted to an intensive care unit of a high-complexity hospital from July 2016 to June 2017. Demographic and clinical data were analyzed by descriptive and analytical analysis. Results: The incidence density of urinary tract infection related to urinary catheter use was 4.8 per 1000 catheters/day, the majority (80.6%) with no indication for catheter use, and there was no prescription for insertion and/or maintenance in 86.7%. The mean time between catheter insertion and infection diagnosis was 11.3 ± 6.3 days (6 to 28 days). Statistically significant factors (p < 0.001) related to urinary infection linked to catheter use were hospitalization time in the unit (16.7 ± 9 days), catheter permanence time (12.7 ± 6.9 days), and the use of antimicrobials in the intensive care unit (8.6 ± 6.3 days). Conclusion: The association of indication absence and the record of the need for maintenance possibly potentiated the occurrence of urinary tract infection associated to catheter use.

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Clinical Analysis of Laparoscopic Imaging Technique-assisted Vaginal Resection in Gynecological Operations

Hu¹,

Chen²

2021

jist

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In recent years, the incidence of diseases such as uterine fibroids in women in China has increased, which has raised people’s attention to the clinical effects and postoperative recovery effects of medical gynecological surgery. Regarding gynecological surgery, there are many types of myomectomy, and among them, vaginectomy is receiving widespread attention in gynecological surgery. This article studies the clinical effects of laparoscopic imaging technology-assisted vaginal resection and the functional status, mental status, and hormone levels of women during the recovery period, and analyzes the postoperative ovarian function and immune function of women. In this article, 111 patients with uterine fibroids were divided into the observation group and the reference group, of which 56 cases were in the reference group and 55 cases were in the observation group. The hospital stay, ovarian function status, immune status, uterine recovery, and tibia recovery of the control group and the experimental group were respectively analyzed. In the experiment, laparoscopic imaging technology-assisted vaginal resection surgery has no incision pain. It can be moved early on the ground and can be discharged within 2–4 days after surgery. This reduces medical expenses to a certain extent and can be performed at the same time without changing the position. This also performs other operations on the perineum or vagina, such as repairing the front and back walls of the vagina. Experimental results show that laparoscopic imaging technology-assisted vaginal resection can reduce pain and speed up the recovery of ovarian function. Three months after surgery, 59.6% of patients resumed ovulation, much higher than 42.3% in the control group. Vaginectomy using laparoscopic imaging technology can improve immunity by adjusting hormone levels in the body in a short time.

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Urinary tract infection and indwelling urinary catheters: prospective study in gynecological surgery with antibiotic prophylaxis

Cited by 3 publications

References 11 publications

Prolonged Indwelling Foley Catheter Use in Post-operative Gynecology Patient Associated with an Increased Incidence of Urinary Tract Infections

Prolonged Indwelling Foley Catheter Use in Post-operative Gynecology Patient Associated with an Increased Incidence of Urinary Tract Infections

Catheter-associated urinary tract infection: why do not we control this adverse event?

Clinical Analysis of Laparoscopic Imaging Technique-assisted Vaginal Resection in Gynecological Operations

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