Aerobic and anaerobic flora in bladder urine of patients with indwelling urethral catheters

Sapico, Francisco L.; Wideman, P A; Finegold, Sydney M.

doi:10.1016/0090-4295(76)90251-x

Cited by 20 publications

(6 citation statements)

References 9 publications

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“…There are however, case reports demonstrating the ability of anaerobic bacteria to cause cystitis and pyelonephritis, especially in patients such as ours with a recent history of catheterization and/or instrumentation (i.e. cystoscopy) [8] , [9] , [10] .…”

Section: Discussionmentioning

confidence: 93%

Anaerobic urinary tract infection caused by Veillonella parvula identified using cystine-lactose-electrolyte deficient media and matrix-assisted laser desorption ionization-time of flight mass spectrometry

Berenger

Chui

Borkent³

et al. 2015

IDCases

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Section: Discussionmentioning

confidence: 93%

Anaerobic urinary tract infection caused by Veillonella parvula identified using cystine-lactose-electrolyte deficient media and matrix-assisted laser desorption ionization-time of flight mass spectrometry

Berenger

Chui

Borkent³

et al. 2015

IDCases

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“…Sapico et al . found that patients with indwelling Foley catheters can show anaerobes along with aerobes and facultative organisms in the urine 17 …”

Section: Urinary Tract Infectionmentioning

confidence: 98%

“…In cystitis, instrumentation can occasionally lead to bacteremia. Anaerobic bacteremia following urologic procedures has been reported 17 . Repeated symptomatic UTI in patients with obstructive uropathy, neurogenic bladder, structural renal disease or diabetes more often progresses to chronic renal disease.…”

Section: Urinary Tract Infectionmentioning

confidence: 99%

Urinary tract and genito‐urinary suppurative infections due to anaerobic bacteria

Brook

2004

Int J of Urology

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Anaerobes have been involved in many different types of urinary tract infection. This review describes the microbiology, diagnosis and management of urinary tract and genito-urinary suppurative infections caused by anaerobic bacteria. The types of infections of the urinary tract in which anaerobes have been involved include para-or periurethral cellulitis or abscess, acute and chronic urethritis, cystitis, acute and chronic prostatitis, prostatic and scrotal abscesses, periprostatic phlegmon, ureteritis, periureteritis, pyelitis, pyelonephritis, renal abscess, scrotal gangrene, metastatic renal infection pyonephrosis, perinephric abscess, retroperitoneal abscess and other infections. The anaerobes recovered in these studies were Gram-negative bacilli (including Bacteroides fragilis and pigmented Prevotella and Porphyromonas sp.), Clostridium sp., anaerobic Gram-positive cocci and Actinomyces sp. In many cases, they were recovered mixed with coliforms or streptococci. The recovery of anaerobes requires the administration of antimicrobial therapy that is effective against these organisms. These antimicrobials include metronidazole, chloramphenicol, clindamycin, a carbapenem, cefoxitin and the combination of a penicillin and a beta-lactamase inhibitor. Percutaneous drainage, open surgical drainage or nephectomy might be indicated for abscesses.

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“…While incontinence alone may be a predisposing factor to symptomatic and asymptomatic bacteriuria, 4 long‐term indwelling catheterizations are associated with much more serious morbid complications. The high prevalence of significant bacteriuria in patients with long‐term indwelling urinary catheters is well known, 5–8 and indwelling catheters are a major source of nosocomial urinary tract infection 2,3,9 . Other complications of long‐term catheterization and the associated bacteriuria include acute and chronic pyelonephritis; reflux nephropathy; bacteremia; perinephric, vesical, and urethral abscesses; bladder and renal stones; renal failure; and death 3 .…”

Section: Discussionmentioning

confidence: 99%

The Nonuse of Urethral Catheterization in the Management of Urinary Incontinence in the Teaching Nursing Home

Marron

Fillit

Peskowitz

et al. 1983

J American Geriatrics Society

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A survey of all patients in a 527-bed skilled nursing facility was carried out to determine the prevalence of bladder catheterization. The institution surveyed is a teaching nursing home and rehabilitation center comprising three intermediate-stay and rehabilitation units of 126 beds and nine long-term care units. The institutional prevalence of recurrent urinary incontinence was 46 per cent, or 243 patients. The prevalence of chronic indwelling urethral catheters was 2.5 per cent, or 13 patients. The prevalence of urethral catheterization was further reduced to 1.5 per cent on the long-term care units, where the rate of recurrent urinary incontinence exceeded 60 per cent. The results of our survey were then compared with similar surveys at the institution during the years 1975 through 1980. Despite a fluctuating but increasing prevalence of incontinence over the years studied, a favorable trend was shown toward a reduction in the number of patients with indwelling urethral catheters. This study indicates that unless specific complicating factors are present, urinary incontinence in all but a very few of the elderly can be successfully managed without chronic indwelling catheterization. The authors believe that the introduction and growth of an education and research program in the nursing home environment has led to improvement in the standards of medical and nursing care.

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Aerobic and anaerobic flora in bladder urine of patients with indwelling urethral catheters

Cited by 20 publications

References 9 publications

Anaerobic urinary tract infection caused by Veillonella parvula identified using cystine-lactose-electrolyte deficient media and matrix-assisted laser desorption ionization-time of flight mass spectrometry

Anaerobic urinary tract infection caused by Veillonella parvula identified using cystine-lactose-electrolyte deficient media and matrix-assisted laser desorption ionization-time of flight mass spectrometry

Urinary tract and genito‐urinary suppurative infections due to anaerobic bacteria

The Nonuse of Urethral Catheterization in the Management of Urinary Incontinence in the Teaching Nursing Home

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