Condom Versus Indwelling Urinary Catheters: A Randomized Trial

Saint, Sanjay; Kaufman, Samuel R.; Rogers, Mary A.M.; Baker, PN; Ossenkop, Kathleen; Lipsky, Benjamin A.

doi:10.1111/j.1532-5415.2006.00785.x

Cited by 147 publications

(86 citation statements)

References 40 publications

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“…30 Notably, during the study period, drug-resistant strains replaced drug-susceptible ones among patients older than 65 years because the incidence of overall bacteriuria did not change but the incidence of drug-resistant bacteriuria (with isolates resistant to fluoroquinolones, fluoroquinolone plus trimethoprim-sulfamethoxazole, or Ͼ3 drug classes) nearly doubled. Patients 80 years and older contributed nearly 40% of the nosocomial and HA E coli isolates in our study, suggesting that well-described risk factors, such as residence in long-term care facilities, 31,32 prior antimicrobial exposure, [33][34][35][36] or use of urinary catheters, 27,37,38 are likely contributing to emerging drug resistance in this group of patients. The incidence of drug-resistant E coli also increased significantly among CA isolates, suggesting that younger adults (ages 18-64 years), who contributed half of the CA isolates in this study, are also at risk for drug-resistant E coli.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Antibiotic-Resistant Escherichia coli Bacteriuria According to Age and Location of Onset: A Population-Based Study From Olmsted County, Minnesota

Swami

Liesinger

Shah

et al. 2012

Mayo Clinic Proceedings

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Objective: To better understand the epidemiology of drug-resistant Escherichia coli across health care and community settings. Patients and Methods:We conducted a population-based cohort study of the incidence of antibiotic-resistant E coli bacteriuria among different patient groups. All urine cultures with monomicrobial growth of E coli obtained from Olmsted County, Minnesota, residents from January 1, 2005, through December 31, 2009, were identified. The initial isolate per patient per year was included. Analyses were stratified by patient age and location of infection onset (ie, nosocomial, health care associated, and community associated). Results: We evaluated 5619 E coli isolates and the associated patients. During the study period, the incidence of drug-resistant bacteriuria did not change among children but increased significantly among adults of all ages, most markedly among elderly patients older than 80 years. In elderly patients, the incidence of bacteriuria with isolates resistant to fluoroquinolones increased from 464 to 1116 per 100,000 person-years (PϽ.001), and the incidence of bacteriuria with isolates resistant to fluoroquinolones plus trimethoprim-sulfamethoxazole increased from 274 to 512 per 100,000 person-years (PϽ.05). When analyzed by location of infection onset, incidence of bacteriuria with isolates resistant to trimethoprim-sulfamethoxazole, fluoroquinolones, trimethoprim-sulfamethoxazole plus fluoroquinolones, extended-spectrum cephalosporins, and more than 3 drug classes increased significantly among communityassociated but not among nosocomial or health care-associated cases. Conclusion: In this population-based study, the incidence of antibiotic-resistant E coli bacteriuria nearly doubled during the 5-year study period among elderly patients and those with community-associated isolates. These patient groups should be targets of interventions to slow the emergence and spread of antibiotic-resistant E coli.

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Section: Discussionmentioning

confidence: 99%

Incidence of Antibiotic-Resistant Escherichia coli Bacteriuria According to Age and Location of Onset: A Population-Based Study From Olmsted County, Minnesota

Swami

Liesinger

Shah

et al. 2012

Mayo Clinic Proceedings

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“…Катетеры кондомного типа являются еще одной альтернативной системой сбора мочи для мужчин без задержки мочи. В небольшом рандоми-зированном исследовании эффективности использо-вания кондомных катетеров обнаружили снижение частоты развития бактериурии, симптомных ИМП или летального исхода и повышение комфорта паци-ентов по сравнению с использованием постоянных катетеров, особенно у мужчин без деменции [34]. Следовательно, использование кондомных катетеров может быть одним из методов снижения частоты развития КАИМП у мужчин без задержки мочи.…”

Section: методы снижения частоты развития имп после инсультаunclassified

“…A small randomized trial of condom catheters found a decreased incidence of the combined end point of bacteriuria, symptomatic UTI, or death and increased patient comfort when compared with indwelling catheters, especially in men without dementia. 34 Condom catheters therefore may be an option to decrease CAUTI in men without urinary retention. Similar alternatives for women have been developed but are undertested and rarely used.…”

Section: Methods To Reduce Poststroke Utismentioning

confidence: 99%

Urinary Tract Infections Complicating Stroke

Poisson

Johnston

Josephson

2010

Stroke

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Background and Purpose-Hospital-acquired urinary tract infection (UTI) is a common complication in hospitalized patients. Recently, catheter-associated UTI has been identified by the Centers for Medicare and Medicaid Services as a preventable condition, and additional payments to hospitals for its treatment are now declined, increasing the need for prevention of this important complication. Summary of Review-This article explores in-depth the pathophysiology, risk factors for, and consequences of UTI after stroke and possible methods to reduce its incidence in the stroke population. Patients with stroke are particularly vulnerable to UTI due to increased risk from immunosuppression, bladder dysfunction, and increased Foley catheter use; and the fever and systemic inflammatory response associated with UTI may impair stroke recovery. UTI is associated with poorer neurological outcomes, longer hospital stays, and increased cost of care after stroke. Intervention strategies previously attempted in this and other populations include prophylactic antibiotics, antiseptic-impregnated catheters, and quality improvement interventions to reduce inappropriate catheterization. Conclusion-Patients with stroke have different risks for, consequences of, and barriers to reducing UTI than other hospitalized patients. Further research is needed to develop an effective approach to decreasing this important complication in the stroke population. (Stroke. 2010;41:e180-e184.)

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“…17 ECD is also an alternative choice to IC that can be used, in males, with urinary incontinence. 18 The incidence of bacteriuria and symptomatic urinary tract infections is much lower in patients with ECD than in those with indwelling catheteter. 16 However, we have observed that ECD constitutes, as well, a risk factor for UD.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of urethral diverticula in male patients with spinal cord injury

et al. 2015

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Study design: A case-control study in a series of 55 males with urethral diverticula (UD) and their correspondent control, matched by age and time of radiological assessments. Objectives: To evaluate the risk factors to develop UD in males with spinal cord injury (SCI) and the place in the urethra where they are, most commonly, allocated. Setting: Toledo, Spain. Methods: Clinical histories and urodynamic studies, of all patients, were reviewed. The study was completed with a telephone survey according to an established protocol.Results: The univariate analysis study showed the following risk factors: the age of onset of the spinal injury, the sphincterotomy procedure, personal history of lower urinary tract infections (LUTIs) and the chronic need of either indwelling catheter (IC) or the external condom drainage (ECD). Regarding the location of the UD, we have found the stress urinary incontinence as the only risk factor to develop UD in the prostatic urethra. On the other hand, we can conclude that the sphincterotomy, the ECD, the personal history of LUTIs and the detrusor external sphincter dyssynergia seem to be risk factors to develop diverticula in the bulbo-membranous urethra. Finally, we could point out the IC as the only risk factor for penile UD. Multivariate analysis showed that all of these risk factors were independent among them except the age of the onset of the injury and the ECD for UD in the bulbo-membranous urethra. Conclusion: According to our study, there is evidence of some specific risk factors for the development of UD in male patients with SCI, and therefore we should adopt the appropriate preventive measures to prevent them.

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Condom Versus Indwelling Urinary Catheters: A Randomized Trial

Abstract: The use of condom catheters is less likely to lead to bacteriuria, symptomatic UTI, or death than the use of indwelling catheters. This protection is especially apparent in men without dementia.

Cited by 147 publications

References 40 publications

Incidence of Antibiotic-Resistant Escherichia coli Bacteriuria According to Age and Location of Onset: A Population-Based Study From Olmsted County, Minnesota

Incidence of Antibiotic-Resistant Escherichia coli Bacteriuria According to Age and Location of Onset: A Population-Based Study From Olmsted County, Minnesota

Urinary Tract Infections Complicating Stroke

Risk factors of urethral diverticula in male patients with spinal cord injury

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