Instillation of 3% Hydrogen Peroxide or Distilled Vinegar in Urethral Catheter Drainage Bag to Decrease Catheter-Associated Bacteriuria

Abstract

Patients with indwelling catheters acquire urinary tractinfections ata rate of 5% perday. After 30 days of catheterization, there is a 78% to 95% incidence of bacteriuria, despite the use of meticulous catheter care. Research studies on reducing the development of bacteriuria have focused on the propagation of bacteria within the catheter drainage bag. This research proposal sought to determine the effects of instillation of 3% hydrogen peroxide versus distilled vinegar in urethral catheter drainage bags to decrease bacteriuria in 20 long-term catheterized patients. Baseline urine cultures for control and test mediums showed no significant difference in rates of bacteriuria. However, urine cultures obtained at the 48-hour interval showed significant reduction in bacteriuria in urinary bags irrigated with vinegar The implications this study has for nursing practice include a needforfurther research using a larger number of subjects and a need for improvements in the design of the catheter drainage system.

Vinegar for Decreasing Catheter-Associated Bacteriuria in Long-Term Catheterized Patients

“…Consistent with the findings of Washington (2001), at the start of the present study 91.7% of subjects had bacteriuria based on the urine culture, and 80% of these had symptomatic bacteriuria, with the average infection frequency being 0.3 per month. These findings highlight the critical importance of preventing catheter-associated UTI.…”

“…The fact that vinegar had no notable immediate effect on urinary bacteria but decreased the bacterial titer over time suggests that vinegar ingestion may inhibit bacterial growth in urine. Washington (2001) found that irrigating urine bags with vinegar reduced the amount of bacteria in urine. Moreover, at the end of present study, findings disclosed an infection trend in the control group, while, by contrast, the vinegar may have prevented symptomatic UTI in the experimental group.…”

“…Researchers have shown that vinegar enhances the benefits of treatment for hypertension (Kondo, Tayama, Tsukmoto, Ikeda, & Yamori, 2001), lowers postprandial blood sugar levels (Johnston & Buller, 2005;Ö stman, Granfeldt, Persson, & Björck, 2005), reduces cardiovascular risk , and promotes antioxidant activity and metabolism (Mure, Takeshita, Morioka, & Arita, 2007;Xu, Tao, & Ao, 2005). A human study showed reduced amounts of bacteria at 48, but not 72 hr, after irrigation of urinary bags with vinegar (Washington, 2001). In addition, treatment with vinegar extends the freshness of meat and vegetables by inhibiting bacterial growth.…”

“…Urinary catheterization can cause bacteriuria, which has a remarkable prevalence of 15-50% in residents of long-term care facilities (Nicolle, 2000). For patients with long-term catheters, the risk of infection is about 5% per day (Nicolle, 2005), and more than 90% of patients exhibit bacteriuria after 30 days of urethral catheterization (Paul, 2005;Washington, 2001). Because 90% of the patients with chronic catheters who have bacteriuria are asymptomatic (Tambyah, Knasinski, & Maki, 2002;Trautner, Hull, & Darouiche, 2005), physicians often do not prescribe medical treatment (Tenke et al, 2008).…”

Dermal Wound Healing Is Subject to Redox Control

“…In vivo catalase gene Over the counter, H 2 O 2 is commonly available at a strength of 3%. Historically, at such strength H 2 O 2 has been clinically used for disinfection of tissues [50]. The use of H 2 O 2 to disinfect wounds continues today with a valid concern that at such high doses H 2 O 2 may hurt nascent regenerating tissues [21].…”