No association between elevated post-void residual volume and bacteriuria in residents of nursing homes

Abstract

Bacteriuria and elevated PVR are common among elderly residents in nursing homes. The study could not confirm that elevated PVR predisposes to bacteriuria in elderly residents in nursing homes.

Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors

“…One commonly held belief is that an elevated PVR is associated with an increased risk of bacterial cystitis [9][10][11]. However, like others [12][13][14] our population did not show an increased rate of a history of UTIs in those with an elevated PVR. Admittedly, our analysis was not powered to address this issue specifically, and prospective studies would better identify the association between UTI and elevated PVR.…”

Eliminating Catheter-Associated Urinary Tract Infections

“…A recent prospective study in Norway examined 150 nursing home residents for the relationship between PVR and UTI (Omli, Skotnes, Mykletun, Bakke, & Kuhry, 2008). Similar to the findings by Barabas and Molstad (2005), the researchers reported a high PVR to be common in nursing home residents. They further reported there was no significant difference in mean PVR between residents who did and did not develop a UTI, and a PVR of 100 mL or greater was not associated with greater risk of developing a UTI.…”

“…A more recent, prospective study also examined the relationship of PVR and bacteriuria (Barabas & Molstad, 2005). The researchers found bacteriuria and increased PVR common in elderly nursing home residents.…”

“…However, no research was found suggesting a relationship between postcatheterization residual volume and the incidence of UTIs. The issue is compounded by a lack of consensus in the literature as to what constitutes a normal or a pathological residual volume (Barabas & Molstad, 2005).…”

Unnoticed post‐void residual urine volume in people with moderate to severe intellectual disabilities: prevalence and risk factors

“…2001). The prevalence rate in another relevant risk group, residents of Swedish Nursing Homes with mean age 86 years (69–100 years), showed 6.8% (95% CI 3.3–12.1%) (Barabas & Molstad 2005). Factors associated with urinary retention such as medication, constipation, ambulancy and neurological problems seen in these aging populations at risk (with acquired physical and mental health problems) are factors that are also frequently encountered in the population with ID.…”