Silver Alloy Coated Catheters Reduce Catheter‐associated Bacteriuria

Liedberg, H.; Lundeberg, Thomas

doi:10.1111/j.1464-410x.1990.tb14760.x

Cited by 170 publications

(78 citation statements)

References 15 publications

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“…Silver is known to be antibacterial and nontoxic to mammalian tissue and has been used in various clinical settings, such as burn wounds and pressure ulcers. In the last 15 years, numerous randomized clinical trials and a meta-analysis in the general inpatient population have shown that SHCs reduce the incidence of catheter-associated nosocomial UTIs [16][17][18][19][20]. Prospective, randomized controlled trials involving silver alloy-coated catheters have demonstrated decreased nosocomial UTIs and the associated cost benefits in short-term inpatient settings.…”

Section: Introductionmentioning

confidence: 99%

Silver hydrogel urinary catheters: Evaluation of safety and efficacy in single patient with chronic spinal cord injury

Estores¹

2008

JRRD

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Abstract-Urinary tract infections (UTIs) are a large health burden for patients with spinal cord injury (SCI) who have neurogenic bladder dysfunction, especially those patients using indwelling catheters. One method that has shown promise in recent years is the use of a silver hydrogel catheter (SHC). This article describes the outcome of a subject who was part of a prospective, randomized, double-blind study and assigned to use an SHC for 6 months. Using the indwelling SHC effectively prevented this subject from developing a symptomatic UTI. He did not display any symptoms suggestive of silver toxicity or increased serum levels of silver with chronic use of the device. Although no general conclusions can be drawn from this single-subject observation, the results suggest that SHC use has a positive effect. Use of this catheter for persons with neurogenic bladder dysfunction after SCI should be explored further with a study design that optimizes subject recruitment.

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Section: Introductionmentioning

confidence: 99%

Silver hydrogel urinary catheters: Evaluation of safety and efficacy in single patient with chronic spinal cord injury

Estores¹

2008

JRRD

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“…Twenty-two of the included studies were parallel group randomized controlled trials 13,[15][16][17][18][19][21][22][23][24][25][26][27][28][29][30][31][32][33][34] and one was a cluster-randomized cross-over trial 35 comparing two or three types of indwelling urinary catheters. The 22 parallel group randomized controlled trials included 5,236 hospitalized adults (mean n=208, range n=27-1,309).…”

Section: Designmentioning

confidence: 99%

“… Several trials 13,19,21,23,25,26,[28][29][30]32,34,35 included both women and men catheterized for hemodynamic monitoring or post-operative drainage for a variety of diagnoses.…”

Section: Participantsmentioning

confidence: 99%

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Types of urethral catheters for management of short-term voiding problems in hospitalized adults: a short version Cochrane Review

Schumm

Lam²

2010

Sri Lanka J Obstet & Gynae

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Background: Urinary tract infection (UTI) is the most common hospital acquired infection. The major associated cause is indwelling urinary catheters. Currently there are many types of catheters available. A variety of specialized urethral catheters have been designed to reduce the risk of infection. These include antiseptic impregnated catheters and antibiotic impregnated catheters. Other issues that should be considered when choosing a catheter are ease of use, comfort and cost. Objectives:The primary objective of this review was to determine the effect of type of indwelling urethral catheter on the risk of urinary tract infection in adults who undergo short-term urinary catheterization. Methods:We searched the Specialized Trials Register of the Cochrane Incontinence Group (searched September 11, 2007). We also examined the bibliographies of relevant articles and contacted catheter manufacturer representatives for trials. All randomized and quasi-randomized trials comparing types of indwelling urinary catheters for short-term catheterization in hospitalized adults. Shortterm catheterization was defined as up to and including 14 days, or other temporary short- E-mail: k.schumm@abdn.ac.uk term use as defined by the trialists (for example <21 days with data time points at 7-day intervals). Data were extracted by one reviewer and independently verified by a second reviewer for both the original review and for the update. Disagreements were resolved by discussion. Data were processed as described in the Cochrane Handbook. Where data in trials were not fully reported, clarification was sought directly from the trialists (secondary sources were used to confirm results of one trial).Results: Twentythree trials met the inclusion criteria involving 5,236 hospitalized adults in 22 parallel group trials and 27,878 adults in one large cluster-randomized cross-over trial. The antiseptic catheters were either impregnated with silver oxide or silver alloy. Silver oxide catheters were not associated with a statistically significant reduction in bacteriuria in short-term catheterized hospitalized adults but the confidence intervals were wide (RR 0.89, 95% CI 0.68-1.15) and these catheters are no longer available. Silver alloy catheters were found to significantly reduce the incidence of asymptomatic bacteriuria (RR 0.54, 95% CI 0.43-0.67) in hospitalized adults catheterized for <1 week. At >1 week of catheterization the risk of asymptomatic bacteriuria was still reduced with the use of silver alloy catheters (RR 0.64, 95% CI 0.51-0.80). The randomized cross-over trial of silver alloy catheters versus standard catheters was excluded from the pooled results because data were not available prior to crossover. The results of this trial indicated benefit from the silver alloy catheters and included an economic analysis that indicated cost savings of between 3.3% and 35.5%. Antibiotic impregnated catheters were compared to standard catheters and found to lower the rate of asymptomatic bacteriuria in the antibiotic group at...

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“…8 More recently, the introduction of silver-coated Foley catheters lead to a statistically significant reduction of bacteriuria in patients who had undergone prolonged catheterization. [9][10][11][12][13] Moreover, the use of silver-coated central venous catheters in parenteral nutrition was shown to significantly decrease the rate of sepsis. 14,15 Recently, silver coating of stainless steel screws, implanted in sheep iliac bone and inoculated with Staphylococcus aureus, was found to be effective in reducing the number of colony-forming units when compared with uncoated screws.…”

Section: Introductionmentioning

confidence: 99%

Prevention of pin track infection in external fixation with silver coated pins: Clinical and microbiological results

Massè

Bruno

Bosetti

et al. 2000

J. Biomed. Mater. Res.

194

121

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Original Citation:Prevention of pin track infection in external fixation with silver coated pins: clinical and microbiological results. Terms of use:Open Access (Article begins on next page) Anyone can freely access the full text of works made available as "Open Access". Works made available under a Creative Commons license can be used according to the terms and conditions of said license. Use of all other works requires consent of the right holder (author or publisher) if not exempted from copyright protection by the applicable law. Availability: This is the author's manuscript

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Silver Alloy Coated Catheters Reduce Catheter‐associated Bacteriuria

Cited by 170 publications

References 15 publications

Silver hydrogel urinary catheters: Evaluation of safety and efficacy in single patient with chronic spinal cord injury

Silver hydrogel urinary catheters: Evaluation of safety and efficacy in single patient with chronic spinal cord injury

Types of urethral catheters for management of short-term voiding problems in hospitalized adults: a short version Cochrane Review

Prevention of pin track infection in external fixation with silver coated pins: Clinical and microbiological results

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