Types of urethral catheter for reducing symptomatic urinary tract infections in hospitalised adults requiring short-term catheterisation: multicentre randomised controlled trial and economic evaluation of antimicrobial- and antiseptic-impregnated urethral catheters (the CATHETER trial)

Abstract

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Prevention of Catheter-Associated Urinary Tract Infections in Adults

“…7 Avoid use of antibiotic-coated or silver-coated urinary catheters. 8 Replacing basin bathing with plain wipe bathing has been recommended. 9 Cleaning the catheter regularly with wipes impregnated with chlorhexidine gluconate has been suggested as an intervention to decrease CAUTIs.…”

Safe and effective catheterisation for patients in the community

“…Although associated with a small decrease in asymptomatic bacteriuria, there is no evidence to suggest they reduce the incidence of symptomatic infection (Pickard et al, 2012). They are also associated with increased catheter changes and therefore increased discomfort.…”

“…The silver provides antiseptic properties, which can reduce the incidence of bacteraemia for around 1 week but the evidence does not support the use to reduce catheter associated urinary tract infection (Pickard et al, 2012).…”

Urinary Tract Infections in Surgical Patients

“…Antimicrobial-impregnated and silver-coated catheters were developed to retard biofilm formation and impede bacterial proliferation. 10,51 The use of silicone was thought to decrease urethral inflammation and consequently UTI development, and the hydrogel surface is theorized to prevent biofilm formation by changing surface affinity for biofilms. 10,52 The efficacy of these alternative catheters over latex catheters have been widely investigated but have yet to yield consistent reductions in CAUTI rates.…”