Variation in the prevalence of urinary catheters: a profile of National Health Service patients in England

Shackley, David; Whytock, Cameron; Parry, Gareth; Clarke, Laurence P.; Vincent, Charles; Harrison, Abigail; John, Amber; Provost, Lloyd; Power, Maxine

doi:10.1136/bmjopen-2016-013842

Cited by 51 publications

(34 citation statements)

References 17 publications

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“…The high rate of CABSI is not explained by a high prevalence of urinary catheters. The point prevalence found in our unit (11%) is comparable to other general hospital studies (12–18%) . Duration of IDC use is well known to be a risk factor for developing CABSI and the mean duration of IDC use of 23 days may be one factor in the higher prevalence of urinary tract HABSI.…”

Section: Discussionsupporting

confidence: 81%

Inpatient healthcare‐associated bloodstream infections in older people

Hanger

Michelle

2019

Internal Medicine Journal

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chronic haemophilic arthropathy with normal synovial appearance. Due to patient mental health comorbidities, appointments with orthopaedic surgeons were not attended and conservative management with the addition of tranexamic acid continues. DiscussionPseudotumours are rarely seen among patients with haemophilia in Australia. These two cases represent the first cases of pseudotumours in two haemophilia treatment centres (one paediatric and one adult), which in total service over 200 patients with severe haemophilia. The cause in the first case was suspected to be secondary to repeated bleeds to the area, in combination with nonadherence to prophylaxis. The second case did not demonstrate a clear bleeding history, and given the development of a second pseudotumour while adherent to the prescribed regular prophylaxis, this points to an alternative biological process. The diagnosis should be considered in patient who present with symptoms refractory to typical therapy, non-adherence to therapy or with pathological fractures. MRI is the modality of choice to examine for pseudotumours, and clinicians should be mindful that a normal CT or X-ray does not exclude the disease. The ideal management of this condition is not known, and given the rarity of the condition the development of an international registry would be of benefit. References1 Lim MY, Nielsen B, Ma A, Key NS. Clinical features and management of haemophilic pseudotumours: a single US centre experience over a 30-year period. Haemophilia 2014; 20: e58-62. 2 Senol K, Tutuncu T, Yuksek YN, Ozdemir N, Guney Y, Kama NA. Management of a recurrent massive abdominal haemophilic pseudotumour with adjuvant radiotherapy. Haemophilia 2015; 21: 333-5. 3 Magailon M, Monteagudo J, Altisent C, Ibanez A, Rodriguez-Perez A, Riba J et al. Hemophilic pseudotumour: multicentre experience over a 25 year period. AbstractThis retrospective study describes inpatient healthcare-associated bloodstream infections (HABSI) in older adults and explores whether urinary catheters (presence/insertion/removal) were related to HABSI events. One hundred and sixty-seven HABSI events were identified, predominantly (124, 74%) with Gram-negative bacteria. HABSI was attributed to a urinary source in 110 patients (66%), with over half (63, 57%) of these associated with urinary catheters. Catheter-associated HABSI may be avoidable and potential preventative strategies are discussed. AbstractHealthcare encompasses multiple discourses to which health professionals, researchers, patients, carers and lay individuals contribute. Networks of patients and nonprofessionals often act collectively to build capacity, enhance access to resources, develop understanding and improve provision of care. This article explores the concept of health collectives and three notable examples that have had an enduring and profound impact in the Australian context.

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Section: Discussionsupporting

confidence: 81%

Inpatient healthcare‐associated bloodstream infections in older people

Hanger

Michelle

2019

Internal Medicine Journal

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“…Surprisingly limited information exists with respect to the variation in catheter prevalence [12]. The prevalence of urinary catheter use in general population was never examined in Croatia.…”

Section: Discussionmentioning

confidence: 99%

“…The increased prevalence in men is thought to be caused by prostate diseases, a longer urethra, stronger tendency for retention, especially postoperatively, and an increased likelihood of long-term catheterization [12]. …”

Section: Discussionmentioning

confidence: 99%

Use of Urinary Collection Devices in Community and Nursing Homes in Istria County

Lodeta

Lovrinić²,

Lodeta

et al. 2018

Urol Int

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Introduction: This study is aimed at assessing the use of various types of urinary catheters, appropriateness of catheter placement and factors associated with antibiotic use in a population of chronically catheterized patients in Istria County. Materials and Methods: This cross-sectional study, conducted between March and June 2017 in Istria County, Croatia, was initiated through a network of general family medicine offices. Data were collected from general practitioners (GPs) and from medical managers in nursing homes. Participants were asked to review medical records of their patients and to complete a 10-item questionnaire designed to retrieve information on patients with urinary catheter. Results: All GPs in the county were surveyed. We identified 309 patients with urinary catheter: 216 men (70%) and 93 women (30%). The overall prevalence of individuals with urinary catheters was 0.18%: 4.7% in nursing home population and 0.1% among non-institutionalized adult population. Most common indication for catheterization was chronic urinary retention (52%). One hundred eighty-six patients (60.4%) reported antibiotic usage in the previous 3 months for treating urinary infection. Conclusions: In Istria County, the prevalence of indwelling urinary catheters is highest in males, especially among patients in nursing homes. There is a need for focused education among GPs regarding urinary catheter maintenance and antibiotic prescription for suspected urinary tract infections.

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“…; Shackley et al . ). The latter includes the use of long‐term urethral catheterization to manage urinary incontinence in elderly individuals and those with spinal cord injuries, as well as to minimize pressure ulcers and skin breakdown in immobile patients (Stickler , ; Feneley et al .…”

Section: Introductionmentioning

confidence: 97%

Bacterial biofilm formation on indwelling urethral catheters

Pelling

Nzakizwanayo

Milo

et al. 2019

Lett Appl Microbiol

105

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Significance and Impact of the Study: Urinary catheters are the most commonly used medical devices in many healthcare systems, but their use predisposes to infection and provide ideal conditions for bacterial biofilm formation. Patients managed by long-term urethral catheterization are particularly vulnerable to biofilm-related infections, with crystalline biofilm formation by urease producing species frequently leading to catheter blockage and other serious clinical complications. This review considers current knowledge regarding biofilm formation on urethral catheters, and possible strategies for their control. AbstractUrethral catheters are the most commonly deployed medical devices and used to manage a wide range of conditions in both hospital and community care settings. The use of long-term catheterization, where the catheter remains in place for a period >28 days remains common, and the care of these patients is often undermined by the acquisition of infections and formation of biofilms on catheter surfaces. Particular problems arise from colonization with ureaseproducing species such as Proteus mirabilis, which form unusual crystalline biofilms that encrust catheter surfaces and block urine flow. Encrustation and blockage often lead to a range of serious clinical complications and emergency hospital referrals in long-term catheterized patients. Here we review current understanding of bacterial biofilm formation on urethral catheters, with a focus on crystalline biofilm formation by P. mirabilis, as well as approaches that may be used to control biofilm formation on these devices.

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Variation in the prevalence of urinary catheters: a profile of National Health Service patients in England

Cited by 51 publications

References 17 publications

Inpatient healthcare‐associated bloodstream infections in older people

Inpatient healthcare‐associated bloodstream infections in older people

Use of Urinary Collection Devices in Community and Nursing Homes in Istria County

Bacterial biofilm formation on indwelling urethral catheters

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