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Submitted: 17 Mar 2020
Accepted: 28 Jun 2020
ePublished: 21 Jul 2020
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J Renal Inj Prev. 2022;11(1): e3-e3.
doi: 10.34172/jrip.2022.03
  Abstract View: 338
  PDF Download: 254

Original

Comparison of catheter-associated bacteriuria and urinary tract infections between designed sheathed urethral catheters versus other methods of urinary drainage

Mohammad Rajaei-Isfahani 1 ORCID logo, Kobra Noorian 2 * ORCID logo, Amir Qorbani 3 ORCID logo, Masoud Hafizi 4 ORCID logo

1 Department of Urology, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Department of Pathology and Laboratory Sciences, University of California, San Francisco (UCSF), USA
4 Department of Infectious Diseases, Shahrekord University of Medical Sciences, Shahrekord, Iran
*Corresponding author: Kobra Noorian, Email: nooriandehkordy@yahoo.com

Abstract

Introduction: One of the most common nosocomial infections is urinary tract infection (UTI) which more commonly occurs in patients with urethral catheter.

Objectives: The aim of this study is to compare the incidence rate of catheter-associated bacteriuria (CRB) and UTI between sheathed designed catheters versus other methods of urinary drainage.

Patients and Methods: In this randomized double-blind controlled trial, 150 male patients, who needed urethral catheter, were randomly assigned into three groups; condom bag, designed sheath catheter and traditional Foley catheter. The midstream urine samples were sent to laboratory to evaluate bacteriuria immediately after catheter insertion, upon catheter removal and after two weeks consequently.

Results: The mean age of patients was 51.28 ± 14.12 years. The frequency of bacteriuria in patients was 19 (38%), 10 (20%) and 10 (20%) in the traditional catheter, condom bag and sheathed designed catheter, respectively, which was strongly significant (P<0.001).

Conclusion: The frequency of bacteriuria in the patients with designed sheathed catheter was significantly less than the traditional catheter. Therefore, using the designed catheter in short-term may be safer in the patients.

Trial registration: The trial was registered in the Thai Clinical Trials Registry (identifier: TCTR20200703002; http://www.clinicaltrials.in.th/index.php?tp=regtrials & menu=trialsear ch & smenu=fulltext & task=search & task2=view1& id=6443).

Keywords: Catheter–associated urinary tract infection, Designed sheathed catheter, Bacteriuria

Implication for health policy/practice/research/medical education:

In a randomized double-blind controlled trial on150 male patients, who needed urethral catheter, we found that designed sheathed catheter can reduce the incidence of bacteriuria in a short-term period compared to the traditional Foley urethral catheter. Therefore, we suggest using the designed sheathed catheter in hospitalized patients, especially those in ICU.

Please cite this paper as: Rajaei-Isfahani M, Noorian K, Qorbani A, Hafizi M. Comparison of catheter-associated bacteriuria and urinary tract infections between designed sheathed urethral catheters versus other methods of urinary drainage. J Renal Inj Prev. 2022; 11(1): e03. doi: 10.34172/jrip.2022.03.

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