Volume 35, Issue 11 (12-2024)
Studies in Medical Sciences 2024, 35(11): 859-867 |
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Shamsa N, Saliminia A, Atefyekta R, Azimaraghi O, Movafegh A. COMPARING THE INCIDENCE OF URINARY CATHETER-INDUCED URINARY TRACT INFECTIONS IN BACTIGUARD AND STANDARD CATHETERS AT SHARIATI HOSPITAL IN TEHRAN. Studies in Medical Sciences 2024; 35 (11) :859-867
URL: http://umj.umsu.ac.ir/article-1-6361-en.html
URL: http://umj.umsu.ac.ir/article-1-6361-en.html
Professor, Department of Anesthesiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran (Corresponding Author) , ali.movafegh@gamil.com
Abstract: (672 Views)
Background & Aims: Recently, the use of urinary catheters with antimicrobial coatings to prevent bacterial binding and transfer has led to a significant reduction in the prevalence of catheter-induced urinary tract infections. The present study was conducted to compare the incidence of urinary catheter-induced urinary tract infections between two types of catheters: standard and Bactiguard.
Materials & Methods: This randomized clinical trial was performed on 100 consecutive patients with ASA class I-II who were admitted to the ICUs at Shariati Hospital in Tehran between January 2015 and January 2017 for various post-surgical reasons. Patients with normal urine analysis were enrolled and randomly divided into two groups: the first group received a standard Foley catheter, and the second group received a Bactiguard catheter. After surgery and transfer to the ICU, urine samples were collected from all patients under sterile conditions and sent to the laboratory for analysis.
Results: The overall prevalence of urinary tract infection, confirmed by positive urine culture, was 6% in the Bactiguard catheter group and 20% in the standard catheter group, indicating a significantly lower infection rate in the former group (P = 0.037). The difference in catheter-related infection rates between the two groups was observed in women but not in men, non-obese but not in obese patients, non-smokers but not in smokers, and non-opium users but not in opium users.
Conclusion: Catheter-associated infections were significantly reduced with Bactiguard catheters compared to conventional catheters. This risk reduction was particularly prominent in female patients, non-obese patients, non-smokers, and non-opium users. The observed effect is likely due to the antimicrobial properties of the silver, gold, and palladium coatings in Bactiguard catheters.
Materials & Methods: This randomized clinical trial was performed on 100 consecutive patients with ASA class I-II who were admitted to the ICUs at Shariati Hospital in Tehran between January 2015 and January 2017 for various post-surgical reasons. Patients with normal urine analysis were enrolled and randomly divided into two groups: the first group received a standard Foley catheter, and the second group received a Bactiguard catheter. After surgery and transfer to the ICU, urine samples were collected from all patients under sterile conditions and sent to the laboratory for analysis.
Results: The overall prevalence of urinary tract infection, confirmed by positive urine culture, was 6% in the Bactiguard catheter group and 20% in the standard catheter group, indicating a significantly lower infection rate in the former group (P = 0.037). The difference in catheter-related infection rates between the two groups was observed in women but not in men, non-obese but not in obese patients, non-smokers but not in smokers, and non-opium users but not in opium users.
Conclusion: Catheter-associated infections were significantly reduced with Bactiguard catheters compared to conventional catheters. This risk reduction was particularly prominent in female patients, non-obese patients, non-smokers, and non-opium users. The observed effect is likely due to the antimicrobial properties of the silver, gold, and palladium coatings in Bactiguard catheters.
Type of Study: Clinical trials |
Subject:
Anesthesia
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