Catheter-associated urinary tract infections

被引：277

作者：

Warren, JW ^{[1
]}

机构：

[1] Univ Maryland, Sch Med, Div Infect Dis, Baltimore, MD 21201 USA

来源：

INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS | 2001年 / 17卷 / 04期

关键词：

nosocomial UTI; catheter-associated UTI; prevention or catheter-associated UTI; bacteremia;

D O I：

10.1016/S0924-8579(00)00359-9

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Nosocomial urinary tract infection (UTI) is the most common infection acquired in both hospitals and nursing homes and is usually associated with catheterization. This infection would be even more common but for the use of the closed catheter system. Most modifications have not improved on the closed catheter itself. Even with meticulous care, this system will not prevent bacteriuria. After bacteriuria develops, the ability to limit its complications is minimal. Once a catheter is put in place, the clinician must keep two concepts in mind: keep the catheter system closed in order to postpone the onset of bacteriuria, and remove the catheter as soon as possible. If the catheter can be removed before bacteriuria develops. postponement becomes prevention. (C) 2001 Elsevier Science B.V. and International Society of Chemotherapy. All rights reserved.

引用

页码：299 / 303

页数：5

共 34 条

[1] SUPRAPUBIC VERSUS TRANS-URETHRAL BLADDER DRAINAGE AFTER COLPOSUSPENSION VAGINAL REPAIR [J].

ANDERSEN, JT ;

HEISTERBERG, L ;

HEBJORN, S ;

PETERSEN, K ;

SORENSEN, SS ;

FISCHERRASMUSSEN, W ;

PEDERSEN, LM ;

NIELSEN, NC .

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1985, 64 (02) :139-143

[2] HOSPITAL-ACQUIRED BACTEREMIC URINARY-TRACT INFECTION - EPIDEMIOLOGY AND OUTCOME [J].

BRYAN, CS ;

REYNOLDS, KL .

JOURNAL OF UROLOGY, 1984, 132 (03) :494-498

[3] ASSOCIATION OF RECTAL AND URETHRAL COLONIZATION WITH URINARY-TRACT INFECTION IN PATIENTS WITH INDWELLING CATHETERS [J].

DAIFUKU, R ;

STAMM, WE .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1984, 252 (15) :2028-2030

[4] CLEAN INTERMITTENT CATHETERIZATION - SAFE, COST-EFFECTIVE BLADDER MANAGEMENT FOR MALE RESIDENTS OF VA NURSING-HOMES [J].

DUFFY, LM ;

CLEARY, J ;

AHERN, S ;

KUSKOWSKI, MA ;

WEST, M ;

WHEELER, L ;

MORTIMER, AA .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (08) :865-870

[5] International Conference for the Development of a Consensus on the Management and Prevention of Severe Candidal Infections [J].

Edwards, JE ;

Bodey, GP ;

Bowden, RA ;

Buchner, T ;

dePauw, BE ;

Filler, SG ;

Ghannoum, MA ;

Glauser, M ;

Herbrecht, R ;

Kauffman, CA ;

Kohno, S ;

Martino, P ;

Meunier, F ;

Mori, T ;

Pfaller, MA ;

Rex, JH ;

Rogers, TR ;

Rubin, RH ;

Solomkin, J ;

Viscoli, C ;

Walsh, TJ ;

White, M .

CLINICAL INFECTIOUS DISEASES, 1997, 25 (01) :43-59

[6] AN EVALUATION OF DAILY BACTERIOLOGIC MONITORING TO IDENTIFY PREVENTABLE EPISODES OF CATHETER-ASSOCIATED URINARY-TRACT INFECTION [J].

GARIBALDI, RA ;

MOONEY, BR ;

EPSTEIN, BJ ;

BRITT, MR .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1982, 3 (06) :466-470

[7] NOSOCOMIAL URINARY-TRACT INFECTION - A PROSPECTIVE EVALUATION OF 108 CATHETERIZED PATIENTS [J].

HARTSTEIN, AI ;

GARBER, SB ;

WARD, TT ;

JONES, SR ;

MORTHLAND, VH .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1981, 2 (05) :380-386

[8] Oral fluconazole compared with bladder irrigation with amphotericin B for treatment of fungal urinary tract infections in elderly patients [J].

Jacobs, LG ;

Skidmore, EA ;

Freeman, K ;

Lipschultz, D ;

Fox, N .

CLINICAL INFECTIOUS DISEASES, 1996, 22 (01) :30-35

[9] PREVENTION OF CATHETER-ASSOCIATED URINARY-TRACT INFECTION WITH A SILVER-OXIDE COATED URINARY CATHETER - CLINICAL AND MICROBIOLOGIC CORRELATES [J].

JOHNSON, JR ;

ROBERTS, PL ;

OLSEN, RJ ;

MOYER, KA ;

STAMM, WE .

JOURNAL OF INFECTIOUS DISEASES, 1990, 162 (05) :1145-1150

[10]

KING RB, 1992, ARCH PHYS MED REHAB, V73, P798

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