Purpose of reviewCatheter-related urinary tract infections (UTIs) are among the most important nosocomial infections. This review summarizes the latest advances in the field of catheter care and the management of catheter-associated UTIs.Recent findingsThe most efficient methods to prevent catheter-associated UTIs are to avoid unnecessary catheterizations and to remove catheters as soon as possible. The use of different reminder systems and implementation of infection control programs can effectively decrease catheter-associated UTIs, although their introduction can be challenging. There is still no evidence to support the routine use of antimicrobial-impregnated catheters, but the use of hydrophilic-coated catheters for clean intermittent catheterization can effectively reduce infections. Preliminary results with chlorhexidine-coated catheters are promising. In cases of serious catheter-associated UTI in patients with a history of previous antibiotic therapy or healthcare-associated bacteraemia, empirical antibiotic treatment should be initiated with activity against multiresistant uropathogens. Suprapubic catheterization is not superior to urethral catheters in terms of reducing the rate of catheter-related bacteriuria.SummaryA technology to prevent catheter-associated UTIs is still not available; however, there are promising results with new approaches such as the use of reminder systems and infection control programs, which can effectively decrease the rate of catheter-associated UTIs. There is evidence supporting the use of hydrophilic coated catheters for clean intermittent catheterization, but an optimal catheter material or coating still has to be developed. Evidence-based catheter management is crucial for every patient in need of a catheter.
机构:
Duke Univ, Dept Internal Med, Durham, NC USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Cope, Matthew
;
Cevallos, Manuel E.
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Cevallos, Manuel E.
;
Cadle, Richard M.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Cadle, Richard M.
;
Darouiche, Rabih O.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USA
Baylor Coll Med, Dept Phys Med & Rehabil, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Darouiche, Rabih O.
;
Musher, Daniel M.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Musher, Daniel M.
;
Trautner, Barbara W.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USA
Baylor Coll Med, Dept Phys Med & Rehabil, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
机构:
St John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Wayne State Univ, Sch Med, Detroit, MI USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Fakih, Mohamad G.
;
Heavens, Michelle
论文数: 0引用数: 0
h-index: 0
机构:
Ascens Hlth, Clin Excellence, St Louis, MO USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Heavens, Michelle
;
Ratcliffe, Carol J.
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h-index: 0
机构:
Samford Univ, Ida V Moffett Sch Nursing, Birmingham, AL USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Ratcliffe, Carol J.
;
Hendrich, Ann
论文数: 0引用数: 0
h-index: 0
机构:
Ascens Hlth, Clin Excellence, St Louis, MO USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Gould, Carolyn V.
;
Umscheid, Craig A.
论文数: 0引用数: 0
h-index: 0
机构:Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Umscheid, Craig A.
;
Agarwal, Rajender K.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Agarwal, Rajender K.
;
Kuntz, Gretchen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Kuntz, Gretchen
;
Pegues, David A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Div Infect Dis, Los Angeles, CA 90095 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
机构:
Duke Univ, Dept Internal Med, Durham, NC USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Cope, Matthew
;
Cevallos, Manuel E.
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Cevallos, Manuel E.
;
Cadle, Richard M.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Cadle, Richard M.
;
Darouiche, Rabih O.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USA
Baylor Coll Med, Dept Phys Med & Rehabil, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Darouiche, Rabih O.
;
Musher, Daniel M.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Musher, Daniel M.
;
Trautner, Barbara W.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Baylor Coll Med, Div Infect Dis, Dept Med, Houston, TX 77030 USA
Baylor Coll Med, Dept Phys Med & Rehabil, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston, TX 77030 USA
机构:
St John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Wayne State Univ, Sch Med, Detroit, MI USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Fakih, Mohamad G.
;
Heavens, Michelle
论文数: 0引用数: 0
h-index: 0
机构:
Ascens Hlth, Clin Excellence, St Louis, MO USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Heavens, Michelle
;
Ratcliffe, Carol J.
论文数: 0引用数: 0
h-index: 0
机构:
Samford Univ, Ida V Moffett Sch Nursing, Birmingham, AL USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
Ratcliffe, Carol J.
;
Hendrich, Ann
论文数: 0引用数: 0
h-index: 0
机构:
Ascens Hlth, Clin Excellence, St Louis, MO USASt John Hosp & Med Ctr, Dept Infect Prevent & Control, Detroit, MI USA
机构:
Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Gould, Carolyn V.
;
Umscheid, Craig A.
论文数: 0引用数: 0
h-index: 0
机构:Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Umscheid, Craig A.
;
Agarwal, Rajender K.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Agarwal, Rajender K.
;
Kuntz, Gretchen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Penn Hlth Syst, Ctr Evidence Based Practice, Philadelphia, PA USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
Kuntz, Gretchen
;
Pegues, David A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Div Infect Dis, Los Angeles, CA 90095 USACtr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA