The Association between Indwelling Urinary Catheter use in the Elderly and Urinary Tract Infection

October 2017

Ageing

Country of origin: USA

The use of indwelling urinary catheters (IUCs) is thought to be the most significant risk factor for developing nosocomial urinary tract infections (UTIs). However, it is unclear how many elderly patients have pre-existing bacteriuria prior to IUC placement. The purpose of this study was to determine 1) the frequency and appropriateness of IUC use in the Emergency Department (ED) in elderly patients admitted to our acute care hospital, 2) the percentage of elderly patients with an IUC who were discharged from the hospital with a diagnosis of UTI, 3) the percentage of patients with IUCs who were diagnosed and treated for UTI in the ED or who had admission bacteriuria ¡Ý105 organisms/ml indicating pre-existing UTI, and 4) the percentage of patients with no indication of UTI on admission who had inappropriately placed IUCs and subsequently were diagnosed with a UTI.

This study indicates that the strong association between IUC use and UTI may be partly explained by the high prevalence of preexisting UTI prior to IUC placement. The study concludes that further prospective studies are needed to clarify the true risk vs benefit ratio for IUC use in acutely ill elderly patients.

The complete article can be found online.

Resources

inPractice® Oncology June 2018 inPractice® Oncology is the only point-of-care clinical reference designed to meet the unique needs of specialists. Full...
Portable Automated Rapid Testing (PART) Auditory Processing May 2018 Welcome to our application for Portable Automated Rapid Testing (PART), a program designed to assess auditory processing...
UA Balance a motor-cognitive, dual-task training regimen May 2018 Problem: Over 20 million older adults in the US experience falling annually. Thus, a leading cause of traumatic injuries...
Calculate by QxMD March 2018 Medical calculators come in all different shapes and sizes – from traditional paper OB wheels to the more tech-savvy app...
Read by QxMD March 2018 There are a few ways to browse journal content. The landing screen is Featured Papers, which presents citations from your...
Specifically for older adults March 2018 A website tailored to the needs of older people is now available to the public. This site is easy to navigate, features...
OrthoFlow...the orthopaedic specialist in your pocket! February 2018 Welcome to OrthoFlow...the orthopaedic specialist in your pocket! This new way of learning is designed to help you diagnose...
Rheumatology Advisor January 2018 Rheumatology Advisor is a free, simple to use, medical app designed to be the essential resource for rheumatology...
A Guide For Persons With Memory Problems And Their Caregivers November 2017 ?Partnering With Your Doctor: A Guide for Persons With Memory Problems and Their Caregivers? is a guide that provides...
National Institute On Aging November 2017 To help patients understand the value of blood cholesterol screening, the NIH has added information on the topic to...
Search by Keyword