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Academic literature on the topic 'Catheter related urinary tract infections'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Catheter related urinary tract infections"

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Greener, Mark. "Recent insights into catheter-related urinary tract infections." British Journal of Community Nursing 27, no. 4 (April 2, 2022): 162–64. http://dx.doi.org/10.12968/bjcn.2022.27.4.162.

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Urinary tract infections (UTIs) commonly develop in people with urinary catheters. Inserting a catheter can damage the urothelial barrier and trigger the formation of a biofilm on the catheter that allows bacteria direct access to the bladder. Biofilms also protect bacteria from the immune system and reduce antibiotic effectiveness. In addition, a growing literature suggests that the urinary tract harbours bacteria even in people with negative conventional cultures. The urinary microbiome is highly individual. Nevertheless, changes in the urinary microbiome may identify individuals at risk of UTIs and, for example, suggest that a catheter should be replaced more frequently and, in turn, avoid the need for antibiotics. This article outlines the importance of biofilms in the development of catheter-related UTIs and introduces the urinary microbiome.
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Lobão, Maria João, and Paulo Sousa. "Hospital-Acquired Urinary Tract Infections: Results of a Cohort Study Performed in an Internal Medicine Department." Acta Médica Portuguesa 30, no. 9 (September 29, 2017): 608. http://dx.doi.org/10.20344/amp.8606.

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Introduction: Urinary tract infections are the most frequent healthcare associated infections, being related to both high costs and morbidity. Our intention was to carry out an epidemiological characterization of hospital acquired urinary tract infections that occurred in an internal medicine department of a Portuguese hospital.Material and Methods: Retrospective cohort study (historic cohort). Data were analysed from a systematic random sample of 388 patients, representative of the 3492 admissions occurred in 2014 in that department.Results: One in four patients underwent the placement of a bladder catheter [24.7% (n = 96); 95% CI: 20% - 29%], 36.5% (95% CI: 33% - 48%) of which in the absence of clinical criteria for that procedure. The global cumulative incidence rate for nosocomial urinary tract infections was 4.6% (95% CI: 2.5% - 6.7%). Most hospital acquired urinary tract infections (61.1%) were related to bladder catheter use. We quantified 3.06 infections / 1000 patient-days and 14.5 infections / 1000 catheter-days. Catheter associated urinary tract infection occurred at an early stage of hospitalization. The vast majority of patients (66.7%) that developed a catheter associated urinary tract infection were subjected to bladder catheter placement at emergency department. Seventy one per cent of catheter associated urinary tract infection occurred in patients that were subjected to bladder catheter placement without criteria.Discussion: These results point to an excessive and inadequate use of urinary catheters, highlighting the need for judicious use taking into account the formal clinical indications. The incidence of catheter associated urinary tract infection is similar to what we found in other studies. Nevertheless we found a very high incidence density per catheter-days that may foresee a problem probably related to the absence of early withdrawal of the device, and to both bladder catheter placement and maintenance practices. A significant part of catheter associated urinary tract infection occurred in patients that had the bladder catheter placed in the emergency department, before the admission to the internal medicine ward, which highlights the need to assess the urinary catheterization practices in those departments.Conclusion: The high rate of catheter associated urinary tract infection that occurred in the absence of bladder placement indication reinforces the need to implement prevention strategies that contemplate the reduction of its use. Emergency departments should be part of quality improvement projects in this area. Causes for the early onset of catheter associated urinary tract infection in this cohort should be investigated.
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Paras, Molly L., Erica S. Shenoy, Heather E. Hsu, Rochelle P. Walensky, and David C. Hooper. "Housestaff Knowledge Related to Urinary Catheter Use and Catheter-Associated Urinary Tract Infections." Infection Control & Hospital Epidemiology 36, no. 11 (August 17, 2015): 1355–57. http://dx.doi.org/10.1017/ice.2015.189.

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Despite published catheter-associated urinary tract infection prevention guidelines, inappropriate catheter use is common. We surveyed housestaff about their knowledge of catheter-associated urinary tract infections at a teaching hospital and found most are aware of prevention guidelines; however, their application to clinical scenarios and catheter practices fall short of national goals.Infect. Control Hosp. Epidemiol. 2015;36(11):1355–1357
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Hameed, Ammar, Frank Chinegwundoh, and Ali Thwaini. "Prevention of catheter-related urinary tract infections." British Journal of Hospital Medicine 71, no. 3 (March 2010): 148–52. http://dx.doi.org/10.12968/hmed.2010.71.3.46978.

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Shadle, Holly N., Valerie Sabol, Amanda Smith, Heather Stafford, Julie A. Thompson, and Margaret Bowers. "A Bundle-Based Approach to Prevent Catheter-Associated Urinary Tract Infections in the Intensive Care Unit." Critical Care Nurse 41, no. 2 (April 1, 2021): 62–71. http://dx.doi.org/10.4037/ccn2021934.

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Background Catheter-associated urinary tract infections are the second most common health care–associated infections, occurring most frequently in intensive care units. These infections negatively affect patient outcomes and health care costs. Local Problem The targeted institution for this improvement project reported 13 catheter-associated urinary tract infections in 2018, exceeding the hospital’s benchmark of 4 or fewer such events annually. Six of the events occurred in the intensive care unit. Project objectives included a 30% reduction in reported catheter-associated urinary tract infections, 20% reduction in urinary catheter days, and 75% compliance rating in catheter-related documentation in the intensive care unit during the intervention phase. Methods This project used a pre-post design over 2 consecutive 4-month periods. The targeted population was critically ill patients aged 18 and older who were admitted to the intensive care unit. A set of bundled interventions was implemented, including staff education, an electronic daily checklist, and a nurse-driven removal protocol for indwelling urinary catheters. Data were analyzed using mixed statistics, including independent samples t tests and Fisher exact tests. Results No catheter-associated urinary tract infections were reported during the intervention period, reducing the rate by 1.33 per 1000 catheter days. There was a 10.5% increase in catheter days, which was not statistically significant (P = .12). Documentation compliance increased significantly from 50.0% before to 83.3% during the intervention (P = .01). Conclusions This bundled approach shows promise for reducing catheter-associated urinary tract infections in critical care settings. The concept could be adapted for other health care–associated infections.
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Kim, Young-Joo, Kyung-kgi Park, Jung-Sik Huh, and Sung Dae Kim. "Treatment, Management and Prevention of Catheter-associated Urinary Tract Infection." Journal of Medicine and Life Science 10, no. 3 (February 1, 2014): 240. http://dx.doi.org/10.22730/jmls.2014.10.3.240.

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Catheter-associated urinary tract infection (CAUTI) is the most commonly occurring nosocomial infection worldwide, accounting for approximately 40% of all hospital acquired infections. A lot of hospitalized patients undergo insertion of a urinary catheter at some time during their hospital days, and the use of indwelling urinary catheters appears to be increasing. And 80% of urinary tract infection is related to urinary catheterization. Unfortunately, many physicians don' t know about appropriate indications for use of indwelling urethral catheters as well as accurate criteria of CAUTI. Therefore, these could result in a potential source of CAUTI, leading to unnecessary use of antibiotics for treatment of asympk)matic bacteriuria, inducing of resistant organisms. Most CAUTI are derived from the patient's own colonic flora and the catheter predisposes to UTI in several ways. The most important risk factor for the development of CAUTI is the duration of catheterization. The clinician should be aware of two priorities： the catheter system should remain closed and the duration of catheterization should be minimal. While the catheter is in place, systemic antimicrobial treatment of asymptomatic catheter-associated bacteriuria is not recommended, except for some special cases.
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Nicolle, Lindsay E. "Catheter-Related Urinary Tract Infection." Drugs & Aging 22, no. 8 (2005): 627–39. http://dx.doi.org/10.2165/00002512-200522080-00001.

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Anwar, Ghuzala, Ghalib Nawaz, Muhammad Afzal, Iram Majeed, and Ali Waqas. "Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan." International Journal of Applied Sciences and Biotechnology 5, no. 2 (June 29, 2017): 150–58. http://dx.doi.org/10.3126/ijasbt.v5i2.17317.

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Nursing is an art science and an essential health care profession in which the skilled knowledgeable persons are committed to provide care to sick peoples and strive for the, protection and promotion of health and prevention against diseases and helps to minimize the risk and risk related injuries. Urinary tract infections are very common infection in the hospital settings almost responsible for 40% nosocomial infections. All the urinray tract infection is expected that approximately more than 70% infection reported because of indewelling cathters.Objectives: To assess the perceptions of nurses regarding indwelling urinary catheter and its care. To assess the practices of nurses to prevent the indwelling catheter related urinary tract infection. Methodology: Descriptive cross sectional design and data was collected through a five point Likert scale questioner. Study population was the nursing staff from the Jinnah hospital Lahore. Sample size was 184 nurses from all indoor departments of the Jinnah Hospital Lahore. Results: The findings show that the practice and perceptions scores of the registered nurses’ in the study group are insignificant with age, qualification and experience (i.e., p-value > 0.05) with the evidence-based guidelines for prevention of catheter associated urinary tract infection. Results of study indicated insignificant relationship between registered nurses’ practice and perceptions regarding the indwelling urinary catheter associated infection.Int. J. Appl. Sci. Biotechnol. Vol 5(2): 150-158
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Septimus, Edward J., and Julia Moody. "Prevention of Device-Related Healthcare-Associated Infections." F1000Research 5 (January 14, 2016): 65. http://dx.doi.org/10.12688/f1000research.7493.1.

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Healthcare-associated infections (HAIs) are a leading cause of morbidity and mortality in hospitalized patients. Up to 15% of patients develop an infection while hospitalized in the United States, which accounts for approximately 1.7 million HAIs, 99,000 deaths annually and over 10 billion dollars in costs per year. A significant percentage of HAIs are preventable using evidenced-based strategies. In terms of device-related HAIs it is estimated that 65-70% of catheter-line associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) are preventable. To prevent CLABSIs a bundle which includes hand hygiene prior to insertion and catheter manipulation, use of chlorhexidene alcohol for site preparation and maintenance, use of maximum barrier for catheter insertion, site selection, removing nonessential lines, disinfect catheter hubs before assessing line, and dressing changes are essential elements of basic practices. To prevent CAUTIs a bundle that includes hand hygiene for insertion and catheter or bag manipulation, inserting catheters for appropriate indications, insert using aseptic technique, remove catheters when no longer needed, maintain a close system keeping bag and tubing below the bladder are the key components of basic practices.
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Madeo, M., B. Barr, and E. Owen. "A study to determine whether the use of a preconnect urinary catheter system reduces the incidence of nosocomial urinary tract infections." Journal of Infection Prevention 10, no. 2 (March 2009): 76–80. http://dx.doi.org/10.1177/1757177408093500.

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Nosocomial urinary tract infection (NUTI) is a common problem in the UK and is often related to the use of urinary catheters. In the UK urinary catheters account for approximately 25% of all healthcare associated infections and can have a considerable financial burden on the health service. Bacteria may gain entry into the bladder of a catheterised patient via the intra-luminal route especially if accidental disconnection arises. A prospective study was undertaken to determine the NUTI rates in patients using a preconnected catheter system compared to a traditional bag and catheter system on three medical wards. A total of 205 patients were included in the study. The catheter-associated urinary tract infection rate (CAUTI) in the baseline was 37.8 per 1,000 catheter days and 22.4 per 1,000 catheter days in the intervention group. The rates of CAUTI were 41% lower in the intervention group. The data in this sample group suggests the use of the preconnected catheter offers some protection against infection. The use of the preconnected system is a new concept in the UK and further studies are required to evaluate its effectiveness. The results from this study suggest their use may help to reduce the risk of CAUTI in certain clinical areas.
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Dissertations / Theses on the topic "Catheter related urinary tract infections"

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Liu, Aiming, and Gabriel Karlsson. "Förebyggande åtgärder mot kateterassocierad urinvägsinfektion : En litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42672.

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Bakgrund:Kvarliggande kateter [KAD] är en behandling för akut eller kronisk urinretention och används vid sjukdomar eller vissa operationer. Samtidigt ökar KAD risk för urinvägsinfektion, vilket minskar patientsäkerheten, förlänger återhämtningstid och ökar behandlingskostnad. Förebyggande åtgärder för att minska kateterassocierad urinvägsinfektion [UVI] blir därför allt viktigare. Flera länder i Europa, Nord- och Sydamerika har gjort flertalet studier och hittat effektiva evidensbaserade förebyggande åtgärder mot kateterassocierad UVI. Utifrån säker och evidensbaserad vård skulle evidensbaserade förebyggande åtgärder tas reda på och användas för att minska kateterassocierad UVI.  Syfte:Att beskriva förebyggande åtgärder inom omvårdnad mot kateterassocierad UVI. Metod:Litteraturöversiktutifrån Polit och Becks niostegsmodell användes i urval och datainsamling till att 12 artiklar gick igenom kvalitetsgranskningen och analyserades till resultatet med induktiv ansats.  Resultat:Förebyggande åtgärder sammanställdes i tre huvudkategorier. Första huvudkategorin följ riktlinjer med underkategorierna kateterisering endast utifrån läkarordination och lämpliga indikationer, aseptisk teknik med rätt utrustning, fixering av KAD och uppsamlingspåsen samt borttagning av KAD om inga behov föreligger. Andra huvudkategorin utför kontrollrutiner med underkategorierna utför kateteriserings checklista samt kontrollera, rapportera    och dokumentera kateter dagligen. Tredje huvudkategorin etablera ett systematiskt förbättringsarbete med underkategorierna utse en eller två ansvariga personer, erbjud föreläsning och träning om kateterisering samt arrangera workshop. Slutsatser:Kateterassocierad UVI kan förebyggas om sjuksköterska uppfyller sin kompetens med hjälp av workshop, utför kateterisering enligt riktlinjer, samt hanterar och kontrollerar urinkateter enligt kontrollrutiner såsom kateteriserings checklista.
Background:An indwelling catheter is used as a treatment for acute or chronic urinary retention and is commonly used for diseases or some surgeries. At the same time, indwelling catheters increases the risk of urinary tract infections, which reduces patient safety, prolongs patient’s recovery and increases treatment costs. Several countries in Europe, North- and South America have conducted several studies that found evidence-based, effective preventive measures against catheter associated urinary tract infections. Evidence-based preventative measures should be found out and be used to decrease catheter associated urinary tract infections. Aim: To describe preventive measures in nursing against catheter-associated urinary tract infections. Method:Literature overview with Polit and Beck's nine-way model is used in selection and data collection to ensure that the 12 articles selected to the quality review were analyzed for results with an inductive approach. Results:Prevention measures were compiled into three main categories. First main category follows guidelines with subcategories catheterization only based on medical ordinance and appropriate indications, aseptic technique with proper equipment, fixation of catheter and collection bag and removal of catheter if no needs exists. Second main category performs check routines with subcategories perform catheterization checklist as well as check, report and document catheters daily. Third main category establish a systematic improvement work with subcategories appoint one or two responsible persons, offer lecture and training on catheterization and arrange workshop. Conclusions:Catheter associated urinary tract infections can be prevented if the nurse fulfills her/his competency with help of workshop, performs catheterization according to guidelines, manages and controls the urinary catheter according to control routines such as catheterization checklist.
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Carlson, Diana Elizabeth. "Preventing Catheter-Associated Urinary Tract Infections with Education on Using the Catheter Bundle." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7278.

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The Centers for Disease Control and Prevention, the Joint Commission, and the Agency for Healthcare Research and Quality recognized the importance of reducing health-care-associated infections (HAIs) and catheter-associated urinary tract infections (CAUTIs) for the safety of all patients. The U.S Department of Health and Human Services has focused on approving a plan to address HAIs in the health care setting with an emphasis on CAUTIs. The purpose of this project was to decrease CAUTI rates on a long-term care and rehab unit by educating staff about using the CAUTI bundle and CAUTI maintenance tool kit. The theoretical framework that guided this project was Knowles's assumption of adult learning. The practice-focused questions addressed the effects of staff education on CAUTI prevention using a CAUTI bundle approach. Pretest and posttest data were collected from all current primary care nursing staff providers at the study site. CAUTI rates were also obtained from the infection prevention and control nurse at the study facility. Implementation of education related to the CAUTI bundle approach led to 2 consecutive months of no CAUTIs in 2019. Findings from the CAUTI project may bring about positive social change by improving patients' quality of life by ensuring they do not develop HAIs. Use of the CAUTI bundle approach may be implemented in long-term care facilities throughout the United States to ensure patients do not acquire HAIs.
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Stackleather, Bronwyn K. "Improving catheter-associated urinary tract infections through improved nursing education." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1528050.

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The changes in health care over the past decade have caused hospitals across the nation to focus on improving quality outcomes for the patients they serve. One of the most preventable hospital-acquired infections is catheter-associated urinary tract infections (CAUTIs). Nursing’s role in the prevention of CAUTI spans patients’ entire hospital stay, and quality education to nursing staff is essential for sustained reduction efforts.

The project’s purpose was to evaluate the content and design of the nursing curriculum on CAUTI reduction given to nurses in a pediatric intensive care unit at one healthcare institution. A process evaluation showed that the curriculum had several key strengths and weaknesses and could be improved through application of Knowles’s adult theory of learning. Management and the clinical leadership team could improve patient outcomes by building nursing curriculum with a greater focus on learners’ needs, an understanding of what motivates learners, and more involvement of the nursing staff.

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Hamilton, Elva. "Nurse-Driven Protocol to Reduce Catheter Associated Urinary Tract Infections." NSUWorks, 2018. https://nsuworks.nova.edu/hpd_con_stuetd/33.

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Background: Catheter-associated urinary tract infections (CAUTIs) are a major source of avoidable hospital-acquired infections. The scientific evidence supports utilization of nurse-driven protocols to reduce CAUTIs. Purpose: The purpose of this quality improvement project was to update and implement an evidence-based CAUTI prevention protocol for the nursing staff on a medical-surgical unit in an adult acute care hospital to decrease the utilization of indwelling urinary catheters and CAUTIs. Theoretical Framework: Donabedian’s structures, processes, and outcomes (SPO) model was utilized as the framework for this project. Donabedian’s SPO model focuses on strong healthcare structures and processes to improve nurse, patient, and organizational outcomes. Methods: This project utilized a quantitative design. A convenience sample of 28 nurses from the medical-surgical unit of a South Florida hospital participated in the project. An educational intervention was delivered on CAUTI prevention based on guidelines from regulatory agencies, and the hospital existing protocol was updated and revised to reflect the guidelines. The sample was administered a short demographic survey, and 10-item pretests and posttests on CAUTI prevention before and after implementation of the standardized evidence-based protocol. To determine possible differences in nurses’ knowledge and perceptions of indwelling urinary catheters before and after the implementation, paired t tests were conducted. To determine if the proportions of days with urinary catheters were statistically significantly different 30 days before and after implementation of the standardized evidence-based guideline, a 2-proportion z-test was conducted. Results: On analysis of the pretests and posttests, a statistically significant difference was found in 6 of the 10 questions, indicating that nurses’ knowledge and perceptions of CAUTIs improved after the intervention (p < .001 to p < .043). After the intervention, urinary catheter days relative to patient days also decreased significantly (z = 5.562, p < 0.001). Conclusion: Implementation of an evidence-based nurse-driven protocol in a hospital in South Florida improved nurses’ knowledge and perceptions of CAUTI prevention. Nursing practice and healthcare delivery can benefit from development of such guidelines and educational interventions to empower nurses to better manage patients’ indwelling urinary catheters, and decrease the incidence of CAUTIs in hospitals.
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Wright, Marshanell. "Decreasing Catheter-Associated Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6707.

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The most important risk factor for developing a catheter-associated urinary tract infection (CAUTI) is the prolonged use of the urinary catheter. To address the CAUTI rate at the project site, which was higher than the national benchmark, a team of healthcare practice leaders developed an evidence-based algorithm addressing the appropriate indications for inserting or discontinuing a patient's Foley catheter. Using the plan-do-study-act model, the purpose of this quality improvement evaluation project was to evaluate the effectiveness of the evidence-based Foley algorithm for decreasing the use of Foley catheters and reducing the CAUTI rate and to explore whether using the Foley algorithm shift assessment tool would reduce the incidence of Foley catheter utilization. Data were compared on the rate of CAUTI and Foley catheter use over 4 months before and 4 months after implementation of the algorithm. There was a statistically significant decrease in the Foley utilization rate after implementing the Foley algorithm; the overall CAUTI rate did not decrease. The outcome of this quality improvement evaluation project could produce social change by highlighting the need for consistent application of the algorithm. In addition, reducing the rate of Foley catheter usage could decrease the incidence of CAUTIs, reduce hospital costs, and improve overall patient health during hospitalization.
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Lo, Joey Chor Yee. "Novel antimicrobial peptide coating to prevent catheter-associated urinary tract infections." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/56262.

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Introduction: Urinary catheters provide ideal surfaces for bacterial biofilm formation, being a major factor for hospital-acquired infections. With increased antibiotic resistance, there is a push for non-antibiotic-based measures to prevent catheter-associated urinary tract infections (CAUTI). I pursue the use of polymer-linked, broad-spectrum, host-defense-based antimicrobial peptides (AMPs) as novel catheter coatings. Here, I present the efficacy of tethered AMPs against common uropathogens both in vitro and in vivo. Materials and Methods: Peptides E6, Tet20, Tet26, and Kai13 were linked to surfaces using polymer brushes PDMA, PMPC, and PMPDSAH. All peptides were chosen based on their antimicrobial activity and biocompatibility as suggested by previously published papers. Antimicrobial activity of each coating was determined in vitro via colony counts 6 hours post-exposure to uropathogens. The in vivo efficacy of AMP coatings was also tested using a clinically relevant CAUTI mouse model; bladders of mice were catheterized percutaneously under ultrasound guidance, and 50 μL of 5E+5 CFU/mL P. aeruginosa was instilled. Indwelling polyurethane catheters and urine were collected after 7 days for examination of bacterial adherence and growth. Results: The most effective peptide-brush combination was E6-PDMA, decreasing bacterial adhesion and planktonic growth by up to 94.1% and 63.8%, respectively based on in vitro data. In vivo results look even more promising; the coating decreased bacterial adhesion by up to 99.9958% and planktonic growth by 99.8660% in comparison to untreated mice. Conclusions: Based on our in vitro and in vivo data, E6-PDMA coatings may effectively prevent CAUTI. Further testing of these novel coatings against more common uropathogens as well as tests to confirm the safety of such coatings will be important.
Medicine, Faculty of
Medicine, Department of
Experimental Medicine, Division of
Graduate
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García, Bonillo María Cristina. "Nanostructured silver-based bacteriophobic surfaces against catheter-associated urinary tract infections." Doctoral thesis, Universitat Ramon Llull, 2021. http://hdl.handle.net/10803/671912.

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En aquesta tesi s’ha desenvolupat un catèter urinari tipus Foley bacteriofòbic. L’efecte bacteriofòbic es basa en un recobriment superhidrofòbic micro- i nanostructurat amb una topografia específica, recobert per una pel·lícula de plata metàl·lica homogènia, que crea un ambient incòmode per a les bactèries, evitant l’adhesió bacteriana a la superfície, però sense provocar cap efecte sobre el creixement bacterià. Per aconseguir-ho, s’ha generat un conjunt de recobriments nanoestructurats superhidrofòbics basats en diferents polímers. S'han utilitzat com a polímers base el metacrilat de pentafluorofenil polimeritzat per plasma (pp-PFM) i la polidopamina (PDA), recoberts amb una fina pel·lícula de plata metàl·lica. Tots ells van a mostrar una reducció en l’adhesió bacteriana d’entre 4 i 6 ordres de magnitud respecte a PDMS sense recobriment, així com la capacitat de repel·lir l’adhesió de proteïnes en assajos in vitro. El recobriment basat en PDA-plata va ser seleccionat per implementar-lo en el catèter urinari. Aquest catèter urinari ha demostrat mantenir l’efecte bacteriofòbic durant 30 dies in vitro, provat amb assajos d’ús simulat en condicions de fluix i estàtiques, utilitzant soques bacterianes uropatògeniques i aïllats clínics. A més, el catèter ha estat validat in vivo mitjançant porcs cateteritzats durant 15 dies. Durant aquest període, el catèter ha pogut mantenir l’adhesió bacteriana 2 ordres de magnitud per debat dels catèters estàndard comercials i els antimicrobians
En esta tesis se ha desarrollado un catéter urinario tipo Foley bacteriofóbico. El efecto bacteriofóbico se basa en un recubrimiento super-hidrofóbico micro- y nanostructurado con una topografía específica, recubierto por una película de plata metálica homogénea, que crea un ambiente incómodo para las bacterias, evitando la adhesión bacteriana a la superficie, pero sin provocar ningún efecto sobre el crecimiento bacteriano. Para conseguirlo, se ha generado un conjunto de recubrimientos nanoestructurados super-hidrofóbicos basados en diferentes polímeros. Se han utilizado como polímeros base el metacrilato de pentafluorofenilo polimerizado por plasma (pp-PFM) y la polidopamina (PDA), recubiertos con una fina película de plata metálica. Todos ellos mostraron una reducción en la adhesión bacteriana de entre 4 y 6 órdenes de magnitud con respecto al PDMS sin recubrir, así como la capacidad de repeler la adhesión de proteínas en ensayos in vitro. El recubrimiento basado en PDA-plata fue seleccionado para ser implementarlo en el catéter urinario. Este catéter urinario ha demostrado mantener el efecto bacteriofóbico durante 30 días in vitro, probado con ensayos de uso simulado en condiciones de flujo y estáticas, utilizando cepas bacterianas uropatógenas y aislados clínicos. Además, el catéter ha sido validado in vivo utilizando cerdos cateterizados como modelo animal durante 15 días. Durante este período, el catéter ha podido mantener la adhesión bacteriana 2 órdenes de magnitud por debajo de los catéteres estándar comerciales y los antimicrobianos.
In this thesis, a bacteriophobic urinary Foley catheter has been developed. The bacteriophobic effect is based on a homogeneous super-hydrophobic coating with a specific micro- and nanostructure covered by a homogeneous metallic silver film, which create an uncomfortable environment for bacteria, avoiding bacterial attachment to the surface but without causing any effect on bacterial growth. To achieve this, a set of super-hydrophobic nanostructured coatings based on different polymers has been developed. Plasma-polymerized pentafluorophenyl methacrylate (pp-PFM) and Polydopamine (PDA) have been used as base polymers, being coated with a thin film of metallic silver. All of them showed a reduction in bacterial adhesion between 4 and 6 orders of magnitude regarding the uncoated PDMS, as well as the ability to repel protein adhesion in in vitro tests. The PDA-silver coating was selected to be implemented on the urinary catheter. This urinary catheter has been shown to maintain the bacteriophobic effect for 30 days in vitro, tested with simulation-use tests in flow and static conditions, using uropathogenic bacterial strains and clinical isolates. Moreover, the catheter has been validated in vivo using catheterized pigs as animal model for 15 days. During this period, the catheter has been able to maintain bacterial adhesion 2 orders of magnitude lower than commercial standard or antimicrobial catheters.
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Hauch, Rodney R. "A Urinary Catheter Insertion and Care Program for Reducing Catheter-Related Infections." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7658.

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Many inpatients in U.S. hospitals acquire an hospital-acquired infection (HAI), the majority of which can be attributed to an indwelling urinary catheter. The use of urinary catheters is a common practice within the acute care setting although the placement comes with risk. Improper catheter placement or a lack of care and maintenance can increase patient morbidity and mortality, as well as increase financial strain for the hospital. The purpose of this quality improvement (QI) evaluation was to determine if using a safety checklist and a 2-person urinary indwelling catheter-insertion team would reduce the rate of catheter-associated urinary tract infections (CAUTIs). Kotter’s change model informed the project. The evaluation encompassed reviewing the number of CAUTIs in the hospital for the 9-month period starting January 1 and ending October 1, 2018, for pre-QI data (n = 9). Following the implementation of the safety checklist, evaluation occurred for the next 9 months, October 1, 2018, through June 30, 2019 (n = 9), for post-QI data. At the end of the data collection, analysis of CAUTI rates was conducted using a 2-tail paired t-test to evaluate if there was a statistically significant difference in CAUTI rates. After running the paired t-test, it was determined there was a statistically significant difference in pre versus post-CAUTI rates (p = 0.0497). The result of the evaluation demonstrates that through the use of a 2-person safety checklist and leadership support, CAUTIs can significantly decrease in an acute care hospital. This project might support social change by contributing to improved health care outcomes and a reduction in cost of care.
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Philyaw, Charlotte Evette. "Preventing Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2574.

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More than 13,000 deaths and $340 million in health care costs are the result of catheter-associated urinary tract infections (CAUTIs) annually in the United States. CAUTIs can also result in acute patient discomfort and potentially preventable exposure to antibiotics. The hospital for which this quality improvement project was developed was above the National Healthcare Safety Network CAUTI bench mark. Framed within the Iowa model of evidence-based practice, a multidisciplinary team of 8 hospital stakeholders guided the project (n=8). The purpose of the project was to develop an indwelling urinary catheter maintenance checklist using evidence-based practice guidelines related to preexisting inappropriate risk factors for catheterization and appropriate indications for catheterization, as well as evidence-based maintenance practices for care of the indwelling catheter. Each piece of evidence to be included in the checklist was evaluated by 4 content experts using a 10 item 5 point Likert scale ranging from 'strongly disagree' to 'strongly agree'. Descriptive analysis showed an average of 4.8/5 for all items with 'agree' being voiced in two of the items rather than 'strongly agree'. The checklist was completed and presented to hospital senior leadership who recommended that the checklist be incorporated into the hospital CAUTI prevention plan. All project team members (n=8) completed an 8 item 5 point Likert scale summative evaluation of the purpose, goal, objectives, and my leadership which averaged as 5 or 'strongly agree' supporting the development of the project. Implications for social change include improved patient outcomes, mindful stewardship of healthcare dollars, and increased patient and family satisfaction.
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Olatunji, Olatunde. "Education Program for Critical Care Nurses on Preventing Catheter-Associated Urinary Tract Infections." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7888.

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Catheter-associated urinary tract infections (CAUTIs) are the most frequently reported hospital-acquired condition, affecting more than 560,000 patients each year. CAUTIs prolong hospital stays and increase health care costs, and they can result in patient morbidity and mortality. Nurses can be empowered by receiving education and knowledge to manage and identify urinary catheters that are not clinically indicated. The purpose of this project was to develop an education program on CAUTI prevention for critical care nurses using the teach-back method. The conceptual framework that guided this project was Knowles's adult learning theory. The theoretical model was based on 4 fundamental assumptions of self-concept development. A total of 32 critical care unit nurses participated in the evaluation of the teach-back method. Demographic data were collected from these 32 participants, and the results of a frequency analysis were obtained. Deidentified CAUTI data were provided by the organization prior to the educational intervention. The postintervention CAUTI rate and increase in nurses' knowledge level were evaluated 1 month after the educational intervention using a 1-sample t test. The finding was statistically significant (p < .001). The incidence of CAUTI was followed, and the outcomes indicated that the overall incidence of CAUTI in these patients was decreased. The education program was effective in improving critical care unit nurses' knowledge of evidence-based practices to prevent CAUTIs. Improving nurses' knowledge to decrease CAUTI rates is a strategy that may be effective in many healthcare settings. This educational intervention may create social change by improving the health of patients and serving as an educational resource for nurses.
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Books on the topic "Catheter related urinary tract infections"

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Slade, Norman. The urinary tract and the catheter: Infection and other problems. Ann Arbor, MI: University Microfilms, 1992.

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A, Gillespie William, ed. The urinary tract and the catheter: Infection and other problems. Chichester: Wiley, 1985.

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Gray, Mikel. Preventing catheter-associated urinary tract infections: Build an evidence-based program to improve patient outcomes. Marblehead, MA: HCPro, 2009.

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Herrington, William G., Aron Chakera, and Christopher A. O’Callaghan. Urinary tract infection. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0158.

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A urinary tract infection (UTI) is defined as present when urine culture results in the growth of a single organism at greater than 105 colony-forming units/ml of urine. Bowel flora are the commonest cause of UTIs. Escherichia coli accounts for 80% of infections. Klebsiella spp., Proteus mirabilis, Enterococcus faecalis, and Staphylococcal saprophyticus account for most of the remaining 20%. Staphylcoccus aureus culture is usually catheter related or secondary to haematogenous spread. This chapter looks at the symptoms of a UTI, as well as its demographics, complications, diagnosis (including investigations), and treatment. It also discusses prognosis.
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Zingg, Walter, and Stephan Harbarth. Diagnosis, prevention, and treatment of device-related infection in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0288.

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Many patients in the intensive care unit (ICU) suffer from health care-associated infections. Age, immunosuppression, neutropenia, or multi-organ failure are preconditions, but health care-associated infections are largely related to the use of medical devices. Breaches of aseptic technique are the most important risk factor. Central line-associated bloodstream infections, ventilator-associated pneumonia, and catheter-associated urinary tract infections represent up to 75% of all health care-associated infections in the ICU. Ease of diagnosis and effective prevention strategies make the central line-associated bloodstream infection a model of how to diagnose, treat, and prevent health care-associated infections. Identification of ventilator-associated pneumonia is less straightforward and suffers from inconsistent definitions, making surveillance and benchmarking difficult. Catheter-associated urinary tract infection is underestimated in the ICU because clinical signs cannot be assessed in sedated patients. Antibiotic overuse in the ICU selects for multidrug-resistant micro-organisms and thus, broad-spectrum antibiotics must be used to offer empiric treatment of health care-associated infections. Accurate microbiology testing aiming at isolating causative micro-organisms is key to de-escalate antibiotic therapy. Health care-associated infections are preventable, many factors. Successful prevention programmes offer a comprehensive protocol, follow a multidisciplinary approach in preparation, and a multimodal training and education programme in implementation.
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Wilson, John W., and Lynn L. Estes. Infectious Syndromes in Adults. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190696924.003.0005.

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This section contains tables and text covering an exhaustive group of infectious syndromes including respiratory tract infections, infective endocarditis, intravascular catheter-related infections, central nervous system infections, urinary tract infections, soft-tissue infections, osteomyelitis, gastrointestinal infections, tick-borne infections, tuberculosis, sexually transmitted diseases, HIV, hepatitis, and fungal and zoonotic infections. Vaccination schedules, travel medicine, and bioterrorism are also reviewed.
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Török, M. Estée, Fiona J. Cooke, and Ed Moran. Urinary tract infections. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199671328.003.0017.

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This chapter covers cystitis (an infection of the bladder, characterized by dysuria), acute pyelonephritis (an infection of the kidney), chronic pyelonephritis (which is a chronic diffuse interstitial inflammation), renal abscesses (such as perinephric abscess, renal corticomedullary abscess, and renal cortical abscess), catheter-associated urinary tract infections, prostatitis (including granulomatous prostatitis and prostatic abscess), epididymitis, and orchitis.
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Gray, Mikel L. Catheter-Associated Urinary Tract Infections: Evidence-Based Practices for Nurses. HCPro, 2009.

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Bayston, Roger. Hospital-acquired urinary tract infection. Edited by Rob Pickard. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0003.

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Urinary tract infections (UTIs) account for the majority of hospital-acquired infections (HAI), and most of these occur in catheterized patients. However, for most the presence of bacteria in the urine (bacteriuria) is asymptomatic, yet in many institutional and national surveillance studies it is still attributed as ‘infection’. Although guidance is that only symptomatic UTI should be treated, except in pregnancy, bacteriuria in catheterized patients is frequently overinvestigated and antibiotics overused. Most infections are caused by enteric bacteria such as Escherichia coli, but other bacteria such as Proteus mirabilis and staphylococci are more prominent in HAI. Aseptic technique for catheter insertion and during subsequent catheter care together with minimizing catheter duration are very important to prevent catheter-associated UTI (CAUTI). Prophylactic antibiotics should be avoided. National and international action to adopt evidence-based consensus protocols for management of catheterized patients and judicial use of antimicrobial chemotherapy promise to be of greatest benefit.
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Wijdicks, Eelco F. M., and Sarah L. Clark. Drugs Used to Prevent Complications. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190684747.003.0017.

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Comprehensive neurosciences nursing care goes far in providing optimal support, but the acute immobilization and anticipated prolonged bed rest requires the use of prophylactic drugs. Many options relate to failure to move limbs, failure to breathe adequately and placement of intravenous catheters This chapter covers the more critical preventive measures.Prevention of deep venous thrombosis, hyperglycemia, stress ulcers, ventilator-associated pneumonia, urinary tract infections, vascular access infections, ventriculitis, and post-craniotomy infections are discussed in this chapter. Pharmacists assist in effective stewardship and surveillance of critically ill patients by helping select the appropriate antibiotics, determining the need for drug levels, and initiating or stopping preventative medications.
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Book chapters on the topic "Catheter related urinary tract infections"

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Anjos, Inês, Ana F. Bettencourt, and Isabel A. C. Ribeiro. "Antimicrobial Biosurfactants Towards the Inhibition of Biofilm Formation." In Urinary Stents, 291–304. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-04484-7_23.

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AbstractNowadays, infections associated with urinary tract medical devices, have become a common health issue. The fact that their surfaces are prone to microbial colonization and biofilm formation is certainly a problem. As a result, these medical devices usage can be a source of extreme concern, especially for critically ill patients. Urinary tract related infections are among the most frequent HAIs comprising 27% in Europe and 36–40% in the USA. Among multiple strategies to fight those infections, biosurfactants as glycolipids can be a valuable tool for biofilm inhibition or disruption. In particularly, multiple in vitro studies concerning sophorolipids and rhamnolipids confirms the antimicrobial activity of those compounds. Further, sophorolipids or rhamnolipids potential role to prevent biofilm associated infections, using different surfaces like medical grade silicone as an example of common material used in catheters and stents fabrication, shows the capacity of those biosurfactants in reducing the adhesion and biofilm formation. Overall, sophorolipids and rhamnolipids due to their multiple antimicrobial/anti-adhesive effects might be an interesting approach to fight urinary tract medical devices associated infections.
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Mufti, Uwais Bashir, and Ranan Dasgupta. "Catheter-Associated Urinary Tract Infections." In Urinary Tract Infection, 53–57. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4709-1_6.

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Nitzschke, Stephanie. "Catheter-Associated Urinary Tract Infections." In Surgical Critical Care Therapy, 403–5. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71712-8_39.

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Comisso, Irene, and Alberto Lucchini. "Catheter-Acquired Urinary Tract Infections." In Nursing in Critical Care Setting, 305–16. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-50559-6_12.

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Forland, Marvin. "Urinary Tract Infections." In Therapy of Renal Diseases and Related Disorders, 349–62. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4613-0689-4_23.

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Tolkoff-Rubin, Nina, and Robert H. Rubin. "Infections of the Urinary Tract." In Suki and Massry’s THERAPY OF RENAL DISEASES AND RELATED DISORDERS, 435–40. Boston, MA: Springer US, 1998. http://dx.doi.org/10.1007/978-1-4757-6632-5_25.

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De Simone, Belinda, Massimo Sartelli, Luca Ansaloni, and Fausto Catena. "How to Prevent and Treat Catheter-Associated Urinary Tract Infections." In Infections in Surgery, 73–88. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-62116-2_8.

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Herout, Roman, Alina Reicherz, Ben H. Chew, and Dirk Lange. "Urinary Tract Infections and Encrustation in Urinary Stents." In Urinary Stents, 341–50. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-04484-7_27.

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AbstractRegardless clinical benefits of urinary stents, these indispensable tools for everyday practice come with substantial hindrances as they can lead to stent-related symptoms, encrustation, hematuria, infection and hence to an overall reduction in the quality of life of patients. Bacterial colonization of foreign bodies has been a significant problem in Medicine in general and Urology in particular for decades. Studies have shown that around 42–100% of all indwelling ureteral stents are colonized by bacteria. Typically, the bacteria continue to form a more mature biofilm as large, structured communities of bacteria adhere onto surfaces and secret polysaccharides, nucleic acids, lipids and proteins that form an eminently protective cast around the bacteria. Due to the complex biology and interactions between foreign body surfaces, the host and microbes, a simple, one-fits-all solution is not very likely to be developed. Nonetheless, our knowledge of the underlying biology has dramatically expanded, and novel technologies are being tested. Probably the easiest solution is to appraise ureteral stenting critically and omit stenting whenever feasible. However, for patients in need of a ureteral stent the future might bring “ideal” stents that are biodegradable, coated to avoid biofilm formation and incrustation and ideally emit sufficient levels of specific drugs that prevent tissue ingrowth or even dissolve urinary calculi.
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Ronin, Dana, Ryan B. Felix, Candace M. Williams, Stacey Audrey Mannuel, Darla Goeres, Jennifer Summers, John E. LaFleur, and Birthe V. Kjellerup. "Prevention of Biofilms in Catheter-Associated Urinary Tract Infections (CAUTIs): A Review." In Springer Series on Biofilms, 61–97. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-10992-8_4.

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de la Encarnación Castellano, Cristina, Àngela Canós Nebot, Juan Pablo Caballero Romeu, Federico Soria, and Juan Antonio Galán Llopis. "Forgotten Ureteral Stent Syndrome." In Urinary Stents, 111–23. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-04484-7_10.

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AbstractUreteral stents are one of the most widely employed tools in urology and have been in use for more than four decades. Their indications have widened over the years, making the management of their complications an essential role in the urologist’s practice. In this regard, the “retained or forgotten ureteral stent” syndrome remains a challenge. This syndrome is defined as the group of signs and symptoms produced by a JJ stent that has not been removed 2 or more weeks after the end of its maximum life.Data on the frequency of forgotten ureteral stents vary widely between series, ranging from 3% to 51% of stents that are placed. The properties of urine and the presence of bacteria can promote catheter encrustation. This can result in a highly variable range of signs and symptoms. Patients may have no clinical presentation or may have severe urinary tract infections and/or renal failure.New biomaterials for stent manufacture and coatings should reduce the main complications associated with this syndrome are currently under development. New technologies aimed at planning and remembering stent removal or replacement could dramatically reduce the incidence of this syndrome.
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Conference papers on the topic "Catheter related urinary tract infections"

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Gelfand, Jeffery A., Yingying Huang, Anton Wintner, Timothy A. Brauns, Patrick C. Seed, Rox Anderson, Michael R. Hamblin, and Tianhong Dai. "Drug-resistant catheter-associated urinary tract Infection (CAUTI): an enlightened therapeutic approach (Conference Presentation)." In Photonic Diagnosis, Monitoring, Prevention, and Treatment of Infections and Inflammatory Diseases 2019, edited by Tianhong Dai, Mei X. Wu, and Jürgen Popp. SPIE, 2019. http://dx.doi.org/10.1117/12.2507562.

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Safdari, Amer, Xiaoyin Ling, Michael B. Tradewell, Timothy M. Kowalewski, and Robert M. Sweet. "Practical, Non-Invasive Measurement of Urinary Catheter Insertion Forces and Motions." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3308.

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Catheter associated urinary tract infections (CAUTI) are among the most common nonpayment hospital acquired conditions. Inexperienced health care providers placing indwelling urinary catheters are associated with an increased risk of CAUTI. The creation of high-fidelity simulators may reduce CAUTI risk during critical early learning. As a first step toward the creation of accurate simulators our group set out to characterize the mechanical aspects of urethral catheterization. This work presents an inexpensive, yet practical means of acquiring motion and force data from urethral catheter insertion procedures using OpenCV ArUco markers. Evaluation of the video system’s accuracy was done to understand the performance characteristics within the boundaries of the procedure’s target workspace. The tracking accuracy was validated to be roughly ± 3 mm in the plane of the camera, and ± 10–25 mm along its axis depending on the distance. Feasibility of using this platform in a clinically relevant setting was demonstrated by capturing the force and motion data when performing urinary catheterization on cadaveric donors (N=2).
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Mekki, Yosra M., Mohamed M. Mekki, Mohamed Hamammi, and Susu Zughaier. "Virtual Reality Module Depicting Catheter-Associated Urinary Tract Infection as Educational Tool to Reduce Antibiotic Resistant Hospital-Acquired Bacterial Infections." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0250.

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Introduction: Virtual reality (VR) and augmented reality (AR) are used as simulation models in student-patient interactive medical education and shown to enhance learning outcomes. The rise in global burden of infectious diseases and antibiotic resistance world-wide prompt immediate action to combat this emerging threat. Catheter associated urinary infections (CAUTI) are the leading cause of hospital-acquired infections. The aim of this research is to develop a virtual reality (VR) based educational tool depicting the process of CAUTI caused by antibiotic resistant bacteria. The VR-CAUTI module is designed to provide insights to health care providers and community which help in reducing the burden of antibiotic resistant infections. Material and methods: The VRCAUTI module is designed using tools including Blender, Cinema4D and Unity to create a scientifically accurate first-person interactive movie. The users are launched inside a human bladder that needs to be drained. They can witness the insertion of a medical catheter into the bladder to drain the urine. Bacteria adhere to the catheter to establish colonization and infection. An interaction between antibiotic molecules and bacteria in the biofilm is observed later. After designing the 3D models, a highlight of the interaction between models, taken from the storyboard, is used to determine the necessary animation. Moreover, dialogue that facilitates the understanding of infections and antibiotic resistance is recorded. This is followed by the assembly of the module on Unity, and enrichments such as lights and orientation. Results and conclusion: This VRCAUTI module is the proof-of-concept for designing detailed VR based scientifically very accurate medical simulation that could be used in medical education to maximize learning outcomes. VR based modules that have the potential to transform and revolutionize learning experience and render medical education compatible with the IoT in the current 4th industrial revolution.
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Mekki, Yosra Magdi, Mohamed Magdi Mekki, Mohamed Ali Hammami, and Susu M. Zughaier. "Virtual Reality Module Depicting Catheter-Associated Urinary Tract Infection as Educational Tool to Reduce Antibiotic Resistant Hospital-Acquired Bacterial Infections." In 2020 IEEE International Conference on Informatics, IoT, and Enabling Technologies (ICIoT). IEEE, 2020. http://dx.doi.org/10.1109/iciot48696.2020.9089488.

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Lindgren, Luke, Rafaela Simoes-torigoe, Karcher Morris, and Frank E. Talke. "Characterization of Electric Fields Generated by Electricidal Coatings for Biofilm-Resistant Catheters." In ASME 2021 30th Conference on Information Storage and Processing Systems. American Society of Mechanical Engineers, 2021. http://dx.doi.org/10.1115/isps2021-65354.

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Abstract Catheter associated urinary tract infections (CAUTIs) are an endemic problem in the American medical system, causing nearly 32% of all hospital-acquired infections (HAIs) [1]. Novel antimicrobial coatings for catheters, consisting of metal powders (Ag/Ag2O) and polydimethylsiloxane (PDMS), have recently been developed to combat this problem [2,3]. The active ingredients in these coatings were modeled using simplified assumptions in both ANSYS Maxwell and Quantum Espresso to determine the electric field strength at various particle radii. SEM/EDX analysis of the Ag/Ag2O coating was also performed to simulate the particles in ANSYS and provide comparison between idealized models and actual particle geometries.
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Zielonka, J., J. H. Chu, and S. Honiden. "The Culture of Culturing: Improving Diagnostic Accuracy of Catheter-Associated Urinary Tract Infections (CAUTIs) in the Medical Intensive Care Unit (ICU)." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2872.

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Reports on the topic "Catheter related urinary tract infections"

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Rintoul-Hoad, Sophie, and Gordon Muir. Aetiopathogenesis and management of catheter-induced urinary tract infections. BJUI Knowledge, November 2022. http://dx.doi.org/10.18591/bjuik.0547.v2.

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Aetiopathogenesis and management of catheter-induced urinary tract infections. BJUI Knowledge, September 2017. http://dx.doi.org/10.18591/bjuik.0547.

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