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

What primary care needs to know about dementia May 2019 NHS England in cooperation with the Royal College of GPs and Hardwick CCG have published Dementia Revealed - What primary...
The Lancet March 2019 The Lancet

Available for both iPad & iPhone, the new and improved The Lancet app is free to download and offers...
inPractice® Oncology. March 2019 inPractice® Oncology is the only point-of-care clinical reference designed to meet the unique needs of specialists. Full...
OrthoFlow pocket orthopaedic specialist. March 2019 Welcome to OrthoFlow…the orthopaedic specialist in your pocket! This new way of learning is designed to help you diagnose...
Connecting healthcare professionals with information that matters most February 2019 PracticeUpdate's mission is to connect healthcare professionals with news and information that matters most for patient...
Providing integrated care for older people with complex needs January 2019 A recent report synthesises evidence from seven case studies covering Australia, Canada, the Netherlands, New Zealand,...
Risk guidance for people with dementia January 2019 Nothing ventured, nothing gained provides guidance on best practice in assessing, managing and enabling risk for people...
Helping people live well for longer December 2018 A recent document aims to help people understand how the national system as a whole is supporting local action to help...
Healthy ageing in the 21st century November 2018 A report, from the University of Birmingham, explores how good ageing in a multi-cultural society is defined. It is looking...
Frail older people: Safe, compassionate care November 2018 A practical guidance document, from NHS England summarizes the evidence of the effects of an integrated pathway of care for...
Search by Keyword