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Urologiia. 2017 Dec;(6):107-111.

[The role of the uretral catheter in the development of catheter- related urinary tract infection].

[Article in Russian]

Author information

1
Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry.
2
Moscow, Russia.

Abstract

The most common source of nosocomial infection is the urinary tract, especially if they it is drained with a urethral catheter. Catheter-associated urinary tract infections account for at least 80% of all complicated urinary tract infections and are the most common type of hospital-acquired infection. Intestinal microflora plays the leading role in the pathogenesis of catheter-associated urinary tract infections, whereas the most important risk factor for their development is the long duration of urinary catheter drainage. In the case of short-term and intermittent catheterization, routine antibiotic prophylaxis is not required, but if a patient develops clinically significant infection, antibiotic therapy is required followed by definitive therapy based on culture. Urethral catheters coated with antimicrobial substances and anti-inflammatory agents can significantly reduce the adhesion and migration of bacteria, thereby reducing the incidence of urinary tract infections. Despite this, the incidence of catheter-associated infection remains high. We have reviewed recent literature related to catheter-associated urinary tract infections and the best means of preventing this condition.

KEYWORDS:

catheter-associated urinary tract infections; infectious complications of the urinary tract; urethral catheter

PMID:
29376606
[Indexed for MEDLINE]

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