ArticleBMC geriatrics2006
The association between indwelling urinary catheter use in the elderly and urinary tract infection in acute care.
Article in BMC geriatrics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.The Journal of hospital infection · 2014Guideline
- Postoperative infections due to bladder catheters after anterior colporrhaphy: a prospective, randomized three-arm study.International urogynecology journal · 2010Trial
- Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial.Journal of general internal medicine · 2008Trial
- Comparative study of HoLEP in elderly patients with indwelling catheters: a retrospective dual-center study.World journal of urology · 2025Article
- Geriatric Patients and Symptomatic Urinary Tract Infections: Analysis of Bacterial Range and Resistance Rates at a 3rd Level of Care Hospital in Germany.Urologia internationalis · 2022Article
- Infection Prevention for the Emergency Department: Out of Reach or Standard of Care?Emergency medicine clinics of North America · 2018Review
- Urine Cytokine and Chemokine Levels Predict Urinary Tract Infection Severity Independent of Uropathogen, Urine Bacterial Burden, Host Genetics, and Host Age.Infection and immunity · 2018Article
- Dynamic changes in the appropriateness of urinary catheter use among hospitalized older patients in the emergency department.PloS one · 2018Article
- The Pathogenic Potential of Proteus mirabilis Is Enhanced by Other Uropathogens during Polymicrobial Urinary Tract Infection.Infection and immunity · 2017Article
- Emergency Department Placement and Management of Indwelling Urinary Catheters in Older Adults: Knowledge, Attitudes, and Practice.Journal of emergency nursing · 2015Article
- Infection prevention in the emergency department.Annals of emergency medicine · 2014Review
- A practical approach to difficult urinary catheterizations.Current urology reports · 2013Review
- A scoping review of important urinary catheter induced complications.Journal of materials science. Materials in medicine · 2013Article
- Computer-facilitated review of electronic medical records reliably identifies emergency department interventions in older adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2013Article
- Catheter use and infection reduction in plastic surgery.The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique · 2013Article
- Will more restrictive indications decrease rates of urinary catheterisation? An historical comparative study.BMJ open · 2012Article
- Catheterisation.Annals of the Royal College of Surgeons of England · 2012Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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 preexisting 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 > or =105 organisms/ml indicating preexisting 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.
methodsRetrospective chart review. Chi square used to test significance of differences in proportions.
resultsSeventy three percent of patients who received an IUC in the ED were elderly (> or =65 years old). During the study period, 277 elderly patients received an IUC prior to admission. Of these, 77 (28%) were diagnosed with UTI during their hospitalization. Fifty three (69%) of those diagnosed with a UTI by discharge either had the UTI diagnosed in the ED or had bacteriuria > or =105 organisms/ml prior to IUC placement. Of the 24 elderly patients who developed a catheter-associated UTI (i.e., 9% of the elderly population who received an IUC), 11 of the IUCs were placed inappropriately. Thus, 4% of elderly patients with no indication of UTI on admission who received an inappropriate IUC in the ED had a primary or secondary diagnosis of UTI by discharge. The overall rate of nosocomial UTI due to an inappropriately placed IUC was the same in males and females.
conclusionThis 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. Further prospective studies are needed to clarify the true risk vs benefit ratio for IUC use in acutely ill elderly patients.
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