Evidence map›Paper›PMID 38916643›Full record

SynthesisEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2024

"Catheter replacement in catheter-associated urinary tract infection: current state of evidence ".

Annette C Westgeest, Janneke I M van Uhm, Laura Pattacini, Wouter Rozemeijer, Barbara M A Schout, Rolf H H Groenwold, Suzanne E Geerlings, Merel M C Lambregts

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Antibiotics (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. [Purple urine bag syndrome].Innere Medizin (Heidelberg, Germany) · 2025
    Article
  7. RE: 'Catheter replacement in catheter-associated urinary tract infection: current state of evidence' by Westgeest et al.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Annette C WestgeestDepartment of Infectious Diseases, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333ZA, Netherlands.
Janneke I M van UhmDepartment of Urology, Leiden University Medical Center, Leiden, Netherlands.
Laura PattaciniDepartment of Infectious Diseases, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333ZA, Netherlands.
Wouter RozemeijerDepartment of Medical Microbiology, Northwest Clinics, Alkmaar, Netherlands.
Barbara M A SchoutDepartment of Urology, Alrijne Ziekenhuis, Leiderdorp, Netherlands.
Rolf H H GroenwoldDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, Netherlands.
Suzanne E GeerlingsDepartment of Internal Medicine, Division Infectious Diseases, Amsterdam Institute Infection and Immunity, Amsterdam, Netherlands.
Merel M C LambregtsDepartment of Infectious Diseases, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333ZA, Netherlands. m.m.c.lambregts@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCatheter associated urinary tract infection (CAUTI) is the most common healthcare associated infection. A significant knowledge gap exists regarding the necessity of catheter replacement as part of CAUTI treatment. Current guidelines recommend replacement for faster recovery and to prevent recurrences, but adherence is low. In this systematic review, we aimed to assess the available evidence regarding catheter replacement for CAUTI. MATERIALS AND

methodsEligible studies investigated the effect of catheter replacement in CAUTI on clinical outcomes and/or recurrence rates, irrespective of catheter type or setting. We searched electronic literature databases from inception to October 15th, 2023. Information was extracted regarding setting, eligibility criteria, definition of CAUTI, timing of replacement, and outcomes.

resultsOf the 257 identified studies, four were considered relevant and included. Two were randomized controlled trials (RCT) and two were observational studies. One RCT showed higher rates of clinical recovery and lower recurrence rates in the replacement group, while results of the other RCT favoured retainment, with a lower recurrence rate in the retainment group, although longer antimicrobial treatment in this group. Two observational studies were inconclusive.

conclusionsCurrent guidelines rely heavily on recommendations from a single study, emphasizing the need for further research. The burden of catheter replacement, including patient discomfort and resource impact, warrants careful consideration. A randomized trial is essential to provide more evidence on the effect of catheter replacement on clinical outcomes including CAUTI recurrence.

Indexed as

Catheter-Related InfectionsUrinary Tract InfectionsDevice RemovalHumansObservational Studies as TopicPractice Guidelines as TopicRandomized Controlled Trials as TopicRecurrenceUrinary CatheterizationUrinary CathetersCatheter related infectionUrinary tract infection

Identifiers

PMID38916643
PMCPMC11271365

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.