The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions

Year 2017, , 62 - 69, 30.06.2017

Ayfer Kara, Pakize Özyürek

https://doi.org/10.5799/jcei.333382

Abstract

Objective: The aim of this study was to compare urinary colonization rates in subjects whose
periurethral area was cleaned with sterile water or tap water versus povidone-iodine before and
after urinary catheter insertion.
Patients and Methods: The study was conducted in intensive care, surgery and medical wards
of a university hospital. The study assessed a total of 207 adult patients requiring urinary
catheterization for bacteriuria. They were screened for eligibility by the supervising physician.
110 patients were excluded from the study. The study sample included a total of 97 patients.
The only difference among the three groups was that sterile, tap water and povidone-iodine
were used to clean the periurethral area. A urine specimen was collected immediately before
and 72 hours after catheter insertion.
Results: The povidone-iodine group patients had a mean age of 67.9±12 years, the mean of
the sterile group patients was 66.3±14 years, and the mean of the tap water group patients was
63.5±12 years. The Chi-Square test revealed no inter-group difference for age groups (P=0.483).
Urinary tract infections occurred in 18% of the total sample. The percentage of infection for
povidone-iodine, sterile water and tap water groups was 22.2%, 38.9%, and 38.9% respectively.
Conclusion: There were no significant differences in the rate of bacteriuria or urinary tract
infections in the sterile water, tap water and povidone-iodine groups. Traditionally, povidoneiodine
solutions have been used to clean the periurethral area is probably not useful than water
solutions.

Keywords

Periuretral care, urinary tract infection, urethral catheter, antiseptic solution

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