Research Article
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Year 2017, , 62 - 69, 30.06.2017
https://doi.org/10.5799/jcei.333382

Abstract

References

  • 1. Bakir M. Prevention of catheter-related urinary tract infection. Turk J Hospital Infect. 2004;8:86-100. 2. Beduk Y. Nosocomial urinary tract infections. Klimik J. 2000;13:19-20. 3. Aygun P. Prevention of catheter-related urinary tract infection. Hospital Infections: Prevention and Control Symposium. 2008;60:131-3. 4. Nasiriani K, Kalani Z, Farnia F, et al. Comparison of the effect of water versus povidone-iodine solution for periurethral cleaning in women requiring an indwelling catheter prior to gynecologic surgery. Urol Nurs J 2009;29:118-31. 5. HSE/HPSC.Guidelines for the prevention of catheter-associated urinary tract infection. HSE Health Protection Surveillance Centre Report. 2011;11-6. 6. Blodgett TJ. Reminder systems to reduce the duration of indwelling urinary catheters: a narrative review. Urol Nurs. 2009;29:592-4. 7. Gastmeir P. Nosocomial urinary tract infections: many unresolved questions. Clin Microbiol Infec. 2001;7:521-2. 8. Koskeroglu N, Durmaz G, Bahar M, et al. The role of meatal disinfection in preventing catheter-related bacteriuria in an intensive care unit: a pilot study in Turkey. J Hosp Infect. 2004;56:236-8. 9. Schiotz HA and Guttu K. Value of urinary prophylaxis with methenamine in gynecologic surgery. Acta Obstet Gynecol Scand. 2005;81:743-6. 10. Esen S. Preventing of catheter-related urinary tract infection. Turk J Hosp Infect. 2005;9: 129-35. 11. Erben N, Alpat SN, Kartal ED, et al. Analysis of the risk factors in nosocomial urinary tract infections and effect of urinary catheter use on distribution of the causative agents. Bull Microbiol. 2009;43:77-82. 12. Gray M. What nursing interventions reduce the risk of systematic urinary tract infection in the patient with an indwelling catheter? J Wound Ostomy Continence Nurs. 2004;31: 3-13. 13. Falkiner FR. The insertion and management of indwelling urethral catheters minimizing the risk of infection. J Hosp Infect. 1993;25:79-90. 14. Akpinar RB, Yurttas A, Karahisar F. Nurse role in prevention of urinary catheter related infection. Int J Human Sci 2004;1:2-8. 15. Cheung K, Leung P, et al. Water versus antiseptic periurethral cleansing before catheterization among homecare patients: a randomized controlled trial. Am J Infect Control 2008;35:375-80. 16. Ibrahim A, Rashid M. Comparison of local povidone-iodine antisepsis with parenteral antibacterial prophylaxis for prevention of infective complications of TURP: a prospective randomized controlled study. Eur Urol 2002;41:250-6. 17. Webster J, Hood RH, Burridge CA, et al. Water or antiseptic for periurethral cleaning before urinary catheterization: a randomized controlled trial. Am J Infect Control 2001;29: 389-94. 18. Cunha M, Santos E, Andrade A, et al. Effectiveness of cleaning or disinfecting the urinary meatus before urinary catheterization: a systematic review. Revista da Escola de Enfermagem da USP 2013;47:1410-6. 19. Kalsi J, Arya M, Wilson P, Mundy A. Hospital-acquired urinary tract infection. Int J Clin Pract 2003;57:388-91. 20. Al-Farsi S, Oliva M, Davidson R, et al. Periurethral cleaning prior to urinary catheterization in children: sterile water versus 10% povidone-iodine. Clin Pediatr 2009;48:656-60. 21. Leblebicioglu H, Esen S. Hospital-acquired urinary tract infections in Turkey: a nationwide multicenter point prevalence study. J Hosp Infect 2003;53:207-15.

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
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.

References

  • 1. Bakir M. Prevention of catheter-related urinary tract infection. Turk J Hospital Infect. 2004;8:86-100. 2. Beduk Y. Nosocomial urinary tract infections. Klimik J. 2000;13:19-20. 3. Aygun P. Prevention of catheter-related urinary tract infection. Hospital Infections: Prevention and Control Symposium. 2008;60:131-3. 4. Nasiriani K, Kalani Z, Farnia F, et al. Comparison of the effect of water versus povidone-iodine solution for periurethral cleaning in women requiring an indwelling catheter prior to gynecologic surgery. Urol Nurs J 2009;29:118-31. 5. HSE/HPSC.Guidelines for the prevention of catheter-associated urinary tract infection. HSE Health Protection Surveillance Centre Report. 2011;11-6. 6. Blodgett TJ. Reminder systems to reduce the duration of indwelling urinary catheters: a narrative review. Urol Nurs. 2009;29:592-4. 7. Gastmeir P. Nosocomial urinary tract infections: many unresolved questions. Clin Microbiol Infec. 2001;7:521-2. 8. Koskeroglu N, Durmaz G, Bahar M, et al. The role of meatal disinfection in preventing catheter-related bacteriuria in an intensive care unit: a pilot study in Turkey. J Hosp Infect. 2004;56:236-8. 9. Schiotz HA and Guttu K. Value of urinary prophylaxis with methenamine in gynecologic surgery. Acta Obstet Gynecol Scand. 2005;81:743-6. 10. Esen S. Preventing of catheter-related urinary tract infection. Turk J Hosp Infect. 2005;9: 129-35. 11. Erben N, Alpat SN, Kartal ED, et al. Analysis of the risk factors in nosocomial urinary tract infections and effect of urinary catheter use on distribution of the causative agents. Bull Microbiol. 2009;43:77-82. 12. Gray M. What nursing interventions reduce the risk of systematic urinary tract infection in the patient with an indwelling catheter? J Wound Ostomy Continence Nurs. 2004;31: 3-13. 13. Falkiner FR. The insertion and management of indwelling urethral catheters minimizing the risk of infection. J Hosp Infect. 1993;25:79-90. 14. Akpinar RB, Yurttas A, Karahisar F. Nurse role in prevention of urinary catheter related infection. Int J Human Sci 2004;1:2-8. 15. Cheung K, Leung P, et al. Water versus antiseptic periurethral cleansing before catheterization among homecare patients: a randomized controlled trial. Am J Infect Control 2008;35:375-80. 16. Ibrahim A, Rashid M. Comparison of local povidone-iodine antisepsis with parenteral antibacterial prophylaxis for prevention of infective complications of TURP: a prospective randomized controlled study. Eur Urol 2002;41:250-6. 17. Webster J, Hood RH, Burridge CA, et al. Water or antiseptic for periurethral cleaning before urinary catheterization: a randomized controlled trial. Am J Infect Control 2001;29: 389-94. 18. Cunha M, Santos E, Andrade A, et al. Effectiveness of cleaning or disinfecting the urinary meatus before urinary catheterization: a systematic review. Revista da Escola de Enfermagem da USP 2013;47:1410-6. 19. Kalsi J, Arya M, Wilson P, Mundy A. Hospital-acquired urinary tract infection. Int J Clin Pract 2003;57:388-91. 20. Al-Farsi S, Oliva M, Davidson R, et al. Periurethral cleaning prior to urinary catheterization in children: sterile water versus 10% povidone-iodine. Clin Pediatr 2009;48:656-60. 21. Leblebicioglu H, Esen S. Hospital-acquired urinary tract infections in Turkey: a nationwide multicenter point prevalence study. J Hosp Infect 2003;53:207-15.
There are 1 citations in total.

Details

Subjects Health Care Administration
Journal Section Research Article
Authors

Ayfer Kara, Pakize Özyürek

Publication Date June 30, 2017
Published in Issue Year 2017

Cite

APA Pakize Özyürek, A. K. (2017). The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions. Journal of Clinical and Experimental Investigations, 8(2), 62-69. https://doi.org/10.5799/jcei.333382
AMA Pakize Özyürek AK. The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions. J Clin Exp Invest. June 2017;8(2):62-69. doi:10.5799/jcei.333382
Chicago Pakize Özyürek, Ayfer Kara,. “The Effect of Periuretral Care and Follow-up on Bacteriuria in Patients With Urinary Catheter: A Comparison of Three Solutions”. Journal of Clinical and Experimental Investigations 8, no. 2 (June 2017): 62-69. https://doi.org/10.5799/jcei.333382.
EndNote Pakize Özyürek AK (June 1, 2017) The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions. Journal of Clinical and Experimental Investigations 8 2 62–69.
IEEE A. K. Pakize Özyürek, “The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions”, J Clin Exp Invest, vol. 8, no. 2, pp. 62–69, 2017, doi: 10.5799/jcei.333382.
ISNAD Pakize Özyürek, Ayfer Kara,. “The Effect of Periuretral Care and Follow-up on Bacteriuria in Patients With Urinary Catheter: A Comparison of Three Solutions”. Journal of Clinical and Experimental Investigations 8/2 (June 2017), 62-69. https://doi.org/10.5799/jcei.333382.
JAMA Pakize Özyürek AK. The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions. J Clin Exp Invest. 2017;8:62–69.
MLA Pakize Özyürek, Ayfer Kara,. “The Effect of Periuretral Care and Follow-up on Bacteriuria in Patients With Urinary Catheter: A Comparison of Three Solutions”. Journal of Clinical and Experimental Investigations, vol. 8, no. 2, 2017, pp. 62-69, doi:10.5799/jcei.333382.
Vancouver Pakize Özyürek AK. The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions. J Clin Exp Invest. 2017;8(2):62-9.