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

Yıl 2017, Cilt: 8 Sayı: 2, 62 - 69, 30.06.2017

Ayfer Kara, Pakize Özyürek

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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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