Loading...
Please wait, while we are loading the content...
Similar Documents
Multicenter Cohort Study to Assess the Impact of a Silver-Alloy and Hydrogel-Coated Urinary Catheter on Symptomatic Catheter-Associated Urinary Tract Infections
| Content Provider | Scilit |
|---|---|
| Author | Lederer, James W. Jarvis, William R. Thomas, Lendon Ritter, Jaime |
| Copyright Year | 2014 |
| Description | Journal: Journal of Wound, Ostomy & Continence Nursing The purpose of this study was to determine the effect of a silver-alloy hydrogel catheter on symptomatic catheter-associated urinary tract infections (CAUTIs). Multicenter before-after non-randomized cohort study. Seven acute care hospitals ranging in size from 124 to 607 beds participated in this study. The study population included adult patients with a positive urine culture 2 or more days after admission, who underwent Foley catheterization. Catheter-associated urinary tract infection surveillance was conducted at each hospital for at least 3 months during the use of a standard catheter and 3 months during the use of the silver-alloy hydrogel catheter. Both the National Healthcare Safety Network (NHSN) surveillance and a clinical definition of CAUTI were used for rate calculation. A 47% relative reduction in the CAUTI rate was observed with the silver-alloy hydrogel catheter compared to the standard catheter when both infection definitions were used (0.945/1000 patient days vs 0.498/1000 patient days) (odds ratio = 0.53; P < .0001; 95% CI: 0.45-0.62). When only NHSN-defined CAUTIs were considered, a 58% relative reduction occurred in the silver-alloy hydrogel period (0.60/1000 patient days vs 0.25/1000 patient days) (odds ratio = 0.42; P < .0001; 95% CI: 0.34-0.53). Antimicrobial days for CAUTIs decreased from 1165 (standard catheter period) to 406 (silver-alloy hydrogel period). Use of a silver-alloy hydrogel urinary catheter reduced symptomatic CAUTI occurrences as defined by both NHSN and clinical criteria. |
| Related Links | http://europepmc.org/articles/pmc4165476?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4165476/pdf |
| Ending Page | 480 |
| Page Count | 8 |
| Starting Page | 473 |
| ISSN | 10715754 |
| e-ISSN | 15283976 |
| DOI | 10.1097/won.0000000000000056 |
| Journal | Journal of Wound, Ostomy & Continence Nursing |
| Issue Number | 5 |
| Volume Number | 41 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2014-09-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Wound, Ostomy & Continence Nursing Critical Care Medicine Catheter-associated Urinary Tract Infection Foley Catheter Silver Alloy Catheter Silver Catheter Urinary Tract Infection |
| Content Type | Text |
| Resource Type | Article |
| Subject | Advanced and Specialized Nursing Medical and Surgical Nursing |
