Neumeier, Vera; Stangl, Fabian P.; Borer, Joëlle; Anderson, Collene E; Birkhäuser, Veronika; Chemych, Oksana; Gross, Oliver; Koschorke, Miriam; Marschall, Jonas; McCallin, Shawna; Mehnert, Ulrich; Sadri, Helen; Stächele, Lara; Kessler, Thomas M; Leitner, Lorenz (2023). Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? BMC infectious diseases, 23(1), p. 507. BioMed Central 10.1186/s12879-023-08475-7
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BACKGROUND
Patients with neurogenic lower urinary tract dysfunction (NLUTD) often rely on some type of catheterization for bladder emptying. Intermittent catheterization (IC) is considered the gold standard and is preferred over continuous catheterization, since it is considered to cause fewer urinary tract infections (UTIs) than indwelling catheterization. The main objective of our study was to describe UTI prevalence (at visit) and incidence (within the last 12 months) and urine culture characteristics between patients using an indwelling catheter versus (vs) those performing IC.
METHODS
In this cross-sectional study, we prospectively evaluated from 02/2020 to 01/2021 patients with NLUTD undergoing urine cultures for prophylactic reasons or due to UTI symptoms. At visit, all patients underwent a standardized interview on current UTI symptoms as well as UTI history and antibiotic consumption within the past year. Patients using an indwelling catheter (n = 206) or IC (n = 299) were included in the analysis. The main outcome was between-group differences regarding UTI characteristics.
RESULTS
Patients using an indwelling catheter were older (indwelling catheter vs IC: median 66 (Q1-Q3: 55-77) vs 55 (42-67) years of age) and showed a higher Charlson comorbidity index (indwelling catheter vs IC: median 4 (Q1-Q3: 2-6) vs 2 (1-4) (both p < 0·001). A total of 40 patients from both groups were diagnosed with a UTI at visit (indwelling catheters vs IC: 8% (16/206) vs 8% (24/299); p = 0·782), and the number of UTIs within the past 12 months was not significantly different between groups. Overall, Escherichia coli (21%), Enterococcus faecalis (17%), and Klebsiella spp. (12%) were the most frequently detected bacteria.
CONCLUSIONS
In this cohort of patients with NLUTD, we did not find relevant differences in UTI frequency between groups. These results suggest that UTI-related concerns should not be given undue emphasis when counseling patients for catheter-related bladder emptying methods.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology |
UniBE Contributor: |
Stangl, Fabian Peter |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1471-2334 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
03 Aug 2023 09:33 |
Last Modified: |
03 Aug 2023 09:42 |
Publisher DOI: |
10.1186/s12879-023-08475-7 |
PubMed ID: |
37533010 |
Uncontrolled Keywords: |
Asymptomatic bacteriuria Indwelling catheter Intermittent catheterization Neurogenic lower urinary tract dysfunction Urinary tract infection |
BORIS DOI: |
10.48350/185194 |
URI: |
https://boris.unibe.ch/id/eprint/185194 |
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