Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility?
Abstract 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 fe...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-023-08475-7 |
| _version_ | 1797752858699890688 |
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| author | Vera Neumeier Fabian P. Stangl Joëlle Borer Collene E. Anderson Veronika Birkhäuser Oksana Chemych Oliver Gross Miriam Koschorke Jonas Marschall Shawna McCallin Ulrich Mehnert Helen Sadri Lara Stächele Thomas M. Kessler Lorenz Leitner |
| author_facet | Vera Neumeier Fabian P. Stangl Joëlle Borer Collene E. Anderson Veronika Birkhäuser Oksana Chemych Oliver Gross Miriam Koschorke Jonas Marschall Shawna McCallin Ulrich Mehnert Helen Sadri Lara Stächele Thomas M. Kessler Lorenz Leitner |
| author_sort | Vera Neumeier |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-12T17:09:33Z |
| format | Article |
| id | doaj.art-bcd1c27585334300ae29b6953e5800ca |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-03-12T17:09:33Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-bcd1c27585334300ae29b6953e5800ca2023-08-06T11:08:11ZengBMCBMC Infectious Diseases1471-23342023-08-0123111010.1186/s12879-023-08475-7Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility?Vera Neumeier0Fabian P. Stangl1Joëlle Borer2Collene E. Anderson3Veronika Birkhäuser4Oksana Chemych5Oliver Gross6Miriam Koschorke7Jonas Marschall8Shawna McCallin9Ulrich Mehnert10Helen Sadri11Lara Stächele12Thomas M. Kessler13Lorenz Leitner14Department of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Urology, Inselspital, University Hospital BernDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDivision of Infectious Diseases, Washington University School of MedicineDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichDepartment of Neuro-Urology, Balgrist University Hospital, University of ZürichAbstract 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.https://doi.org/10.1186/s12879-023-08475-7Asymptomatic bacteriuriaIntermittent catheterizationIndwelling catheterNeurogenic lower urinary tract dysfunctionUrinary tract infection |
| spellingShingle | Vera Neumeier Fabian P. Stangl Joëlle Borer Collene E. Anderson Veronika Birkhäuser Oksana Chemych Oliver Gross Miriam Koschorke Jonas Marschall Shawna McCallin Ulrich Mehnert Helen Sadri Lara Stächele Thomas M. Kessler Lorenz Leitner Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? BMC Infectious Diseases Asymptomatic bacteriuria Intermittent catheterization Indwelling catheter Neurogenic lower urinary tract dysfunction Urinary tract infection |
| title | Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? |
| title_full | Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? |
| title_fullStr | Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? |
| title_full_unstemmed | Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? |
| title_short | Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility? |
| title_sort | indwelling catheter vs intermittent catheterization is there a difference in uti susceptibility |
| topic | Asymptomatic bacteriuria Intermittent catheterization Indwelling catheter Neurogenic lower urinary tract dysfunction Urinary tract infection |
| url | https://doi.org/10.1186/s12879-023-08475-7 |
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