Clinical Evaluation of Catheter-induced Urinary Tract Infection by Sterile Closed Drainage.
- Author:
Chul Rae KIM
1
;
Kou Young YANG
Author Information
1. Department of Urology, Han Gang Sacred Heart Hospital, Hallym College, Seoul Korea.
- Publication Type:Original Article
- Keywords:
catheter;
urinary tract infection
- MeSH:
Ampicillin;
Anti-Bacterial Agents;
Bacteriuria;
Carbenicillin;
Catheters;
Drainage*;
Escherichia coli;
Gentamicins;
Gram-Negative Bacteria;
Humans;
Incidence;
Kanamycin;
Proteus;
Pseudomonas aeruginosa;
Streptomycin;
Tetracycline;
Urinary Tract Infections*;
Urinary Tract*;
Yeasts
- From:Korean Journal of Urology
1982;23(6):745-748
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In 57 hospitalized patients with temporary closed sterile urinary-catheter drainage, incidence of acquired bacteriuria was evaluated by culture, colony count, drug sensitivity and the following results were obtained. 1. Incidence of infection was 0% within 3 days, 18.2%o within 5 days, 41.7% within 7 days, 60.9%0 after 7 days. 2. Of 117 bacterial strains isolated by culture of urine 82.1%o was gram negative bacteria and 17.1%o was gram positive. The frequency of isolated organisms were as followings: Escherichia coli ............. 44.4%, Pseudomonas aeruginosa ............. 19.7%, Staphylococci ............. 14.5%, Caliform bacilli ............. 9.5%, Proteus ............. 6.8%, Streptococci ............. 4.2%, Yeast ............. 0.9%. 3. Most organisms were highly resistant to any of antibiotics which were Kanamycin, Gentamicin, Ampicillin, Streptomycin, Tetracycline, Cephoran, Geopen, Amiktam. 4. Closed sterile drainage system was much effective in delaying bacteriuria than open drainage system in comparison with 70.8% of bacteriuria within the first 3 days of open catheter drainage demonstrated in previous report.