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Bacteriuria in patients treated with clean intermittent catheterization.

A Bakke¹, A Digranes

¹Department of Surgery, University of Bergen, Haukeland Hospital, Norway.

Scandinavian Journal of Infectious Diseases

|January 1, 1991

Summary

Clean intermittent catheterization (CIC) patients frequently experience bacteriuria, often without symptoms. Antibiotic treatment for asymptomatic bacteriuria in CIC patients is generally not recommended, despite increased enterobacteria resistance.

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Area of Science:

Urology
Infectious Diseases
Microbiology

Background:

Bacteriuria is a common complication in patients using clean intermittent catheterization (CIC).
Understanding the microbial profile and resistance patterns is crucial for managing urinary tract infections in this population.

Purpose of the Study:

To investigate the prevalence and characteristics of bacteriuria in patients undergoing CIC.
To compare the microbial species and antibiotic resistance patterns in CIC patients with a general outpatient population.

Main Methods:

Analysis of 1413 urine samples from 407 patients over one year.
Identification of bacterial species and assessment of antibiotic resistance.
Comparison with a reference group of outpatients.

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Main Results:

Significant bacteriuria was detected in 50.6% of urine samples.
Escherichia coli was the most prevalent species (54.8%).
CIC patients showed higher enterobacteria resistance compared to outpatients, though species distribution was similar.

Conclusions:

Asymptomatic bacteriuria is common in CIC patients and often does not require treatment.
Increased antibiotic resistance in enterobacteria among CIC patients warrants attention.