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Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...

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Related Experiment Video

Updated: Jun 1, 2026

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
07:57

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection

Published on: June 24, 2025

Urethral catheters: can we reduce use?

Pieter J van den Broek1, Jan C Wille, Birgit H B van Benthem

  • 1Leiden University Medical Centre, Department of Infectious Diseases, Leiden, The Netherlands. p.j.van_den_broek@lumc.nl

BMC Urology
|May 25, 2011
PubMed
Summary
This summary is machine-generated.

Reducing indwelling urinary catheter use through targeted interventions can decrease catheterization duration and improve adherence to guidelines, leading to cost savings. However, the study found no significant change in healthcare-associated urinary tract infection rates.

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Area of Science:

  • Healthcare-associated infections
  • Infection control
  • Urology

Background:

  • Indwelling urinary catheters are a primary cause of healthcare-associated urinary tract infections (HAUTIs).
  • Reducing catheter use is expected to decrease HAUTI incidence.

Purpose of the Study:

  • To evaluate an intervention program aimed at improving adherence to recommendations for reducing urethral catheter use.
  • To assess the impact of the intervention on catheter prevalence, alternatives, HAUTI rates, indication correctness, duration, and costs.

Main Methods:

  • A before-after study was conducted in ten Dutch hospitals.
  • Intervention strategies were tailored to address identified barriers and facilitators at each facility.
  • Outcomes measured included catheter prevalence, alternative use, HAUTI numbers, indication appropriateness, catheterization duration, and costs.

Main Results:

  • Urethral catheter prevalence significantly decreased in surgical wards but insignificantly in neurology and internal medicine wards. It significantly increased in intensive care/coronary care units.
  • Catheterization duration significantly decreased in internal medicine and surgical wards.
  • The percentage of correct indications increased from 50% to 67% (p < 0.0001).
  • No significant change was observed in the prevalence of HAUTIs among catheterized patients.
  • Mean cost savings of €537 per 100 patients were achieved.

Conclusions:

  • Targeted implementation of guideline recommendations can enhance adherence and achieve cost savings.
  • Hospitals with high urethral catheter use or prolonged catheterization durations can expect significant improvements.