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Updated: Apr 22, 2026
An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
Published on: June 24, 2025
[Nosocomial infections in urology]
1Klinik für Urologie, Kinderurologie und Urologische Onkologie, Johannes Wesling Klinikum Minden, Hans-Nolte-Straße 1, 32429, Minden, Deutschland, hansjuergen.piechota@muehlenkreiskliniken.de.
Abstract:
Nosocomial infections (NI) may be a serious and mostly avoidable consequence of medical procedures and often cause a significant aggravation of the patients underlying disease. Following surgical site infections, urinary tract infections (UTI) represent the second most common fraction of NIs (22.4%) in Germany and contribute to approximately 155,000 nosocomial UTIs (nUTI) every year.Prevention of NI is of utmost individual as well as socioeconomic importance especially regarding the continuing worldwide increase in antibiotic resistance. National legislature has responded to this challenge by amending the German Law on the Prevention and Control of Infectious Diseases (IfSG) and other measures. Their practical importance for various clinical settings in urology is outlined in this overview.The correct use of urinary catheters has the greatest impact for prevention and control as nUTIs are associated with urinary catheters in most of the cases (80%). The recently updated guidelines of the Commission for Hospital Hygiene and Infection Prevention of the Robert Koch Institute (KRINKO) and the Association of the Scientific Medical Societies in Germany (AWMF) provide detailed recommendations in an evidence-based and practice-oriented manner as summarized in this article.
Insights
Nosocomial infections, particularly nosocomial urinary tract infections (nUTIs), are a significant healthcare concern. Proper urinary catheter use is crucial for preventing nUTIs, which are linked to 80% of cases.
Area of Science:
- Infectious Diseases
- Urology
- Hospital Hygiene
Context:
- Nosocomial infections (NI) are a major complication of medical care, worsening patient conditions.
- Nosocomial urinary tract infections (nUTIs) are the second most common NI in Germany, accounting for 22.4% and 155,000 cases annually.
- Rising antibiotic resistance necessitates effective NI prevention strategies.
Purpose:
- To outline the practical importance of NI prevention measures in urology.
- To highlight the impact of updated guidelines on preventing nUTIs.
- To emphasize evidence-based practices for infection control in clinical settings.
Summary:
- Urinary tract infections (UTIs) are the second most frequent nosocomial infection (NI), with 80% associated with urinary catheter use.
- Updated guidelines from KRINKO and AWMF offer evidence-based recommendations for preventing nUTIs.
- Adherence to correct urinary catheterization techniques is paramount for infection control.
Impact:
- Reducing the incidence of nUTIs can alleviate patient suffering and decrease healthcare costs.
- Implementing updated guidelines can improve patient outcomes and combat antibiotic resistance.
- Enhanced focus on hospital hygiene and infection prevention in urology is essential.
Related Concept Videos
01:26Urinary Tract Infection I: Introduction
01:25Urinary Tract Infection II: Pathophysiology
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
01:26Urine Studies II: Urine Culture and Sensitivity Test
01:17Urinary Tract Infection IV: Nursing Management
01:21Nursing Assessment of the Genitourinary System I: Health History