Related Experiment Videos
Urinary tract infection following instrumentation for urodynamic testing.
R J Hamill1, C E Wright, N Andres
1Section of Infection Control Diseases, Veterans Administration Medical Center, Houston, TX 77211.
Infection Control and Hospital Epidemiology
|January 1, 1989
Summary
A study found that 18.7% of patients undergoing urodynamic procedures acquired urinary tract infections due to technical errors. Improving laboratory techniques significantly reduced infection rates to 5%.
Area of Science:
- Urology
- Infectious Disease Prevention
Background:
- A temporal cluster of urinary tract infections (UTIs) was identified in patients post-urodynamic procedures.
- This prompted an investigation into laboratory techniques and patient data.
Purpose of the Study:
- To identify the causes of a UTI outbreak linked to urodynamic procedures.
- To evaluate the effectiveness of improved laboratory techniques in reducing infection rates.
Main Methods:
- Retrospective chart review of 155 patients who underwent urodynamic procedures over six months.
- Identification of risk factors and technical errors.
- Implementation of revised protocols and subsequent follow-up of patients.
Main Results:
- The initial acquired UTI rate was 18.7%.
- Risk factors included cystometrograms and being the first procedure of the day.
- Technical errors involved incomplete disassembly, non-sterile components, and aseptic technique lapses.
- Post-intervention, the UTI rate decreased to 5%.
Conclusions:
- Technical flaws in urodynamic procedures can lead to significant rates of acquired UTIs.
- Strict adherence to disinfection, sterile component use, and aseptic technique is crucial.
- Routine pre-procedure urine screening and ongoing surveillance are recommended.