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Urinary tract infections. An overview.

O B Jepsen

    Chemioterapia : International Journal of the Mediterranean Society of Chemotherapy
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Nosocomial urinary tract infections (UTIs) are common in hospitalized patients. Prevention strategies are challenging, suggesting a need for radical changes in indwelling catheter use and enhanced nursing care.

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    Area of Science:

    • Infectious Diseases
    • Hospital Epidemiology
    • Urology

    Background:

    • Urinary tract infections (UTIs) are the most common hospital-acquired infections.
    • The link between urinary tract manipulations and nosocomial UTIs is well-established.
    • The economic impact of preventable UTIs on healthcare costs requires further investigation.

    Purpose of the Study:

    • To review the current understanding of nosocomial UTIs in hospitalized patients.
    • To evaluate the effectiveness of existing prevention strategies.
    • To explore alternative approaches for managing indwelling urinary catheters.

    Main Methods:

    • Literature review of studies on nosocomial UTIs.
    • Analysis of factors contributing to UTI development.

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  • Discussion of current practices in bladder drainage and catheter management.

    • Main Results:

    • Existing prevention methods for catheter-associated UTIs (CAUTI) have limited success.
    • Complications can arise even after catheter removal.
    • Bacteriuria in the elderly is associated with underlying severe illnesses.

    Conclusions:

    • Preventing UTIs with indwelling catheters in place is difficult.
    • Interfering with the endogenous source of infection has largely failed.
    • A radical approach to indwelling catheter use, emphasizing skilled nursing, may be necessary.