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Post-cesarean section urinary tract infection: a comparison between intermittent and indwelling catheterization
S Tangtrakul1, S Taechaiya, S Suthutvoravut
1Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Summary
This study compared urinary tract infection rates between intermittent and indwelling catheterization during cesarean sections. Indwelling catheterization showed a trend toward lower infection rates and reduced urinary retention.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Urology
Background:
- Catheterization is a common practice during cesarean sections.
- Urinary tract infections (UTIs) are a known complication associated with catheterization.
- Comparing different catheterization methods is crucial for patient outcomes.
Purpose of the Study:
- To compare the incidence of urinary tract infections (UTIs) between intermittent and indwelling catheterization in cesarean section patients.
- To evaluate the occurrence of postoperative urinary retention in both groups.
Main Methods:
- A randomized study was conducted comparing intermittent versus indwelling catheterization.
- The study involved patients undergoing cesarean section at Ramathibodi Hospital.
- Data on UTI incidence and urinary retention were collected and analyzed.
Main Results:
- The incidence of UTIs was 31.4% in the intermittent group and 19.1% in the indwelling group; this difference was not statistically significant.
- Postoperative urinary retention requiring recatheterization occurred in 39.2% of the intermittent group.
- All patients in the indwelling group were able to void after catheter removal.
Conclusions:
- Indwelling catheterization appears to be a more favorable method, showing a trend towards lower UTI incidence and significantly reducing postoperative urinary retention.
- Klebsiella pneumoniae was the most frequently isolated organism causing UTIs in this cohort.