1982/12/01 by Richard A. Garibaldi, Barbara R. Mooney, Barbara Mooney +2
Medicine · #Asymptomatic #Asymptomatic bacteriuria #Bacteriuria #Catheter #Incidence (geometry) #Indwelling catheter #Internal medicine #Medicine #Pediatric Urology and Nephrology Studies #Pelvic floor disorders treatments #Surgery #Urinary Tract Infections Management #Urinary catheterization #Urinary system #Urine
paper · doi:10.1017/s0195941700056599
crossref issued 1982/12/01 · crossref published 1982/12/01 · crossref published-print 1982/12/01 · openalex publication_date 1982/12/01 · crossref published-online 2015/01/02 · crossref created 2016/08/03 · crossref deposited 2019/05/24 · openalex created_date 2025/10/10 · openalex updated_date 2026/05/21 · crossref indexed 2026/08/04
We evaluated the efficacy of a daily bacteriologic monitoring program for preventing symptomatic urinary tract infections (UTI) in hospitalized patients with temporary indwelling urethral catheters. We identified 99 instances in which bacteriuria was present at the time of catheter insertion among 1,140 catheterizations. Of those, 62 patients were asymptomatic and 37 patients had fever or symptoms attributable to UTI. Of the 37 symptomatic episodes, only 14 developed symptoms 24 hours or more after the first culture and might be considered potentially preventable. We also identified 76 episodes of acquired bacteriuria among 608 catheterizations that were initially nonbacteriuric in which at least two cultures were available. Of these 76 patients, 51 (67%) remained asymptomatic throughout their period of hospitalization. Of the 25 patients who developed symptomatic infections, only ten were potentially preventable. In all, only 24 symptomatic episodes among 1,140 catheterizations (2%) occurred 24 hours or more after colonization was first detected and might be considered potentially preventable. Our data suggest that routine daily bacteriologic monitoring of urine from all catheterized patients is not an efficient way to decrease the incidence of symptomatic, catheter-associated UTI.