scholarly journals COMPARATION OF EFFECTIVENESS OF NORMAL SALINE AND 10% POVIDONE IODINE IN PERIURETHRAL CLEANING

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Awaluddin Awaluddin
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Normal Saline ◽  
Povidone Iodine ◽  
Urinary Catheter ◽  
Infection Risk ◽  
Control Group ◽  
Tract Infections ◽  
Indwelling Urinary Catheter

Currently, urinary tract infection incidence in patients with indwelling urinary catheter ranges between 10-80%. They are at risk for other problems that can cause death. Appropriate action is required to decrease urinary tract infection risk by periurethral area cleaning. The aim of this study is to analyze the differences of the effectiveness of the use of normal saline and 10% povidone iodine for periurethral area cleaning in decreasing urinary tract infection risk. Research methods uses experimental design with the population of patients who used indwelling urinary catheter. Samples were obtained by consecutive and allocation by randomization which were divided into 2 groups, each group were 17 respondents. In the treatment group, periurethral area was cleaned with normal saline and in the control group with 10% povidone iodine. Urinary tract infection risk assessment was carried out by the leukocyte esterase dipstick test at 8 hours after insertion. The results indicate that the incidence of urinary tract infections risk in the group using normal saline smaller than 10% povidone iodine  with a comparison of 1:1.3. Number need to treat in this study was 6. The conclusion of this study is normal saline is more effective in reducing urinary tract infection risk.

scholarly journals COMPARATION OF EFFECTIVENESS OF NORMAL SALINE AND 10% POVIDONE IODINE IN PERIURETHRAL CLEANING

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Awaluddin Awaluddin
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Normal Saline ◽  
Povidone Iodine ◽  
Urinary Catheter ◽  
Infection Risk ◽  
Control Group ◽  
Tract Infections ◽  
Indwelling Urinary Catheter

Currently, urinary tract infection incidence in patients with indwelling urinary catheter ranges between 10-80%. They are at risk for other problems that can cause death. Appropriate action is required to decrease urinary tract infection risk by periurethral area cleaning. The aim of this study is to analyze the differences of the effectiveness of the use of normal saline and 10% povidone iodine for periurethral area cleaning in decreasing urinary tract infection risk. Research methods uses experimental design with the population of patients who used indwelling urinary catheter. Samples were obtained by consecutive and allocation by randomization which were divided into 2 groups, each group were 17 respondents. In the treatment group, periurethral area was cleaned with normal saline and in the control group with 10% povidone iodine. Urinary tract infection risk assessment was carried out by the leukocyte esterase dipstick test at 8 hours after insertion. The results indicate that the incidence of urinary tract infections risk in the group using normal saline smaller than 10% povidone iodine  with a comparison of 1:1.3. Number need to treat in this study was 6. The conclusion of this study is normal saline is more effective in reducing urinary tract infection risk.

Larutan Pembersih PeriuretraSebelum Pemasangan Kateter Urin Menetap: Literature Review

1970 ◽  
Vol 2 (2) ◽  
Author(s):  
Awaluddin A ◽  
Nursiswati N
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Normal Saline ◽  
Urinary Catheter ◽  
Tap Water ◽  
Sterile Water ◽  
Antiseptic Solution ◽  
Cleaning Solution ◽  
Indwelling Urinary Catheter

Pemasangan kateter urin menetap pada pasien baru di rumah sakit adalah 23,2% setiap bulan. Delapan puluh persen kejadian infeksi saluran kemih disebabkan oleh kateter urin menetap yang tidak aseptik. Kematian akibat infeksi ini adalah 32% dari seluruh kasus infeksi nosokomial. Penggunaan larutan pembersih periuretra sebelum pemasangan kateter urin menetap dalam mengurangi infeksi saluran kemih kurang memadai. Metode yang digunakan adalah literature review, dengan pencarian pada database CINAHL, proquest, dan google scholaryang dipublikasikan dari tahun 1995 sampai dengan 2013. Kata kunci yang digunakan meliputi catheterization, indwelling urinary catheter, bacteriuria, meatal atau periurethral cleaning, urinary tract infection, dan nursing. Dua puluh lima literatur yang berkaitan didapatkan. Larutan yang umum digunakan adalah air kran, air steril, larutan antiseptik, dan salin normal. Tidak terdapat perbedaan yang signifikan secara statistik antara kejadian infeksi saluran kemih dengan penggunaan air kran dibandingkan dengan povidone-iodine10% atau chlorhexidine0.1%. Hal yang sama juga ditemui saat pengunaan air steril dibandingkan dengan povidone-iodineatau chlorhexidine gluconate10% atau 0.05%, saat penggunaan air dan sabun, busa pembersih kulit, povidone-iodine10%, dan salin normal. Air steril adalah larutan hipotonik, tidak mahal, dan tidak mengiritasi kulit. Salin normal juga lebih murah dan kurang mengiritasi kulit. Larutan antiseptik cukup mahal, dapat mengiritasi kulit, dan memiliki efek samping alergi atau toksik. Sabun memiliki sedikit kadar antiseptik dan relatif murah. Larutan pembersih periuretra sebelum pemasangan kateter yang dapat digunakan adalah air kran, air steril, larutan antiseptik, salin normal, dan air dan sabun. Diperlukan penelitian selanjutnya tentang penggunaan air steril atau salin normal. Kata kunci:Infeksi saluran kemih, kateter urin menetap, larutan pembersih periuretra AbstractMonthly, 23.2% of new patients in hospital had an indwelling urinary catheter, and 80% of them had urinary tract infections. Data showed that this infection was contributed to 32% of death in nosocomial infection cases. Using the periurethral cleaning solution before the insertion of indwelling catheter to reduce urinary tract infections are still debated. This literature review used some databases such as CINAHL, proquest and google scholar that published between 1995 and 2013. Key words included catheterization, indwelling urinary catheter, bacteriuria, meatal or periurethral cleaning, urinary tract infection, and nursing. This study reviewed 25 appropriate literatures. The solution were tap water, sterile water, antiseptic solution, and normal saline. Statistically, there was no differences of incidences of urinary tract infection when tap water solution compared with povidone-iodine or chlorhexidine 0.1% as well the use of sterile water compared with povidone-iodine or chlorhexidine gluconate 10% or 0.05%, water and soap, skin cleansing foam, povidone iodine, and normal saline. Sterile water is an inexpensive hypotonic solution and does not irritate the skin. Normal saline is also less expensive and less irritating to the skin. Antiseptic solution is quite expensive, can irritate the skin, and have an allergic or toxic side effects. Soap has little value as an antiseptic and relatively inexpensive. Tap water, sterile water, antiseptic solution, normal saline, and water and soap are some solutions that can be us as periuretral cleaning solution. Further study related to the usage of steril water or normal saline is needed.Key words: Indwelling urinary catheter, periurethral cleaning solution, urinary tract infection

scholarly journals Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan

2017 ◽  
Vol 5 (2) ◽  
pp. 150-158
Author(s):  
Ghuzala Anwar ◽  
Ghalib Nawaz ◽  
Muhammad Afzal ◽  
Iram Majeed ◽  
Ali Waqas
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Registered Nurses ◽  
Urinary Catheter ◽  
P Value ◽  
Indwelling Catheter ◽  
Cross Sectional ◽  
Tract Infections ◽  
Indwelling Urinary Catheter

Nursing is an art science and an essential health care profession in which the skilled knowledgeable persons are committed to provide care to  sick peoples and strive for the, protection and promotion of health and prevention against diseases and helps to minimize the risk and risk related injuries. Urinary tract infections are very common infection in the hospital settings almost responsible for 40% nosocomial infections. All the urinray tract infection is expected that approximately more than 70% infection reported because of indewelling cathters.Objectives: To assess the perceptions of nurses regarding indwelling urinary catheter and its care. To assess the practices of nurses to prevent the indwelling catheter related urinary tract infection. Methodology: Descriptive cross sectional design and data was collected through a five point Likert scale questioner. Study population was the nursing staff from the Jinnah hospital Lahore.  Sample size was 184 nurses from all indoor departments of the Jinnah Hospital Lahore. Results: The findings show that the practice and perceptions scores of the registered nurses’ in the study group are insignificant with age, qualification and experience (i.e., p-value > 0.05) with the evidence-based guidelines for prevention of catheter associated urinary tract infection. Results of study indicated insignificant relationship between registered nurses’ practice and perceptions regarding the indwelling urinary catheter associated infection.Int. J. Appl. Sci. Biotechnol. Vol 5(2): 150-158

Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

2020 ◽  
Vol 40 (1) ◽  
pp. e12-e17
Author(s):  
Megan D. Snyder ◽  
Margaret A. Priestley ◽  
Michelle Weiss ◽  
Cindy L. Hoegg ◽  
Natalie Plachter ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urinary Catheter ◽  
Pediatric Intensive Care ◽  
Urinary Catheters ◽  
Bundle Compliance ◽  
Tract Infections

Background Catheter-associated urinary tract infections are common health care–associated infections and have been associated with increased mortality, morbidity, length of stay, and cost. Prevention strategies are grouped into bundles focused on reducing unnecessary catheter use and promptly removing urinary catheters. Before intervention in the study institution, no urinary catheters were unnecessarily used and compliance with the catheter-associated urinary tract infection bundle was 84%. Objective To increase bundle compliance by using targeted rounds specifically focused on eliminating dependent loops in drainage tubing and ensuring appropriate catheter use to reduce the incidence of catheter-associated urinary tract infections. Methods A multidisciplinary team was formed to identify misperceptions, highlight best practices, and eliminate barriers to success over 1 year in a single pediatric intensive care unit. The team completed a quality improvement project of daily targeted rounding for patients with an indwelling urinary catheter. The goals were to assess appropriateness of catheterization, increase bundle compliance, and decrease catheter-associated urinary tract infection risk. Targeted rounds were conducted in addition to the medical team rounds. Results Bundle compliance supported by targeted rounding increased from 84% to 93% and helped reduce the overall catheter-associated urinary tract infection rate from 2.7 infections per 1000 catheter-days at baseline to 0. This change was sustained for 1 year. Conclusion Targeted rounding for pediatric patients with an indwelling urinary catheter is an effective and sustainable strategy to reduce catheter-associated urinary tract infections. The ease of implementation for this intervention lends itself to generalizability to other patient populations.

Evaluation of Serum Metalloprotinase-9 (MMP-9) in Iraqi Men with urinary tract infection

2017 ◽  
Vol 6 (12) ◽  
pp. 5558
Author(s):  
Hanan D. Abbas
Keyword(s):  
United States ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
United States Of America ◽  
Prognostic Biomarker ◽  
The United States ◽  
Control Group ◽  
Strong Relation ◽  
Tract Infections

Objective: The inflammation of the urinary tract and its various causes is one of the important diseases, which neglect and non-treatment lead to many amplifications, therefore, many countries including the United States of America has given urinary tract infection ″UTI″ a great interest. Since the disease is sometimes without obvious symptoms and because of research lacking that are using MMP-9. The aim of this work is to study the alterations in the Metalloprotinase-9 (MMP-9), and its role in pathogenicity of urinary tract infections ″UTI″ in serum of men who are initially diagnosed with this disease.Methods: This study was applied in educational Alsader hospital in Najaf city by using Enzyme Linked Immuno Sorbent Assay (ELISA) on serum taken from 42 men infected with UTI, and other 38 healthy considered as a control group to detect MMP-9.Data analysis: SPSS computerizing system has been used for statistically analysis of data. Results: The results revealed a highly significant (P<0. 05) level of ″MMP-9″in serum of patients in comparison with the control group. The result also demonstrated the strong relation between MMP-9 and other parameters such as age and smoking.Conclusion: It was concluded from the results of the present study thatMetalloprotinase-9″MMP-9″ was good prognostic biomarker for ″UTI″ in men, and these results significantly correlate with the early stages of disease.Recommendation: 1-It may be recommended that using MMP-9 to predict and diagnosis the urinary tract infection. 2-It may be also recommended to measure MMP-9 in women to establish its role in this disease 

scholarly journals Housestaff Knowledge Related to Urinary Catheter Use and Catheter-Associated Urinary Tract Infections

2015 ◽  
Vol 36 (11) ◽  
pp. 1355-1357 ◽  
Author(s):  
Molly L. Paras ◽  
Erica S. Shenoy ◽  
Heather E. Hsu ◽  
Rochelle P. Walensky ◽  
David C. Hooper
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Teaching Hospital ◽  
Infection Prevention ◽  
Urinary Catheter ◽  
Clinical Scenarios ◽  
Prevention Guidelines ◽  
Tract Infections

Despite published catheter-associated urinary tract infection prevention guidelines, inappropriate catheter use is common. We surveyed housestaff about their knowledge of catheter-associated urinary tract infections at a teaching hospital and found most are aware of prevention guidelines; however, their application to clinical scenarios and catheter practices fall short of national goals.Infect. Control Hosp. Epidemiol. 2015;36(11):1355–1357

scholarly journals Faecal Escherichia coli from patients with E. coli urinary tract infection and healthy controls who have never had a urinary tract infection

2014 ◽  
Vol 63 (4) ◽  
pp. 582-589 ◽  
Author(s):  
Karen L. Nielsen ◽  
Pia Dynesen ◽  
Preben Larsen ◽  
Niels Frimodt-Møller
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Multidrug Resistance ◽  
Urinary Tract ◽  
Tract Infection ◽  
Control Group ◽  
Healthy Controls ◽  
Faecal Flora ◽  
E Coli ◽  
Tract Infections

Urinary tract infections (UTIs) are primarily caused by Escherichia coli with the patient’s own faecal flora acting as a reservoir for the infecting E. coli. Here we sought to characterize the E. coli faecal flora of UTI patients and healthy controls who had never had a UTI. Up to 20 E. coli colonies from each rectal swab were random amplified polymorphic DNA (RAPD) typed for clonality, dominance in the sample and correlation to the infecting UTI isolate in patients. Each distinct clone was phylotyped and tested for antimicrobial susceptibility. Eighty-seven per cent of the UTI patients carried the infecting strain in their faecal flora, and faecal clones causing UTI were more often dominant in the faecal flora. Patients had a larger diversity of E. coli in their gut flora by carrying more unique E. coli clones compared to controls, and patient faecal clones were more often associated with multidrug resistance compared to controls. We found a similar phylotype distribution of faecal clones from UTI patients and healthy controls, including a large proportion of B2 isolates in the control group. Faecal-UTI isolates from patients were more often associated with multidrug resistance compared to faecal-only clones, indicating a link between UTI virulence and antimicrobial resistance. Intake of any antibiotic less than 6 months prior to inclusion in the experiment occurred significantly more in patients with UTI than in controls. In contrast, presence of an intrauterine device was significantly more common in controls indicating a protective effect against UTI. In conclusion, healthy controls have a large proportion of potentially pathogenic E. coli phylotypes in their faecal flora without this causing infection.

Natural Language Processing for Real-Time Catheter-Associated Urinary Tract Infection Surveillance: Results of a Pilot Implementation Trial

2015 ◽  
Vol 36 (9) ◽  
pp. 1004-1010 ◽  
Author(s):  
Westyn Branch-Elliman ◽  
Judith Strymish ◽  
Valmeek Kudesia ◽  
Amy K. Rosen ◽  
Kalpana Gupta
Keyword(s):  
Intensive Care Unit ◽  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Acute Care ◽  
Language Processing ◽  
Urinary Catheter ◽  
Operating Characteristics ◽  
Indwelling Urinary Catheter

BACKGROUNDIncidence of catheter-associated urinary tract infection (CAUTI) is a quality benchmark. To streamline conventional detection methods, an electronic surveillance system augmented with natural language processing (NLP), which gathers data recorded in clinical notes without manual review, was implemented for real-time surveillance.OBJECTIVETo assess the utility of this algorithm for identifying indwelling urinary catheter days and CAUTI.SETTINGLarge, urban tertiary care Veterans Affairs hospital.METHODSAll patients admitted to the acute care units and the intensive care unit from March 1, 2013, through November 30, 2013, were included. Standard surveillance, which includes electronic and manual data extraction, was compared with the NLP-augmented algorithm.RESULTSThe NLP-augmented algorithm identified 27% more indwelling urinary catheter days in the acute care units and 28% fewer indwelling urinary catheter days in the intensive care unit. The algorithm flagged 24 CAUTI versus 20 CAUTI by standard surveillance methods; the CAUTI identified were overlapping but not the same. The overall positive predictive value was 54.2%, and overall sensitivity was 65% (90.9% in the acute care units but 33% in the intensive care unit). Dissimilarities in the operating characteristics of the algorithm between types of unit were due to differences in documentation practice. Development and implementation of the algorithm required substantial upfront effort of clinicians and programmers to determine current language patterns.CONCLUSIONSThe NLP algorithm was most useful for identifying simple clinical variables. Algorithm operating characteristics were specific to local documentation practices. The algorithm did not perform as well as standard surveillance methods.Infect. Control Hosp. Epidemiol. 2015;36(9):1004–1010

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