JAMDA
Volume 7, Issue 6 , Pages 388-392 , July 2006

Complications of Chronic Indwelling Urinary Catheters

  • Paul J. Drinka, MD, CMD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Paul J. Drinka, MD, CMD, Wisconsin Veterans Home, N2665 County road QQ, King, WI 54946-0620.

References 

  1. Guidance to Surveyors for Long-Term Care facilities. F314 Interpretive Guidelines, November 12, 2004, 42 CFR 483.25(c), Pressure Sores. pp. 1–41. Available at: www.cms.hhs.gov/manuals/pm_trans/R4SOM.pdf. Accessed September 23, 2005.
  2. Weld KJ , Dmochowski RR . Effect of bladder management on urological complications in spinal cord injured patients . J Urol . 2000;163:768–772
  3. Robertson GSM , Everitt N , Burton PR , Flynn JT . Effect of catheter material on the incidence of urethral strictures . Br J Urol . 1991;68:612–617
  4. Dinneen MD , Wetter LA , May ARL . Urethral strictures and aortic surgery (Suprapubic rather than urethral catheters) . Eur J Vasc Surg . 1990;4:535–538
  5. Seifter JL , Brenner BM . Urinary tract obstruction . In:  Braunwald E ,  Fauci AS ,  Kasper DL ,  Hauser SL ,  Longo DL ,  Jameson JL editor. Harrison’s 15th ed. Principles of Internal Medicine . New York, NY: McGraw-Hill; 2001;
  6. Kunin CM , Douthitt S , Dancing J , Anderson J , Moeschberger M . The association between the use of urinary catheters and morbidity and mortality among elderly patients in nursing homes . Am J Epidemiol . 1992;135:291–301
  7. Orr PH , Nicolle LE , Duckworth H , et al.   Febrile urinary infection in the institutionalized elderly . Am J Med . 1996;100:71–77
  8. Warren JW , Damron D , Tenney JH , Hoopes JM , Deforge B , Muncie HL . Fever, bacteremia, and death as complications of bacteriuria in women with long-term urethral catheters . J Infect Dis . 1987;155:1151–1158
  9. Warren JW , Muncie HL , Hebel R , Hall-Craggs M . Long-term urethral catheterization increases risk of chronic pyelonephritis and renal inflammation . J Am Geriatr Soc . 1994;42:1286–1290
  10. Kunin CM . In: Urinary Tract Infections, Detection, Prevention and Management . 5th ed.. Baltimore: Williams and Wilkins; 1997;p. 226–278
  11. Nickel JC , Gristina AG , Costerton JW . Electron microscopic study of an infected Foley catheter . Can J Surg . 1985;28:50–52
  12. Warren JW . Nosocomial urinary tract infections . In:  Mandell GL ,  Bennett JE ,  Dolin R editor. Mandell, Douglas, and Bennett’s Principles and Practices of Infectious Diseases . 6th ed.. Philadelphia, PA: Elsevier, Inc; 2005;p. 3370–3381
  13. Ohkawa M , Sugata T , Sawaki M , Nakashima T , Fuse H , Hisazumi H . Bacterial andcrystal adherence to the surfaces of indwelling urethral catheters . J Urol . 1990;143:717–721
  14. Bergqvist D , Bronnestam R , Hedelin H , Stahl A . The relevance of urinary sampling methods in patients with indwelling Foley catheters . Br J Urol . 1980;52:92–95
  15. Kunin CM , Chin QF , Chambers S . Formation of encrustations on indwelling urinary catheters in the elderly (A comparison of different types of catheter materials in “blockers” and “non-blockers.”) . J Urol . 1987;138:899–902
  16. Raz R , Schiller D , Nicolle LE . Chronic indwelling catheter replacement before antimicrobial therapy for symptomatic urinary tract infection . J Urol . 2000;164:1254–1258
  17. Resident Assessment Protocol. Urinary incontinence and indwelling catheter (chapter 6, updated December 2002), Appendix C. In: CMS’s Resident Assessment Protocol (RAI) Version 2.0 Manual. pp. C-30–40.
  18. Tambyah PA , Halvorson KT , Make DG . A prospective study of pathogenesis of catheter-associated urinary tract infections . Mayo Clin Proc . 1999;74:131–136
  19. Wong ES, Hooton TM, Clegg HW II, et al. CDC Guideline for Prevention of Catheter-associated Urinary Tract Infections. Centers for Disease Control and Prevention, 1981. Available at: www.cdc.gov/ncidod/dhqp/gl_catheter_assoc.html. Accessed March 1, 2006.
  20. Warren JW , Platt R , Thomas RJ , Rosner B , Kass EH . Antibiotic irrigation and catheter-associated urinary-tract infections . N Engl J Med . 1978;299:570–573
  21. Garibaldi RA , Burke JP , Dickman ML , Smith CB . Factors predisposing to bacteriuria during indwelling urethral catheterization . N Engl J Med . 1974;291:215–219
  22. Breitenbucher RB . Bacterial changes in the urine samples of patients with long-term indwelling catheters . Arch Intern Med . 1984;144:1585–1588
  23. Warren JW , Tenney JH , Hoopes JM , Muncie HL , Anthony WC . A prospective microbiologic study of bacteriuria in patients with chronic indwelling urethral catheters . J Infect Dis . 1982;146:719–723
  24. Rutala WA , Kennedy VA , Loflin HB , Sarubbi FA . Serratia marcescens nosocomial infections of the urinary tract associated with urine measuring containers and urinometers . Am J Med . 1981;70:659–663
  25. Nicolle LE . The chronic indwelling catheter and urinary infection in long-term care facility residents . Infect Control Hosp Epidemiol . 2001;22:316–321
  26. Saint S , Lipsky BA . Preventing catheter-related bacteriuria (Should we? Can we? How?) . Arch Intern Med . 1999;159:800–808
  27. Drinka PJ , Gauerke C , Miller J , Stemper ME , Reed KD . Apparent transmission of Citrobacter koseri in catheterized residents on a 17-bed nursing home wing . J Am Geriatr Soc . 2003;51:140–141
  28. Drinka PJ , Stemper ME , Gauerke C , Miller J , Reed KD . Apparent transmission of two species of gram-negative rods in catheterized residents on a 50-bed nursing home unit . Infect Control Hosp Epidemiol . 2003;24:233
  29. Ouslander JG , Greengold B , Chen S . Complications of chronic indwelling urinary catheters among male nursing home patients (A prospective study) . J Urol . 1987;138:1191–1195
  30. De Ruz AE , Leoni EG , Cabrera RH . Epidemiology and risk factors for urinary tract infection in patients with spinal cord injury . J Urol . 2000;164:1285–1289
  31. Rudman D , Hontanosas A , Cohen Z , Mattson DE . Clinical correlates of bacteremia in a Veterans Administration extended care facility . J Am Geriatr Soc . 1988;36:726–732
  32. Warren JW , Anthony WC , Hoopes JM , Muncie HL . Cephalexin for susceptible bacteriuria in afebrile, long-term catheterized patients . JAMA . 1982;248:454–458
  33. Muncie HL , Hoopes JM , Damron DJ , Tenney JH , Warren JW . Once-daily irrigation of long-term urethral catheters with normal saline (Lack of benefit) . Arch Intern Med . 1989;149:441–443
  34. Warren JW , Muncie HL , Hall-Craggs M . Acute pyelonephritis associated with bacteriuria during long-term catheterization (A prospective clinicopathological study) . J Infect Dis . 1988;158:1341–1346
  35. Bregenzer T , Frei R , Widmer AF , et al.   Risk of bacteremia during catheter replacement in patients with long-term urinary catheters . Arch Intern Med . 1997;157:521–525
  36. Polastri F , Auckenthaler R , Loew F , Michel JP , Lew DP . Absence of significant bacteremia during urinary catheter manipulation in patients with chronic indwelling catheters . J Am Geriatr Soc . 1990;38:1203–1208
  37. Edwards LE , Lock R , Powell C , Jones P . Post-catheterization urethral strictures. A clinical and experimental study . Br J Urol . 1983;55:53–56
  38. Kunin CM , Chin QF , Chambers S . Indwelling urinary catheters in the elderly (Relation of “catheter life” to formation of encrustations in patients with and without blocked catheters) . Am J Med . 1987;82:405–411
  39. Mobley HLT , Warren JW . Urease-positive bacteriuria and obstruction of long-term urinary catheters . J Clin Microbiol . 1987;25:2216–2217
  40. Warren JW . Catheter-associated urinary tract infections . Infect Dis Clinics North Am . 1997;11:609–622
  41. Delnay KM , Stonehill WH , Goldman H , Jukkola AF , Dmochowski RR . Bladder histological changes associated with chronic indwelling urinary catheter . J Urol . 1999;161:1106–1109
  42. Muder RR , Brennen C , Wagener MM , Goetz AM . Bacteremia in a long-term care facility (A five-year prospective study of 163 consecutive episodes) . Clin Infect Dis . 1992;14:647–654
  43. Mylotte JM , Tayara A , Goodnough S . Epidemiology of bloodstream infection in nursing home residents (Evaluation in a large cohort from multiple homes) . Clin Infect Dis . 2002;35:1484–1490
  44. Gleckman R , Blagg N , Hibert D , et al.   Catheter-related urosepsis in the elderly (A prospective study of community-derived infections) . J Am Geriatr Soc . 1982;30:255–257
  45. O’Kelly TJ , Mathew A , Ross S , Munro A . Optimum method for urinary drainage in major abdominal surgery (A prospective randomized trial of suprapubic versus urethral catheterization) . Br J Surg . 1995;82:1367–1368
  46. Sethia KK , Selkon JB , Berry AR , Turner CM , Kettlewell MG , Gough MH . Prospective randomized controlled trial of urethral versus suprapubic catheterization . Br J Surg . 1987;74:624–625
  47. Branagan GW , Moran BJ . Published evidence favors the use of suprapubic catheters in pelvic colorectal surgery . Dis Colon Rectum . 2002;45:1104–1108
  48. Andersen JT , Heisterberg S , Hebjorn S , et al.   Suprapubic versus transurethral bladder drainage after colposuspension/vaginal repair . Acta Obstet Gynecol Scand . 1985;64:139–143
  49. Shapiro J , Hoffmann J , Jersky J . A comparison of suprapubic and transurethral drainage for postoperative urinary retention in general surgical patients . Acta Chir Scand . 1982;148:323–327
  50. Krieger JN . Prostatitis, epididymitis, and orchitis . In:  Mandell GL ,  Bennett JE ,  Dolin R editor. Mandell, Douglas and Bennett’s Principles and Practices of Infectious Diseases . 6th ed.. Philadelphia, PA: Elsevier Inc; 2005;p. 1381–1386
  51. Horgan AF , Prasad B , Waldron DJ , O’Sullivan DC . Acute urinary retention (Comparison of suprapubic and urethral catheterization) . Br J Urol . 1992;70:149–151
  52. Hale RW , McCorriston CC . Suprapubic cystotomy with a polyethylene tube . Am J Obstet Gynecol . 1969;12:1181–1184
  53. Loeb M , Bentley DW , Bradley S , et al.   Development of minimum criteria for the initiation of antibiotics in residents of long-term care facilities (Results of a consensus conference) . Infect Control Hosp Epidemiol . 2001;22:120–124
  54. Nicolle LE . The chronic indwelling catheter and urinary infection in long-term care facility residents . Infect Control Hosp Epidemiol . 2001;22:316–321
  55. Grahn D , Norman DC , White ML , Cantrell M , Yoshikawa TT . Validity of urinary catheter specimen for diagnosis of urinary tract infection in the elderly . Arch Intern Med . 1985;145:1858–1860
  56. Tenney JH , Warren JW . Bacteriuria in women with long-term catheters (Paired comparison of indwelling and replacement catheters) . J Infect Dis . 1988;157:199–202
  57. Safdar N , Maki DG . The commonality of risk factors for nosocomial colonization and infection with antimicrobial-resistant Staphylococcus aureus, Enterococcus, Gram-negative bacilli, Clostridium difficile, and Candida . Ann Intern Med . 2002;136:834–844
  58. Bjork DT , Pelletier LL , Tight RR . Urinary tract infections with antibiotic resistant organisms in catheterized nursing home patients . Infect Control . 1984;5:173–176
  59. Roghmann MC . Predicting methicillin-resistance and the effect of inadequate empiric therapy on survival in patients with Staphylococcus aureus bacteremia . Arch Intern Med . 2000;160:1001–1004

PII: S1525-8610(06)00047-8

doi: 10.1016/j.jamda.2006.01.020

JAMDA
Volume 7, Issue 6 , Pages 388-392 , July 2006