The association between indwelling urinary catheter use in the elderly and urinary tract infection in acute care
2006

Indwelling Urinary Catheters and UTIs in Elderly Patients

Sample size: 277 publication Evidence: moderate

Author Information

Author(s): Susan E Hazelett, Margaret Tsai, Michele Gareri, Kyle Allen

Primary Institution: Summa Health System

Hypothesis

What is the relationship between indwelling urinary catheter use and urinary tract infections in elderly patients?

Conclusion

The study suggests that the association between indwelling urinary catheter use and urinary tract infections may be influenced by the prevalence of preexisting UTIs in elderly patients.

Supporting Evidence

  • 73% of patients who received an indwelling urinary catheter were elderly.
  • 28% of elderly patients with a catheter were diagnosed with a UTI during hospitalization.
  • 69% of those diagnosed with a UTI had preexisting bacteriuria before catheter placement.

Takeaway

This study looked at how often elderly patients get urinary infections after having a special type of catheter put in. It found that many already had infections before getting the catheter.

Methodology

Retrospective chart review of elderly patients admitted with indwelling urinary catheters.

Potential Biases

Potential underestimation of appropriate catheter use due to lack of explicit documentation.

Limitations

The study relied on retrospective chart reviews, which may have missing data and inconsistencies in documentation.

Participant Demographics

Elderly patients (≥65 years old) admitted to an acute care hospital.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1471-2318-6-15

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