How to Prevent Catheter-Associated Urinary Tract Infections: A Reappraisal of Vico's Theory-Is History Repeating Itself?

CAUTI endovesical instillation geriatric incontinence indwelling urinary catheter long-term care neurogenic bladder

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
14 Jun 2022
Historique:
received: 21 04 2022
revised: 16 05 2022
accepted: 06 06 2022
entrez: 24 6 2022
pubmed: 25 6 2022
medline: 25 6 2022
Statut: epublish

Résumé

New, contextualized modern solutions must be found to solve the dilemma of catheter-associated urinary infection (CAUTI) in long-term care settings. In this paper, we describe the etiology, risk factors, and complications of CAUTI, explore different preventive strategies proposed in literature from the past to the present, and offer new insights on therapeutic opportunities. A care bundle to prevent CAUTI mainly consists of multiple interventions to improve clinical indications, identifying a timeline for catheter removal, or whether any alternatives may be offered in elderly and frail patients suffering from chronic urinary retention and/or untreatable urinary incontinence. Among the various approaches used to prevent CAUTI, specific urinary catheter coatings according to their antifouling and/or biocidal properties have been widely investigated. Nonetheless, an ideal catheter offering holistic antimicrobial effectiveness is still far from being available. After pioneering research in favor of bladder irrigations or endovesical instillations was initially published more than 50 years ago, only recently has it been made clear that evidence supporting their use to treat symptomatic CAUTI and prevent complications is needed.

Identifiants

pubmed: 35743487
pii: jcm11123415
doi: 10.3390/jcm11123415
pmc: PMC9225510
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Stefania Musco (S)

Unit of Neuro-Urology, Azienda Ospedaliera Careggi, 50134 Florence, Italy.

Alessandro Giammò (A)

Unit of Neuro-Urology, Orthopaedic Trauma Center (CTO)-Spinal Unit Hospital, Città Della Salute e Della Scienza, 10126 Turin, Italy.

Francesco Savoca (F)

Unit of Urology, Cannizzaro Hospital, 95122 Catania, Italy.

Luca Gemma (L)

Unit of Urological Robotic Surgery and Renal Transplantation, Azienda Ospedaliera Careggi, 50134 Florence, Italy.
Department of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.

Paolo Geretto (P)

Unit of Neuro-Urology, Orthopaedic Trauma Center (CTO)-Spinal Unit Hospital, Città Della Salute e Della Scienza, 10126 Turin, Italy.

Marco Soligo (M)

Unit of Obstetrics and Gynecology, Ospedale Maggiore di Lodi, 26900 Lodi, Italy.

Emilio Sacco (E)

Unit of Urology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Giulio Del Popolo (G)

Unit of Neuro-Urology, Azienda Ospedaliera Careggi, 50134 Florence, Italy.

Vincenzo Li Marzi (V)

Unit of Urological Robotic Surgery and Renal Transplantation, Azienda Ospedaliera Careggi, 50134 Florence, Italy.
Department of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.

Classifications MeSH