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British Journal of Infection Control, Vol. 5, No. 1, 21-24 (2004)
DOI: 10.1177/14690446040050010501

The impact of using silver alloy urinary catheters in reducing the incidence of urinary tract infections in the critical care setting

M. Madeo

Nurse Consultant Infection Control, Hull and East Yorkshire NHS Trust, Hull Royal Infirmary, Analby Road, Hull HU3 2JZ

D. Davies

Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Analby Road, Hull HU3 2JZ

G. Johnson

Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Analby Road, Hull HU3 2JZ

E. Owen

Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Analby Road, Hull HU3 2JZ

P. Wadsworth

Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Analby Road, Hull HU3 2JZ

C.R. Martin

Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Analby Road, Hull HU3 2JZ

prospective study was undertaken on three critical care units to establish the efficacy of using a silver alloy urinary catheter in reducing the incidence of nosocomial urinary tract infections.

Some 188 patients participated in the evaluation (94 in each group). A urine sample was obtained post insertion and every three days while on the critical care unit to detect bacteriuria. The infection rate was 12.65 in the standard group and 11.32 in the silver alloy group per 1000 catheter days respectively. The mean duration of catheterisation was 16 days (inter-quartile range 13). Gram positive cocci were responsible for 24.5% of the bacteriuria, Gram negatives 64.5% and yeasts accounted for 11%. Based on these results, routine use of silver alloy catheters cannot be justified for all patients, but may be suited to high-risk female patients.

Key Words: Urinary tract infection • bacteriuria • silver alloy catheter


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