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"Indwelling Catheter" OR "Urinary Catheter" OR "Bladder Irrigation"

Claire Pascoe, Catriona Duncan, Benjamin W Lamb, Niall F Davis, Thomas H Lynch, Declan G Murphy, Nathan Lawrentschuk
Haemorrhage is a frequent complication of radiation cystitis leading to emergency presentations in patients with prior pelvic radiation therapy. Standard initial patient management strategies involve resuscitation, bladder washout with clot evacuation and continuous bladder irrigation. Beyond this, definitive surgical treatment is associated with significant morbidity and mortality. Alternative less invasive management options for non-emergent haemorrhagic cystitis include systemic medical therapies, hyperbaric oxygen, intra-vesical therapies and laser ablation...
August 16, 2018: BJU International
Collene E Anderson, Jonviea D Chamberlain, Xavier Jordan, Thomas M Kessler, Eugenia Luca, Sandra Möhr, Jürgen Pannek, Martin Schubert, Martin Wg Brinkhof
OBJECTIVE: To understand the occurrence of and risk factors for urinary tract infections (UTIs) in patients with spinal cord injury (SCI) undergoing specialized SCI rehabilitation in Switzerland. PATIENTS AND METHODS: This study used data collected from 369 patients, who participated in a nationwide rehabilitation cohort for SCI in Switzerland between 2013 and 2017. Information on UTIs as well as their potential determinants, including demographics, lesion characteristics, and time-updated data on functional independence and bladder management was used...
August 16, 2018: BJU International
Sorin Albu, Septimiu Voidazan, Doina Bilca, Monica Badiu, Andreea Truţă, Marian Ciorea, Alin Ichim, Diana Luca, Geanina Moldovan
Urinary tract infections due to the presence of a urinary catheter represent a real problem for patients who have to carry such an invasive device for a long time.Our aim was to identify the susceptibility of extended spectrum beta lactamases (ESBL) versus non-ESBL bacteria to antibiotics in urinary tract infections in patients who are chronic carriers of urinary catheters.The retrospective study included a period of 5 years, a total of 405 patients who are chronic carriers of urinary catheters, admitted to rehabilitation and palliative care units...
August 2018: Medicine (Baltimore)
Reinhard Beyer, Zeljkica Jandric, Christoph Zutz, Christa Gregori, Birgit Willinger, Ilse D Jacobsen, Pavel Kovarik, Joseph Strauss, Christoph Schüller
Candida glabrata is a common human fungal commensal and opportunistic pathogen. This fungus shows remarkable resilience as it can form recalcitrant biofilms on indwelling catheters, has intrinsic resistance against azole antifungals and is causing vulvo-vaginal candidiasis. As a nosocomial pathogen, it can cause life-threatening bloodstream infections in immune-compromised patients. Here, we investigate the potential role of the high osmolarity glycerol response (HOG) MAP kinase pathway for C. glabrata virulence...
August 15, 2018: Cellular Microbiology
Jennifer Meddings, Ted A Skolarus, Karen E Fowler, Steven J Bernstein, Justin B Dimick, Jason D Mann, Sanjay Saint
BACKGROUND: Indwelling urinary catheters are commonly used for patients undergoing general and orthopaedic surgery. Despite infectious and non-infectious harms of urinary catheters, there is limited guidance available to surgery teams regarding appropriate perioperative catheter use. OBJECTIVE: Using the RAND Corporation/University of California Los Angeles (RAND/UCLA) Appropriateness Method, we assessed the appropriateness of indwelling urinary catheter placement and different timings of catheter removal for routine general and orthopaedic surgery procedures...
August 12, 2018: BMJ Quality & Safety
Minghui Zhu, Xiaoyan Zhao, Qiang Zhu, Zhaorui Zhang, Yu Dai, Liangan Chen, Zhixin Liang
BACKGROUND: Ochrobactrum anthropi has become an emerging pathogen for bloodstream infection (BSI). METHODS: From January 1st 2010 to June 30th 2017, inpatients with one or more blood cultures positive for O. anthropi isolates at Chinese People's Liberation Army General Hospital in Beijing, China, were enrolled in this study. Clinical and laboratory data were collected by reviewing electronic records. RESULTS: A total of 11 patients with O...
August 9, 2018: Journal of Infection and Public Health
Arpit Bhargava, Vikram Pareek, Subhasree Roy Choudhury, Jitendra Panwar, Surajit Karmakar
Pseudomonas aeruginosa, a gram-negative rod-shaped bacterium is a notorious pathogen causing chronic infections. Its ability to form antibiotic resistant biofilm has raised the need for the development of alternative treatment approaches. An ideal alternate can be silver nanoparticles known for their strong yet tuneable bactericidal activity. However, their use in the commercial in vivo medicine could not see the light of the day because of the unwanted toxicity of silver in the host cells at higher concentrations...
August 10, 2018: ACS Applied Materials & Interfaces
Babich Tanya, Zusman Oren, Elbaz Michal, Ben-Zvi Haim, Paul Mical, Leibovici Leonard, Avni Tomer
OBJECTIVES: To assess whether catheter replacement is associated with better clinical outcomes in individuals with long-term urinary catheters. DESIGN: Prospective, noninterventional study. PARTICIPANTS: Individuals (mean age 79.2±11.5) who had had an indwelling urinary catheter for longer than 7 days and a symptomatic urinary tract infection (UTI) (N=315). MEASUREMENTS: The exposure assessed was replacement of the indwelling urinary catheter within 6 hours...
August 10, 2018: Journal of the American Geriatrics Society
Suganya Chandramohan, Bhagyashri Navalkele, Ammara Mushtaq, Amar Krishna, John Kacir, Teena Chopra
Background: Prolonged central line (CL) and urinary catheter (UC) use can increase risk of central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). Methods: This interventional study conducted in a 76-bed long-term acute care hospital (LTACH) in Southeast Michigan was divided into 3 periods: pre-intervention (January 2015-June 2015), intervention (July-November 2015), and postintervention (December 2015-March 2017)...
July 2018: Open Forum Infectious Diseases
Anitha Sundararajan, Hallie S Rane, Thiruvarangan Ramaraj, Johnny Sena, Amy B Howell, Stella M Bernardo, Faye D Schilkey, Samuel A Lee
Candida albicans is one of the most common causes of hospital-acquired urinary tract infections (UTIs). However, azoles are poorly active against biofilms, echinocandins do not achieve clinically useful urinary concentrations, and amphotericin B exhibits severe toxicities. Thus, novel strategies are needed to prevent Candida UTIs, which are often associated with urinary catheter biofilms. We previously demonstrated that cranberry-derived proanthocyanidins (PACs) prevent C. albicans biofilm formation in an in vitro urinary model...
2018: PloS One
Yuko Mutsuyoshi, Shohei Kaneko, Saori Minato, Katsunori Yanai, Hiroki Ishii, Taisuke Kitano, Mitsutoshi Shindo, Haruhisa Miyazawa, Kiyonori Ito, Yuichiro Ueda, Keiji Hirai, Taro Hoshino, Susumu Ookawara, Yoshiyuki Morishita
We herein report a case of ureter rupture with severe oliguric acute renal injury due to benign prostatic hypertrophy. After insertion of an indwelling urinary catheter, the patient's urine output immediately increased. His symptoms and renal function also rapidly improved to the normal range without a surgical operation. Clinicians should note this complication in patients with oliguria.
2018: Clinical Medicine Insights. Case Reports
Kedar Diwakar Mandakhalikar, Rong Wang, Juwita N Rahmat, Edmund Chiong, Koon Gee Neoh, Paul A Tambyah
BACKGROUND: Catheter Associated Urinary Tract Infections are among the most common urological infections world-wide. Bacterial biofilms and encrustation cause significant complications in patients with urinary catheters. The objective of the study is to demonstrate the efficacy and safety of an anti-microbial and anti-encrustation silver nanoparticle (AgNP) coating on silicone urinary catheter in two different animal models. METHODS: Antifouling coating (P3) was prepared with alternate layers of polydopamine and AgNP and an outermost antifouling layer...
August 6, 2018: BMC Infectious Diseases
Michaela A Esteban, Curtis W Dewey, Wayne S Schwark, Mark Rishniw, Dawn M Boothe
Objective: To describe the pharmacokinetic parameters of oral pregabalin in normal cats after single oral dosing. Animals: Six healthy adult research cats. Procedures: Following sedation and indwelling catheter placement, one oral (4 mg/kg) dose of pregabalin was administered. Blood samples were collected at 0, 15 and 30 min and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, and 36 h after administration. Plasma pregabalin concentrations were measured by high-performance liquid chromatography and subjected to pharmacokinetic analysis using commercial software...
2018: Frontiers in Veterinary Science
Swathi Selvam, Terry Humphrey, Helen Woodley, Sharon English, Jeannette K Kraft
Umbilical catheters are commonly used in the neonatal period for blood sampling or for administering medication or parenteral nutrition. The position of the catheter is usually confirmed with radiography. However, many complications associated with the use of umbilical catheters, such as liver collections from extravasation or vascular thrombosis, are not apparent on radiographs but can be easily diagnosed with ultrasound. This pictorial review illustrates the sonographic findings of complications that should be excluded in the sick neonate with an indwelling catheter...
August 4, 2018: Pediatric Radiology
Neil Powell, Kate McGraw-Allen, Alasdair Menzies, Bradley Peet, Callie Simmonds, Abigail Wild
Evidence-based audit tools were used to identify the antibiotic stewardship improvements necessary to meet the NHS England targets in a 750-bed teaching hospital.Antibiotic prescribing was reviewed against published evidence-based audit tools for 139 patients treated with antibiotics. Severe community-acquired pneumonia (CAP) median course length was 8.5 days. Ninety-six percent of non-severe CAP patients were initiated on intravenous antibiotics (IV); median antibiotic course length 9 days. Twenty-six percent of urinary tract infection (UTI) patients without an indwelling catheter met the UTI diagnostic criteria...
August 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
Noriyoshi Takano, Midori Sasaki Yatabe, Junichi Yatabe, Masaaki Kato, Daisuke Sueoka, Shigekazu Iguchi, Atsushi Yoshida, Yutaka Uzawa, Ken Kikuchi, Kimitaka Tani, Shinpei Ogawa, Michio Itabashi, Masakazu Yamamoto, Daisuke Watanabe, Takashi Ando, Satoshi Morimoto, Atsuhiro Ichihara
BACKGROUND: Clostridium ramosum is a generally non-pathogenic enteric anaerobe, and Fournier's gangrene is a rare necrotizing soft tissue infection with male predisposition affecting the perineum and the genital area. We report, to our knowledge, the first case of Fournier's gangrene caused by C. ramosum in a female patient with multiple underlying conditions. CASE PRESENTATION: A 44-year-old woman with a 6-year history of insulin-dependent diabetes mellitus after total pancreatectomy and an 11-year history of central diabetes insipidus developed a pain in the genital area after a month of urinary catheter use...
August 2, 2018: BMC Infectious Diseases
H Chen, K M Au, K E Hsu, C K Lai, J Myint, Y F Mak, S Y Lee, T Y Wong, N C Tsang
INTRODUCTION: A point prevalence survey was conducted to study the epidemiology of and risk factors associated with multidrug-resistant organism carriage among residents in residential care homes for the elderly (RCHEs). METHODS: A total of 20 RCHEs in Hong Kong were selected by stratified single-stage cluster sampling. All consenting residents aged ≥65 years from the selected RCHEs were surveyed by collection of nasal swab, axillary swab, rectal swab or stool on one single day for each home...
July 30, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
M Ruiz-Hernández, L López-Fando, J M Gómez de Vicente, M A Jiménez-Cidre, M D Sánchez-Gallego, J Lorca-Álvaro, D Díaz-Pérez, F J Burgos-Revilla
INTRODUCTION: The artificial urinary sphincter (AUS) is not used extensively in the treatment of female urinary stress incontinence (USI) due to the poor reproducibility of the techniques used. We describe a new approach to laparascopic implantation, of which dissection of the vesicovaginal space is an essential step. This enables an approach under direct vision to the posterior surface of the bladder neck. MATERIAL AND METHODS: We present two cases where this approach was used...
July 28, 2018: Actas Urologicas Españolas
Jonathan Otter, Tracey Galletly, Frances Davies, Jan Hitchcock, Mark Gilchrist, Eleonora Dyakova, Siddharth Mookerjee, Alison Holmes, Eimear Brannigan
BACKGROUND: A thorough understanding of the local sources, risks, and antibiotic resistance for E. coli bloodstream infection (BSI) is required to focus prevention initiatives and therapy. AIM: We reviewed the sources and antibiotic resistance of healthcare-associated E. coli BSI. METHODS: Sources and antibiotic resistance profiles of all 250 healthcare-associated (post 48 hour) E. coli BSIs that occurred within our secondary and tertiary care hospital group from April 2014 to March 2017 were reviewed...
July 27, 2018: Journal of Hospital Infection
Ozer Ural Cakici, Abdullah Erdem Canda
OBJECTIVES: We investigated the use of bidirectional barbed suture only versus poliglecaprone suture with posterior rhabdosphincter reconstruction for urethro-vesical anastomosis(UVA) during robotic radical prostatectomy(RARP) on cystographic leakage, duration of catheterization and early urinary continence. METHODS: Bidirectional double-armed barbed suture only was used for UVA(n=50) in Group-1. Two 3/0 poliglecaprone 25 sutures were tied to each other to form a double-armed suture used for UVA with posterior rhabdosphincter reconstruction in Group-2(n=50)...
July 28, 2018: Journal of Endourology
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