Noble metal alloy-coated latex versus XXXX Foley catheter in short-term catheterization: a randomized controlled study.

@entity1 @entity1346 @entity28 @entity793
OBJECTIVE: The primary aim of this study was to compare the incidence of catheter-associated @entity793 with a noble metal alloy-coated latex catheter or a non-coated @entity1346 catheter in @entity1 undergoing elective orthopaedic surgery with short-term catheterization. Secondary objectives included identifying risk factors for @entity793 and catheter-associated urinary tract symptoms. MATERIAL AND METHODS: The study compared 217 @entity1 randomized to and receiving a @entity1346 catheter with 222 @entity1 treated with a coated latex catheter. Before removal of the catheter a sample for urinary culture was obtained. @entity793 was defined as the growth of >= 100 000 cfu/ml. A logistic regression model was used to identify risk groups for @entity793 . @entity1 were interviewed about urinary tract symptoms during and after catheterization. RESULTS: The incidence of @entity793 was 1.5% with the coated latex catheter and 5.5% with the @entity1346 catheter (p = 0.027) after a mean period of 2 days' catheterization time. Female gender (odds ratio 6.02) and @entity28 (odds ratio 5.08) were significant risk factors for @entity793 . A quarter of the @entity1 reported at least one symptom from the urinary tract during and after catheterization. Most @entity1 defined the symptoms as "yes, a little" and a few consulted a healthcare professional because of the symptoms. CONCLUSION: This study confirmed previous results that the noble metal alloy coating significantly reduces the risk of catheter-associated @entity793 in short-term catheterization (1-3 days). Female gender and @entity28 were significant risk factors for developing @entity793 , while the use of an open drainage system and insertion of the catheter on the ward were not.
