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Published in: Intensive Care Medicine 10/2006

01-10-2006 | Brief Report

Intravesicular pressure monitoring does not cause urinary tract infection

Authors: Michael L. Cheatham, Scott G. Sagraves, Jeffery L. Johnson, Mark W. White

Published in: Intensive Care Medicine | Issue 10/2006

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Abstract

Objective

To determine whether intravesicular pressure monitoring using a closed system increases the risk of nosocomial urinary tract infection.

Design

Retrospective chart and database review.

Setting

Surgical/trauma intensive care units of a regional level-I trauma center.

Patients

3108 critically ill patients of which 122 patients underwent intravesicular pressure monitoring.

Interventions

Severity-adjusted urinary tract infection rates were compared among patients with and without intravesicular pressure monitoring.

Measurements and results

Over a 24-month period, 122 consecutive patients had 2202 intravesicular pressure measurements performed. During 1448 urinary catheter days, 15 patients who required intravesicular pressure monitoring developed a urinary tract infection with a severity-adjusted device-related infection rate of 7.9 infections per 1000 catheter days. Of the 2986 patients who did not require such monitoring, 98 patients developed a urinary tract infection with an infection rate of 6.5 infections per 1000 catheter days (p = 0.56).

Conclusions

Intravesicular pressure monitoring using the closed transducer technique is safe and does not increase the risk of urinary tract infection.
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Metadata
Title
Intravesicular pressure monitoring does not cause urinary tract infection
Authors
Michael L. Cheatham
Scott G. Sagraves
Jeffery L. Johnson
Mark W. White
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 10/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-006-0350-z

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