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Use of Indwelling Urinary Tract Catheters in Swedish Hospitals

Published online by Cambridge University Press:  02 January 2015

Lars G. Burman ,
Birgitta Fryklund  and
Bertil Nyström
Lars G. Burman*
Affiliation:
National Bacteriological Laboratory and the Department of Clinical Bacteriology, Huddinge University Hospital, Stockholm, Sweden
Birgitta Fryklund
Affiliation:
National Bacteriological Laboratory and the Department of Clinical Bacteriology, Huddinge University Hospital, Stockholm, Sweden
Bertil Nyström
Affiliation:
National Bacteriological Laboratory and the Department of Clinical Bacteriology, Huddinge University Hospital, Stockholm, Sweden
*
National Bacteriological Laboratory, S-105 21 Stockholm, Sweden
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Abstract

In a survey of 67,774 patient days in 27 Swedish acute care hospitals, an indwelling urinary tract catheter (IUTC) was in place during 12% of patient days. There were marked differences between services (from 2% in rheumatology to 49% in urology), but also between hospitals for the same type of service (general surgery, internal medicine, gynecology, orthopaedic surgery) concerning proportion IUTC days, average duration of catheterization and the indications for IUTC use. The great local variation in IUTC usage for a particular service was usually not correlated with type of hospital (district, county, or regional/teaching), ie, with the mix of patients studied. We propose that the results mainly reflect a variable local impact of infection control and that a much more restrictive use of IUTCs is possible in many wards. This condition would imply a considerable potential for reducing the incidences of urinary tract infection and bacteremia and thus, mortality among hospitalized patients in Sweden.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 8 , Issue 12 , December 1987 , pp. 507 - 511
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1987

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References

1.Meers, PD, Ayliffe, GAJ, Emmerson, AM, et al: National survey of infection in hospitals 1980. J Hasp Infect 1981; 2(Suppl):23–28.CrossRefGoogle Scholar
2.Haley, RW, Culver, DH, White, JW, et al: The nationwide nosocomial infection rate. A new need for vital statistics. Am J Epidemiol 1985; 121:159–167.CrossRefGoogle Scholar
3.Stamm, WE: Nosocomial urinary tract infections, in Bennett, JV, Brachman, PS (eds): Hospital Infections, ed 2, Boston, Little, Brown and Co, 1986, pp 375–384.Google Scholar
4.Piatt, R, Polk, FB, Murdock, B, et al: Mortality associated with nosocomial urinary-tract infection. N Engl J Med 1982; 307:637–641.Google Scholar
5.Piatt, R, Polk, FB, Murdock, B, et al: Reduction of mortality associated with nosocomial urinary-tract infection. Lancet 1983; 1:893–897.Google Scholar
6.Kunin, CM: Detection, Prevention and Management of Urinary-tract Infections. Philadelphia, Lea & Febiger, 1979.Google Scholar
7.Jepsen, OB, Larsen, SO, Dankert, J, et al: Urinary-tract infection and bacteremia in hospital medical patients. A European multicentre prevalence survey on nosocomial infection. J Hasp Infect 1982; 3:241–252.Google Scholar
8.Nordqvist, P, Ekelund, P, Edouard, L, et al: Catheter-free geriatric care. Routines and consequences for clinical infection, care and economy. J Hosp Infect 1984; 5:298–304.CrossRefGoogle ScholarPubMed
9.Nyström, B, Svanström, M, Myrbäck, K-E: Kvarkateter och bakteriuri i långvården. Läkartidningen 1985; p 2060.Google Scholar
10.Burman, LG, Lundstrom, V, Holmboe, G: Förebyggande av nosokomial urin-vägsinfektion. Läkartidningen 1984; 81:1162–1165.Google Scholar
11.Socialstyrelsens kungörelse med föreskrifter om användning av kateter i ur-niblåsan i vissa fall mm. SOSES (M) 1980; p 86.Google Scholar
12.Shapiro, M, Simchen, E, Sacks, TG: A multivariate analysis of risk factors for acquiring bacteriuria in patients with indwelling urinary catheters for longer than 24 hours. Infect Control 1984; 5:525–532.Google Scholar
13.Green, MS, Rubinstein, E, Amit, P: Estimating the effects of nosocomial infections on the length of hospitalization. J Infect Dis 1982; 145:667–672.Google Scholar
14.Hedelin, N, Norlén, L: Inneliggande blåskateter—Inte utan komplikationer. Läkartidningen 1985; 82:4015–4017.Google Scholar