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Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?

OBJECTIVE: The objective of this study is to find out whether the reused catheters for clean intermittent catheterization (CIC) are colonized before insertion and its association with urinary tract infection (UTI). MATERIALS AND METHODS: This is a study conducted on 28 pediatric surgery patients who...

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Autores principales: Sam, Cenita James, Jagadeesan, Cindrel T, Sen, Sudipta, Arunachalam, Pavai, Appalaraju, B, Das, Praseetha T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020673/
https://www.ncbi.nlm.nih.gov/pubmed/32139987
http://dx.doi.org/10.4103/jiaps.JIAPS_10_19
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author Sam, Cenita James
Jagadeesan, Cindrel T
Sen, Sudipta
Arunachalam, Pavai
Appalaraju, B
Das, Praseetha T
author_facet Sam, Cenita James
Jagadeesan, Cindrel T
Sen, Sudipta
Arunachalam, Pavai
Appalaraju, B
Das, Praseetha T
author_sort Sam, Cenita James
collection PubMed
description OBJECTIVE: The objective of this study is to find out whether the reused catheters for clean intermittent catheterization (CIC) are colonized before insertion and its association with urinary tract infection (UTI). MATERIALS AND METHODS: This is a study conducted on 28 pediatric surgery patients who are on CIC via a Mitrofanoff port and who were reusing catheters, in a tertiary care private medical college hospital for 6-month period. Catheters to be used for the next catheterization were sent for culture along with urine culture. A questionnaire was utilized to assess CIC practice and UTI. RESULTS: Diseases of patients were: neurogenic bladder and exstrophy–epispadias and posterior urethral valve. Twenty-one of them had an augmented bladder. Hydronephrosis was present in ten and vesicoureteral reflux (VUR) in five. Their mean duration of CIC was 5.3 years. Of 28 catheter tip samples, 16 catheters were colonized with organism. Of the 28 urine culture samples, 17 cultures were positive and all were asymptomatic except one. Of the 16 positive catheter samples, only 9 had positive urine culture; four of them had grown different organisms and five of them had the same organism, and even in these five, single organism was seen only in three. Urine culture grew Gram-negative organism in 85%, but catheter grew Gram-positive organism in 46%. No difference was found in the variables between both groups such as hydronephrosis, VUR, and augmented bladder. CONCLUSION: Reused catheters were colonized in 57% of the study patients, but reused catheter may not be the cause of culture positivity or UTI in the study population.
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spelling pubmed-70206732020-03-06 Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility? Sam, Cenita James Jagadeesan, Cindrel T Sen, Sudipta Arunachalam, Pavai Appalaraju, B Das, Praseetha T J Indian Assoc Pediatr Surg Original Article OBJECTIVE: The objective of this study is to find out whether the reused catheters for clean intermittent catheterization (CIC) are colonized before insertion and its association with urinary tract infection (UTI). MATERIALS AND METHODS: This is a study conducted on 28 pediatric surgery patients who are on CIC via a Mitrofanoff port and who were reusing catheters, in a tertiary care private medical college hospital for 6-month period. Catheters to be used for the next catheterization were sent for culture along with urine culture. A questionnaire was utilized to assess CIC practice and UTI. RESULTS: Diseases of patients were: neurogenic bladder and exstrophy–epispadias and posterior urethral valve. Twenty-one of them had an augmented bladder. Hydronephrosis was present in ten and vesicoureteral reflux (VUR) in five. Their mean duration of CIC was 5.3 years. Of 28 catheter tip samples, 16 catheters were colonized with organism. Of the 28 urine culture samples, 17 cultures were positive and all were asymptomatic except one. Of the 16 positive catheter samples, only 9 had positive urine culture; four of them had grown different organisms and five of them had the same organism, and even in these five, single organism was seen only in three. Urine culture grew Gram-negative organism in 85%, but catheter grew Gram-positive organism in 46%. No difference was found in the variables between both groups such as hydronephrosis, VUR, and augmented bladder. CONCLUSION: Reused catheters were colonized in 57% of the study patients, but reused catheter may not be the cause of culture positivity or UTI in the study population. Wolters Kluwer - Medknow 2020 2020-01-28 /pmc/articles/PMC7020673/ /pubmed/32139987 http://dx.doi.org/10.4103/jiaps.JIAPS_10_19 Text en Copyright: © 2020 Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sam, Cenita James
Jagadeesan, Cindrel T
Sen, Sudipta
Arunachalam, Pavai
Appalaraju, B
Das, Praseetha T
Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?
title Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?
title_full Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?
title_fullStr Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?
title_full_unstemmed Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?
title_short Urinary Tract Infection in Pediatric Patients on Clean Intermittent Catheterization via a Mitrofanoff port with Reused Catheters – Any Association with Catheter Sterility?
title_sort urinary tract infection in pediatric patients on clean intermittent catheterization via a mitrofanoff port with reused catheters – any association with catheter sterility?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020673/
https://www.ncbi.nlm.nih.gov/pubmed/32139987
http://dx.doi.org/10.4103/jiaps.JIAPS_10_19
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