The effect of periuretral care and follow-up on bacteriuria in patients with urinary catheter: A comparison of three solutions
Ayfer Kara, Pakize Özyürek
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Abstract

Objective: The aim of this study was to compare urinary colonization rates in subjects whose periurethral area was cleaned with sterile water or tap water versus povidone-iodine before and after urinary catheter insertion.
Patients and Methods: The study was conducted in intensive care, surgery and medical wards of a university hospital. The study assessed a total of 207 adult patients requiring urinary catheterization for bacteriuria. They were screened for eligibility by the supervising physician. 110 patients were excluded from the study. The study sample included a total of 97 patients. The only difference among the three groups was that sterile, tap water and povidone-iodine were used to clean the periurethral area. A urine specimen was collected immediately before and 72 hours after catheter insertion.
Results: The povidone-iodine group patients had a mean age of 67.9±12 years, the mean of the sterile group patients was 66.3±14 years, and the mean of the tap water group patients was 63.5±12 years. The Chi-Square test revealed no inter-group difference for age groups (P=0.483). Urinary tract infections occurred in 18% of the total sample. The percentage of infection for povidone-iodine, sterile water and tap water groups was 22.2%, 38.9%, and 38.9% respectively.
Conclusion: There were no significant differences in the rate of bacteriuria or urinary tract infections in the sterile water, tap water and povidone-iodine groups.  Traditionally, povidone-iodine solutions have been used to clean the periurethral area is probably not useful than water solutions.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

https://doi.org/10.5799/jcei.333382

J Clin Exp Invest, 2017 - Volume 8 Issue 2, pp. 54-60

Publication date: 30 Jun 2017

Article Views: 1089

Article Downloads: 392

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