COMPARATIVE EVALUATION OF THE EFFICACY OF UNCOATED AND COATED WITH SILVER SILICONE URETHRAL CATHETERS FOR PREVENTION OF URINARY TRACT INFECTIONS AMONG PATIENTS OF THE INTENSIVE CARE UNIT


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详细

The goal of the research is to compare and evaluate the efficiency of using silver - coated silicone urinary catheters and catheters without coating for prevention urinary tract infections. Materials and methods. The study included 57 adult patients of intensive care unit, which have silicone bladder catheters «Foley» without coating, and 57 patients were catheterized using catheters coated with silver. We revealed symptomatic and asymptomatic urinary tract infections in our research. Results. During the 14-day bladder catheterization period the preventive effect of urethral silicone catheters coated with silver for prevention of manifest and subclinical urinary tract infections was determined.

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作者简介

V. Sergevnin

Email: viktor-sergevnin@mail.ru
«Perm State Medical University named after Academician E.A. Wagner» Ministry of Health of the Russian Federation

N. Klyuchareva

Email: klnat2014@mail.ru
«State Hospital named after Academician E.A. Wagner» Perm Region, Berezniki

D. Antipin

«State Hospital named after Academician E.A. Wagner» Perm Region, Berezniki

E. Laricheva

«State Hospital named after Academician E.A. Wagner» Perm Region, Berezniki

参考

  1. Rickard R., Lam T., Maclennan G. et al. Types of urethral catheter for reducing symptomatic urinary tract infections in hospitalised adults requiring short-term catheterisation: multicentre randomised controlled trial and economic evaluation of antimicrobial- and antiseptic-impregnated urethral catheters (the CATHETER trial). Health Technology Asstssment. 2012; 16(47): 1-197. DOI: 10.3310/ hta16470.
  2. Schumm K., Lam I.B.L. Types of urethral catheters for managemen: of shon-temi voiding problems in hospitalized adults: a short version Cochrane review. Neurourology and Urodynamics. 2008, 27(8): 738-746. doi: 10.1002/nau.20645.
  3. Srinivasan A., Karchmer T., Richards A., Song X., Perl T.M. A prospective trial of a novel, silicone-based, silver-coated foley catheter for the prevention of nosocomial urinary tract infections. Infection Control Hospital Epidemiology. 2006;27(1):38-43. DOI: http://dx.doi.org/10.1086/499998
  4. Gvasalia B.R., Kochetov A.G. Comparative analysis of usingsilvering silicone urinary catheters and the catheterswithout silverfor prevention nosocomial infections of urinary tract. Andrology and Genital Surgery. 2011;4:50-53. Russian (Гвасалия Б.Р., Кочетов А.Г. Сравнительный анализ применения силиконовых уретральных катетеров с серебряным покрытием и без в профилактике нозокомиальных инфекций мочевыводящих путей. Андрология и генитальная хирургия. 2011;4:50-53).
  5. Sergevnin V.I., Klyuchareva N.M. The manifestations and risk factors of the epidemic process of catheter-related urinary tract infections among intensive care unit patients and epidemiological safety of urinary catheterization. Epidemiology and Infectious Diseases. 2015;5:37-41. Russian (Сергевнин В.И., Ключарева Н.М. Проявления и факторы риска эпидемического процесса катетер-ассоциированных инфекций мочевыводящих путей у пациентов реанимационного отделения и эпидемиологически безопасный порядок катнетеризации мочевого пузыря. Эпидемиология и инфекционные болезни. 2015; 5: 37-41).
  6. European Centre for Disease Prevention and Control. Point prevalence survey of healthcareassociated infections and antimicrobial use in European acute care hospitals - protocol version 4.3. Stockholm: ECDC; 2012.
  7. Kowalczuk D., Ginalska G., Piersiak T., Miazga-Karska M. Prevention of biofilm formation on urinary catheters: comparison of the sparfloxacin-treated long-term antimicrobial catheters with silver-coated ones. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2012;100(7):1874-1882. DOI: 10.1002/ jbm.b.32755.
  8. Sergevnin V.I., Klyuchareva N.M., Volkova E.O., Reshetnikova N.I. The survivability of Pseudomonas aeruginosa on the surface of silvering silicone urinary catheters and the catheters without silver. PublicHealthandLiveEnvironment. 2014; 10:41-42. Russian (Сергевнин В.И., Ключарева Н.М., Волкова Э.О., Решетникова Н.И. Выживаемость Pseudomonas aeruginosa на поверхности силиконовых уретральных катетеров без покрытия и покрытых серебром. Здоровье населения и среда обитания. 2014; 10:41-42).

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