Evaluation of Urinary Tract Infection in Patients Treated with Clean Intermittent Catheterization

Abstract

  Urinary tract infection (UTI) and antibiotic administration were studied in 53 patients with urinary disturbance treated by clean intermittent catheterization (CIC). Further, the current method of CIC was investigated in a questionnaire, and their urine and antiseptic cotton by tested culture. The rate of UTI was 76%. Statistical studies revealed that age, daily number of CICs, and interval of change of the storage liquid of the catheter were significant risk factors for UTI. Bacterial strains were isolated from the antiseptic cotton in 17 of 37 cultures. In two of these 17 patients, bacterial strains from the cotton agreed with strains from the urine. Antibiotics were administered in 35 cases, over a long period of more than two weeks in 21 of the 35 cases. Bacterial strains isolated in 14 cases showed resistance to the antibiotics, and which were administered for less than two weeks in 7 of the 14 cases. These results suggest that a suitable method of CIC is important for preventing UTI, and will reduce administration of antibiotics and prevent development of antibiotic-resistant bacteria.