Effects of the use of silver-coated urinary catheters on the incidence of catheter-associated bacteriuria and urinary tract infection in dogs
| Autor: | Brigitte A. Brisson, Ameet Singh, Adam T. Ogilvie, Shannon H Wainberg, J. Scott Weese, William R. Gow |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Silver 040301 veterinary sciences Urinary system Foley catheter Urology Bacteriuria Urine Urinary Catheters 0403 veterinary science Random Allocation 03 medical and health sciences Dogs 0302 clinical medicine medicine Animals Dog Diseases 030212 general & internal medicine Prospective cohort study Catheter insertion Urinary bladder General Veterinary business.industry Bacterial Infections 04 agricultural and veterinary sciences medicine.disease Catheter medicine.anatomical_structure Catheter-Related Infections Urinary Tract Infections Female business |
| Zdroj: | Journal of the American Veterinary Medical Association. 253:1289-1293 |
| ISSN: | 0003-1488 |
| DOI: | 10.2460/javma.253.10.1289 |
| Popis: | OBJECTIVE To determine the effects of silver-coated versus standard silicone urinary catheters on the incidence of catheter-associated bacteriuria (CAB) and catheter-associated urinary tract infection (CAUTI) in dogs. DESIGN Randomized controlled clinical trial. ANIMALS 36 dogs requiring urinary bladder catheterization for ≥ 24 hours. PROCEDURES Dogs were randomly assigned to receive a silver-coated or non–silver-coated (control) silicone Foley catheter. Urine samples for cytologic examination and bacterial culture were collected at the time of catheter insertion and daily until catheters were removed (≥ 24 hours to 7 days later). Results were compared between groups. RESULTS No significant differences were identified between catheter groups in the incidence of CAB or CAUTI. Although the median time to development of cytologically detected bacteriuria, culture-detected bacteriuria, and CAUTI did not differ significantly between groups, median time to CAB development (either method) was significantly longer for dogs that received a control catheter rather than a silver-coated catheter. For both types of catheters combined, older age was a significant predictor of culture-detected bacteriuria, and longer duration of catheterization was a significant predictor of culture-detected bacteriuria and overall CAB. CONCLUSIONS AND CLINICAL RELEVANCE Silver-coated urinary catheters provided no clinical benefit over standard urinary catheters for the dogs of this study and were associated with earlier development of CAB but not CAUTI. A larger prospective study is required to definitively determine whether the use of silver-coated urinary catheters should or should not be considered to reduce the risk of CAB or CAUTI in dogs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|