Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures

A prospective study was organized to assess whether feeding back infection rates to staff performing intermittent catheterization in spinal cord-injured patients would produce a fall in urinary tract infection rates. Over a 12 month period, infection rates for such procedures were reported to unit s...

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Main Authors: Teresa Kirkland, Geoffrey D Taylor
Format: Article
Language:English
Published: Wiley 1992-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1992/409158
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author Teresa Kirkland
Geoffrey D Taylor
author_facet Teresa Kirkland
Geoffrey D Taylor
author_sort Teresa Kirkland
collection DOAJ
description A prospective study was organized to assess whether feeding back infection rates to staff performing intermittent catheterization in spinal cord-injured patients would produce a fall in urinary tract infection rates. Over a 12 month period, infection rates for such procedures were reported to unit staff: reporting was combined with educational programs emphasizing aseptic catheterization techniques and the importance ofhandwashing. Overall infection rates for the 12 month period were 13.3 per 1000 days of intermittent catheterization - unchanged from the preceding six months (15.1 per 1000 days) by retrospective chart review. Likewise, there was no statistically significant downward trend during the prospective phase of the study. A wide variety of infecting organisms were found, of which Klebsiella species (39%), Escherichia coli (18%) and Enterobacter species (17%) were most common: most infections were asymptomatic. Patients with complete cord lesions at or above the sixth thoracic spinal cord segment (T6) had a much higher incidence of infection (73%) than those with incomplete lesions below T6 (33%).
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spelling doaj-art-b02b7eccfbab4602b60c95ea469240192025-02-03T01:04:54ZengWileyCanadian Journal of Infectious Diseases1180-23321992-01-013312913310.1155/1992/409158Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization ProceduresTeresa Kirkland0Geoffrey D Taylor1University of Alberta Hospitals, Edmonton, Alberta, CanadaUniversity of Alberta Hospitals, Edmonton, Alberta, CanadaA prospective study was organized to assess whether feeding back infection rates to staff performing intermittent catheterization in spinal cord-injured patients would produce a fall in urinary tract infection rates. Over a 12 month period, infection rates for such procedures were reported to unit staff: reporting was combined with educational programs emphasizing aseptic catheterization techniques and the importance ofhandwashing. Overall infection rates for the 12 month period were 13.3 per 1000 days of intermittent catheterization - unchanged from the preceding six months (15.1 per 1000 days) by retrospective chart review. Likewise, there was no statistically significant downward trend during the prospective phase of the study. A wide variety of infecting organisms were found, of which Klebsiella species (39%), Escherichia coli (18%) and Enterobacter species (17%) were most common: most infections were asymptomatic. Patients with complete cord lesions at or above the sixth thoracic spinal cord segment (T6) had a much higher incidence of infection (73%) than those with incomplete lesions below T6 (33%).http://dx.doi.org/10.1155/1992/409158
spellingShingle Teresa Kirkland
Geoffrey D Taylor
Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures
Canadian Journal of Infectious Diseases
title Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures
title_full Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures
title_fullStr Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures
title_full_unstemmed Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures
title_short Urinary Tract Infections in Spinal Cord Injury Patients Undergoing Intermittent Catheterization Procedures
title_sort urinary tract infections in spinal cord injury patients undergoing intermittent catheterization procedures
url http://dx.doi.org/10.1155/1992/409158
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