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Catheter-associated urinary tract infection: an overview

  • Rajesh Venkataraman ORCID logo and Umesh Yadav ORCID logo EMAIL logo
Published/Copyright: August 29, 2022

Abstract

CAUTIs (catheter-associated urinary tract infections) continue to be one of the most common health-care-related illnesses in the entire globe. CAUTIs are the cause of 40% of all hospital-acquired infections and 80% of all nosocomial urinary tract infections (UTIs). A urine catheter is implanted into a high percentage of inpatients at some point during their hospitalization, and indwelling urinary catheter adoption likely to be on the rise. Urinary catheters, made of plastic materials, inhibit the urinary tract’s natural defence mechanisms and enhance the bacterial colonization or biofilm formation on the catheter surface, which may cause CAUTIs. It is associated with increased burden of disease, mortality, hospital bills and length of hospital stay. Therefore, to prevent these infections, technological innovations in catheter materials that limit biofilm formation will be required. Unfortunately, many health-care practitioners are unclear of the precise indications for bladder catheterization and accurate CAUTI criteria, which can lead to unnecessary catheterization, antibiotic overuse for asymptomatic bacteriuria and the spread of resistant organisms. As a result, we discuss CAUTIs in general, including definitions, pathophysiology, causation, indications for catheterization and a variety of effective CAUTI-fighting strategies.


Corresponding author: Dr. Umesh Yadav, Department of Pharmacy Practice, Sri Adichunchanagiri College of Pharmacy, BG Nagara , Karnataka, 517448, India, Phone: +917411469443, E-mail:

Acknowledgments

We would like to express our gratitude to Dr. Ravi Kurikempannadoddi Shivalingegowda, Department of Otorhinolaryngology and Head & Neck Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, India, and Dr. Yogendra Shrestha, Department of Pharmacy Practice, Sri Adichunchanagiri College of Pharmacy, Adichunchanagiri University, B G Nagara, India, for their supervision, reviewing and sharing their pearls of wisdom with us during the course of preparation of this review article.

  1. Research funding: None declared.

  2. Author contributions: RV & RKS = Supervision, Visualization, Reviewing and editing. UY & YS = Conceptualization, Data curation, Writing original draft.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: Not applicable.

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Received: 2022-06-06
Accepted: 2022-07-03
Published Online: 2022-08-29

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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