OBJECTIVE: To determine whether intravesicular pressure monitoring using a closed system increases the risk of nosocomial urinary tract infection. DESIGN: Retrospective chart and database review. SETTING: Surgical/trauma intensive care units of a regional level-I trauma center. PATIENTS: 3108 critically ill patients of which 122 patients underwent intravesicular pressure monitoring. INTERVENTIONS: Severity-adjusted urinary tract infection rates were compared among patients with and without intravesicular pressure monitoring. MEASUREMENTS AND RESULTS: Over a 24-month period, 122 consecutive patients had 2202 intravesicular pressure measurements performed. During 1448 urinary catheter days, 15 patients who required intravesicular pressure monitoring developed a urinary tract infection with a severity-adjusted device-related infection rate of 7.9 infections per 1000 catheter days. Of the 2986 patients who did not require such monitoring, 98 patients developed a urinary tract infection with an infection rate of 6.5 infections per 1000 catheter days (p=0.56). CONCLUSIONS: Intravesicular pressure monitoring using the closed transducer technique is safe and does not increase the risk of urinary tract infection.
OBJECTIVE: To determine whether intravesicular pressure monitoring using a closed system increases the risk of nosocomial urinary tract infection. DESIGN: Retrospective chart and database review. SETTING: Surgical/trauma intensive care units of a regional level-I trauma center. PATIENTS: 3108 critically ill patients of which 122 patients underwent intravesicular pressure monitoring. INTERVENTIONS: Severity-adjusted urinary tract infection rates were compared among patients with and without intravesicular pressure monitoring. MEASUREMENTS AND RESULTS: Over a 24-month period, 122 consecutive patients had 2202 intravesicular pressure measurements performed. During 1448 urinary catheter days, 15 patients who required intravesicular pressure monitoring developed a urinary tract infection with a severity-adjusted device-related infection rate of 7.9 infections per 1000 catheter days. Of the 2986 patients who did not require such monitoring, 98 patients developed a urinary tract infection with an infection rate of 6.5 infections per 1000 catheter days (p=0.56). CONCLUSIONS: Intravesicular pressure monitoring using the closed transducer technique is safe and does not increase the risk of urinary tract infection.
Authors: Manu L N G Malbrain; Davide Chiumello; Paolo Pelosi; David Bihari; Richard Innes; V Marco Ranieri; Monica Del Turco; Alexander Wilmer; Nicola Brienza; Vincenzo Malcangi; Jonathan Cohen; Andre Japiassu; Bart L De Keulenaer; Ronny Daelemans; Luc Jacquet; Pierre-François Laterre; Günther Frank; Paulo de Souza; Bruno Cesana; Luciano Gattinoni Journal: Crit Care Med Date: 2005-02 Impact factor: 7.598
Authors: Nele Desie; Alexandra Willems; Inneke De Laet; Hilde Dits; Niels Van Regenmortel; Karen Schoonheydt; Martine Van De Vyvere; Manu Lng Malbrain Journal: Ann Intensive Care Date: 2012-07-05 Impact factor: 6.925