Journal of Medical and Surgical Intensive Care Medicine 2010 , Vol 1 , Issue 2
Efficiency of Silver Coated Urinary Catheter in Catheter-Associated Urinary Tract Infection in Critical Care Unit
Turgut Teke1, Zuhal Yavuz2, Hüseyin Atalay2, Emin Maden2, Yalçın Solak2, Kürşat Uzun2
1Selçuk Üniversitesi Meram Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Konya, Türkiye
2 Selçuk Üniversitesi Meram Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Konya, Türkiye
DOI : 10.5152/dcbybd.2010.04

Summary

Aim: Urinary tract infection (UTI) is the most prevalent cause of nosocomial infections, with an incidence of 40%. The incidence of urosepsis occurs in approximately 16% of the ICU patient populations. The purpose of this study was to determine the efficacy of a silver coated urinary catheter in prevention of catheter-associated UTI. 

Material and Methods: We investigated 21 patients (mean age with 71.4±9.0 year and 14 M, 7 F) foley silicon urinary catheter and 20 patients  (mean age with 67.6±8.7 year and 15 M, 5 F) with silver coated urinary catheter. In all patients, foley urinary catheters were changed with silver coated catheter in critical care unit. 

Results: The most common cause of infection was Klebsiella (33%). The susceptibility of gram negative microorganisms against antimicrobial agents were amicacin, piperacillin-tazobactam and carbapenem. The cost of antibiotic was higher in foley catheter group than silver coated group (p<0.001).

Conclusion: Silver coated urinary catheter is expensive, it is cost effect according to urinary infection and antibiotic cost.