COMPARISON OF POSITIVE BACTERIAL CULTURE RATE FROM URINE SPECIMEN AND CATHETER SWAB IN INDWELLING CATHETER PATIENTS
Objective: The study aims to study the difference between urinary culture before and after indwelling catheter insertion and also the difference in positive bacterial culture rate between urine and catheter swab at the 7th and 14th days. Material & method: The subject of this study were patients who used indwelling catheters in urology outpatient department. The sample was allocated into two groups of 10 patients each, 7 and 14 days group. Sterile urinary culture was initially checked before catheter insertion. After 7 and 14 days of catheterisation respectively, urine and intraluminal catheter swab were performed upon removal. All samples were examined in Microbiology Department using McConkey and Nutrient agar (Mayo technique – T/T33). After 24 hours incubation, bacterial colonies were identified. Results: All urinary cultures obtained before the study were sterile, after 7 days catheter insertion two cultures (20%) remained negative and the remainder (80%) became positive. McNemar test result was 0,008 (p<0,05). In 14 days group after catheter insertion only one (10%) remained negative while 9 others were positive for bacteria. Mcnemar test shows 0,004 (p<0,05). The urinary and catheter swab culture is not significantly different in 7 days of indwelling catheterization patients (0,500; p>0,05) and also in 14 days patients (1,000, p>0,005). While the catheter swab culture is significantly positive after administering the urinary catheter in 7 and 14 days of catheterization (0,002; p<0,05). Conclusion: There was significant difference in urinary culture positive rate before and after catheter insertion in 7th and 14th day. Bacteriuria rose sharply after urinary catheter insertion despite aseptic procedure. There was no difference in culture positive rate between urine and catheter swab at 7th day as well as 14th day.
Schaeffer AJ, Schaeffer EM. Infection of the urinary tract. In: Campbell-Walsh Urology, 9th ed. Toronto: WB Saunders; 2007. p. 223-303.
Burke JP, Zavasky D. Nasocomial urinary tract infections. Hospital epidemiology and infection control. 2nd ed. Mayhall CG ed. Philadelphia: Lippincott, Williams & Wilkins; 1999. p. 173-87.
Asher EF, Oliver BG, Fry DE. Urinary tract infections in the surgical patient. Am Surg 1986; 54 (7): 466-9.
Tietjen L, Bossemeyer D, McIntosh N. Panduan pencegahan infeksi untuk fasilitas pelayanan kesehatan dengan sumber daya terbatas. Yayasan Bina Pusaka Sarwono Prawirohardjo, Jakarta; 2004. p. 22.1-22.10.
Saint S, Lipsky BA. Preventing catheter related bacteriuria. Arch Intern Med 1999; 159: 800-8.
Pranawa, Yogiantoro M, Irwanadi C, Santoso J, Mardiana N, Thaha M, et al. Infeksi saluran kemih, dalam Ilmu Penyakit Dalam, editor Askandar Tjokroprawiro. Airlangga University Press; 2007. p. 230-3.
Lubis HR, Pinem M, Silalahi. Infeksi saluran kemih pasca kateterisasi. Dalam Cermin Dunia Kedokteran. 1982; 28: 64-6.
Domingo KB, Mendoza MT, Torres TT. Catheter related urinary tract infections: Incidence, risk factors and microbiologic profile. Phil Journal Microbiol Infect Dis 1999; 28 (4): 133-8.
Sedor J, Mulholland SG. Hospital acguired urinary tract infections associated with the indwelling catheters. Urol Clin North Am 1999; 26: 821-8.
Haley RW, Hooton TM, Culver DH. Nosocomial infections in US. Hospitals, 1975-1976: Estimated Frequency By Selected Characteristics Of Patients. Am J Med 1981; 70: 947-59.
Hartstein AI, Garber SB, Ward TT. Nosocomial urinary tract infection: A prospective evaluation of 108 catheterized patients. Infections Control 1981; 2: 380-6.
Kunin CM, Chin QF, Chambers S. Morbidity and mortality associated with indwelling urinary catheters in erderly patient in nursing home: Confounding due to the presence of associated disease. J Am Geriatric Soc 1987; 35: 1001-6.
Standar Prosedur Keperawatan. Prosedur kateterisasi dan perawatan kateter. Bidang Keperawatan Rumah Sakit Umum Dr. Soetomo Surabaya; 2004. p. 22-4.
Kath B. Catheterization and urinary infection. In: Infection Control Science Management and Practice, ed. Janet McCulloch. Infection Control Nurse Specialist. London, Philadelphia: Whurr Publishers; 2000. p. 242-61.
Hardjowijoto S. Kateterisasi peruretra dan sistostomi perkutan. Dalam Pedoman Keterampilan Medik. Fakultas Kedokteran Universitas Airlangga Surabaya; 2007. p. 31-41.
Damani NN. Prevention of infections associated with urinary catheterization. In: Manual of Infection Control Procedures. 2nd ed. Cambridge University Press; 2004. p. 273-82.
Kusumaningrum D, Bagus DW, Harsono S. Media mikrobiologi klinik RSU Dr. Soetomo Surabaya. Edisi Mei. Fakultas Kedokteran Airlangga Surabaya; 2008. p. 4-6.
Mikolich DJ, Zinner SH. Complicated urinary tract infection. In: Schrier RW, ed. Disease of the Kidney and Urinary Tract. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 881-91.
Matsukawa M, Kunishima Y, Takashi S, Takeyama K, Tsukamoto T. Bacterial colonization on intraluminal surface of urethral catheter. The Journal of Urology 2005; 65: 440-4.
Riedl CR, Plas E, Hubner WA. Bacterial colonization of ureteral stent. European Urology 1999; 36: 53–9.
Hull R, Rudy D, Donovan W. Urinary tract infection prophylaxis using escherichia coli in spinal cord injured patients. J Urol 2000; 163: 872-7.
Presti JC. Neoplasma of the prostat gland. In: Smith General Urology. Tanagho EA, McAninch JW ed. 15th ed. International edition. McGraw Hill; 2000. p. 399-417.
Daifuku R, Stamm WE. Association of rectal and urethral colonization with urinary tract infection in patients with indwelling catheters. JAMA 1984; 252: 2028-30.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.