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Short-term urinary catheter usage in endoscopic skull base surgery and impact on urinary tract infection and reconstructive outcomes.
World J Otorhinolaryngol Head Neck Surg
March 2025
Department of Otolaryngology-Head and Neck Surgery University of California, Irvine Orange California USA.
Objectives: Hospital-acquired catheter-associated urinary tract infections (UTIs) have been regarded as preventable adverse events, yet their risk in endoscopic skull base surgery (ESBS) has not been well described despite common use. We determine the incidence of UTI following ESBS and identify contributing clinical factors.
Methods: Retrospective review was conducted for a cohort of 229 consecutive adult patients who underwent endoscopic endonasal surgery for treatment of any skull base pathology between July 2018 and June 2022 at a tertiary academic skull base surgery program.
Incidence, characteristics and influencing factors of medical adhesive-related skin injury in the indwelling urinary catheter attachment region in critically ill patients: A longitudinal study.
Nurs Crit Care
March 2025
School of Nursing Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Background: Medical adhesives are potentially harmful to the skin, depending on the patient's condition, the adhesive agent and the adhesive application and removal technique.
Aim: The objective of the study was to determine the incidence, characteristics and influencing factors of medical adhesive-related skin injury from the indwelling urinary catheter attachment in critically ill patients.
Study Design: This is a longitudinal study.
Scrotal Abscess in a Patient With Chronic Kidney Disease and a Chronic Foley Catheter: A Case Report.
Cureus
February 2025
Internal Medicine, Cape Fear Valley Health, Fayetteville, USA.
Chronic Foley catheter use significantly increases the risk of scrotal abscesses, particularly in patients with comorbidities that impair immune function, such as diabetes and chronic kidney disease (CKD). We report a case of a 56-year-old male with type II diabetes, CKD, and a chronic indwelling Foley catheter who presented with progressive scrotal swelling and pain. Cultures identified and from both urine and abscess fluid, confirming a possible urinary tract infection (UTI) as the source of scrotal abscess.
View Article and Find Full Text PDFPediatric Gram-negative bloodstream infections: epidemiology, antibiotic resistance, clinical outcomes and factors affecting mortality, a single center retrospective study.
J Infect Dev Ctries
February 2025
Bahcesehir University Faculty of Medicine Goztepe Medical Park Hospital, Pediatric Infectious Disease, Istanbul, Turkey.
Introduction: The increasing prevalence of Gram-negative bloodstream infections in pediatric patients poses significant treatment challenges, particularly from multi-drug resistant (MDR) strains. Despite advances in medical care, mortality from bloodstream infections remains a concern. Our study aims to understand pediatric patients` demographics, clinical conditions, and microorganisms causing Gram-negative infections, as well as identify factors affecting treatment outcomes and mortality.
View Article and Find Full Text PDFAutomatic urine cultures from catheter-obtained samples-time to implement a practice change to improve value.
Paediatr Child Health
February 2025
Division of Pediatric Emergency Medicine, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario.
Objectives: Urine cultures are often automatically obtained after urinary catheterization in young children, even in the absence of pyuria, to test for urinary tract infections (UTIs). Although this practice conflicts with some newer guidelines, it is frequently followed in busy emergency departments (EDs) to minimize the need for a repeat invasive procedure. To assess the implications of this longstanding practice, we aimed to describe the frequency and characteristics of children with normal urinalysis (UA) and positive urine culture obtained via catheterization, and to describe their clinical course.
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