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Intravesicular pressure monitoring does not cause urinary tract infection

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Abstract

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.

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Author information

Authors and Affiliations

  1. Department of Surgical Education, Orlando Regional Medical Center, 86 West Underwood Street, Suite 201, Orlando, Florida, USA

    Michael L. Cheatham

  2. Department of Surgery, Eastern Carolina University School of Medicine, Greenville, North Carolina, USA

    Scott G. Sagraves

  3. R. Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA

    Jeffery L. Johnson

  4. Holmes Regional Medical Center, Daytona Beach, Florida, USA

    Mark W. White

Authors
  1. Michael L. Cheatham
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  2. Scott G. Sagraves
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  3. Jeffery L. Johnson
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  4. Mark W. White
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Corresponding author

Correspondence to Michael L. Cheatham.

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Cheatham, M.L., Sagraves, S.G., Johnson, J.L. et al. Intravesicular pressure monitoring does not cause urinary tract infection. Intensive Care Med 32, 1640–1643 (2006). https://doi.org/10.1007/s00134-006-0350-z

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  • DOI: https://doi.org/10.1007/s00134-006-0350-z

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