The urinary tract is usually sterile, however disturbance of the body’s natural defenses through surgical insertion of catheters introduces bacteria either intraluminally or extraluminally resulting to infection of the urinary tract. It is estimated that one out of four patients receiving hospitalized service has an indwelling urinary catheter for bladder drainage. Contraction of UTI is the most notable complication from these devices. For a long time, Urinary Tract Infections (UTI) has generated a lot of interest in medical practice and research. reported that UTIs are the leading cause of increased health expenditures and form basis for key policy issues.
The expenses are attributed to prolonged hospitalization and expenses due to lengthy diagnostic methods such as bacteria culturing. Among all hospital-acquired infections, UTI accounts for about 40% and increasing costs for health delivery by 25%. Catheter-associated UTIs accounts for over 40% or 1 million cases of all nosocomial infections in nursing homes and hospitals annually, the high incidence of this complication increases the overall cost of medication and untreated cases often leads to fatality. To reduce mortality and morbidity associated with urinary catheter infections, new approaches in prevention and treatment need to be designed. suggested that a more promising initiative is the anti-infective catheters. A review of literature may help us to answer question of whether anti-infective catheters helps in prevention of UTIs.
Literature Review
Use of indwelling catheter for long term is restrictive. However, According to Linda (2008) indwelling catheters have been used in long-term patient management. asserted that over 100,000 facilities in United States use indwelling catheters for long-term, and in UK, 4% of homecare elders are managed by indwelling catheters. Despite its benefits such as convenience use of catheters for long term management is indicated as the last