Clinical application of the Bardex IC Foley catheter.
OBJECTIVE
We performed two randomized prospective studies with the silver-coated Bardex IC catheter in order to evaluate the incidence of bacteriuria during short- and medium-term catheterization after urological procedures.


METHODS
During catheterization only consecutive suprapubic urine samples were taken and cultured. After removal of the catheter the patient was allowed one wash-out void, and before the second micturition a suprapubic puncture was performed to collect a culture specimen.


RESULTS
In the first trial, after radical prostatectomy 18 patients with the Bardex IC catheter were compared to 17 patients with a silicon catheter after the same procedure. There was no significant difference in bacteriuria after 14 days (50.0 vs. 53.3%). In the second part of the study 180 patients were evaluated 101 with latex and 79 with Bardex IC catheters. The median catheterization time was 5 days. The results show a significant delay in the onset of bacteriuria when a silver alloy catheter is used (p < 0.003). On day 5 only 6.3% had bacteriuria in the Bardex IC group versus 11.9% in the latex group.


CONCLUSIONS
We conclude that, after urological procedures, short-term catheterization with the Bardex IC catheter is superior to the classical latex catheter.
Verleyen
P
P
Service of Urology, University Hospitals Leuven, Belgium.
De Ridder
D
D
Van Poppel
H
H
Baert
L
L
D000328:Adult; D000368:Aged; D001437:Bacteriuria / Q000453:epidemiology / Q000209:etiology*; D020099:Coated Materials, Biocompatible; D004869:Equipment Safety; D005260:Female; D006801:Humans; D015994:Incidence; D007840:Latex; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012016:Reference Values; D012307:Risk Factors; D012834:Silver; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D014570:Urologic Diseases / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods
D020099:Coated Materials, Biocompatible; D007840:Latex; D012834:Silver