title: What we don't know may hurt us: urinary drainage system tubing coils and CA-UTIs-A prospective quality study.
abstract: Catheter-associated urinary tract infections account for >30% of infections in acute care hospitals. We hypothesized that coiling of/kinks in the indwelling urinary bladder catheter (IUBC) drainage bag tubing would increase the occurrence of infection/bacteriuria. Ninety-one patient events were evaluated over 60 days. All outcome variables trended with greater frequency among those with a coil in the IUBC tubing; only fever (temperature > 38.1°C) correlated significantly between groups (P = .003). If IUBC is unavoidable, strategies such as keeping collection bag below the level of bladder and avoiding any coiling in the drainage system should be employed. Further study of these phenomena is needed.
authors.affiliation: Department of Critical Care Medicine, The Geisinger Health System, Danville, PA; Department of Medicine, Marmara University Teaching and Research Hospital, Istanbul, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Kubilay
authors.forename: Lennox K
authors.initials: LK
authors.lastname: Archibald
authors.forename: H Lester
authors.initials: HL
authors.lastname: Kirchner
authors.forename: A Joseph
authors.initials: AJ
authors.lastname: Layon
mesh_terms: D000328:Adult; D055499:Catheter-Related Infections / Q000453:epidemiology* / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011446:Prospective Studies; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000517:prevention & control*
keywords: Catheter-associated urinary tract infection; Coiled tubing; Fever; Indwelling urinary bladder catheter; Infection