Journal of Medical and Surgical Intensive Care Medicine 2010 , Vol 1, Issue 2
Efficiency of Silver Coated Urinary Catheter in Catheter-Associated Urinary Tract Infection in Critical Care Unit
Turgut Teke 1 , Zuhal Yavuz 2 , Hüseyin Atalay 2 , Emin Maden 2 , Yalçın Solak 2 , Kürşat Uzun 2
1Selçuk Üniversitesi Meram Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Konya, Türkiye
2 Selçuk Üniversitesi Meram Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Konya, Türkiye

Aim: Urinary tract infection (UTI) is the most prevalent cause of nosocomial infections, with an incidence of 40%. The incidence of urosepsis occurs in approximately 16% of the ICU patient populations. The purpose of this study was to determine the efficacy of a silver coated urinary catheter in prevention of catheter-associated UTI. 

Material and Methods: We investigated 21 patients (mean age with 71.4±9.0 year and 14 M, 7 F) foley silicon urinary catheter and 20 patients  (mean age with 67.6±8.7 year and 15 M, 5 F) with silver coated urinary catheter. In all patients, foley urinary catheters were changed with silver coated catheter in critical care unit. 

Results: The most common cause of infection was Klebsiella (33%). The susceptibility of gram negative microorganisms against antimicrobial agents were amicacin, piperacillin-tazobactam and carbapenem. The cost of antibiotic was higher in foley catheter group than silver coated group (p<0.001).

Conclusion: Silver coated urinary catheter is expensive, it is cost effect according to urinary infection and antibiotic cost.

Keywords : Urinary tract infection, silver coated urinary catheter, critical care