Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
YM Lee (1) Wong SWA (1) Chung YY (1) Cheng YLE (2)
Affiliation :
(1) Continence Nurse Clinic (2) Department of Medical and Geriatrics United Christian Hospital, KEC, HA
Introduction :
Introduction:
Catheter-associated urinary tract infections (CAUTI) are one of the most common healthcare associated infection (HAIs).
These infections are most likely caused by bacteria entering the body during catheter insertion or prolonged urinary
catheter. It can be led to increase morbidity and healthcare costs.
Bactiguard Foley is an indwelling urinary catheter with Bactiguard coating which is proven to significantly reduce
bacteriuria and symptomatic UTI. In UCH continence clinic, Bactiguard Foley was recommended for those patients who
were easy prone to CAUTI causing blockage of Foley catheter.
Objectives :
Objectives:
To review recurrence of UTI and status of frequency of foley blockage before and after using Bactiguard Foley.
Methodology :
Methodology:
Retrospective study to retrieve patients’ data from 1
st Sept 2022 to 1
st Aug 2023. Urine culture result and episode of Foley
blockage also reviewed before and after using Bactiguard Foley
Result & Outcome :
Results:
Total 8 patients with 2 male and 6 female were given Bacitguard Foley with average age is 79.0
The average months of using latex silicon Foley was 6 months. Before using Bactiguard Foley, 7 out of 8 patients (87.5 %)
of patients with positive urine culture results. 5 types of bacteria were found in the culture including E Coli, Candida
species, Klebsiella Pneumoiae complex, Citrobacter Freundil complex and Enterococcus Faecalis.
After using Bactiguard Foley catheter, no recurrence of UTI was noted . 4 types of bacteria were found in culture.
Citrobacter Freundil complex and Enteroccus Faecalis were not found in the culture . One new type of bacteria
Pseudomonas Aeruginosa were exist. No significant difference on blockage of foley occasion was noted. Conclusion:
In conclusion, evidence suggests that Bactiguard Foley catheters may be a promising approach to reduce the risk of
CAUTIs. From the results, Citrobacter Freundil Complex and Enterococcus Faecalis were disappear after using Bactiguard
Foley. Further studies can be explore for patient whenever they found the above bacteria, early change to Bactiguard
Foley can be trial. However, average month for patient using LT foley before applied Bacitguard foley is around 6 months.
Therefore, clinical staff and physician should consider early referral for management of recurrent CAUTI.
