Catheter-associated infections in urology: possible use of silver-impregnated catheters and the Erlanger silver catheter.

Abstract:

:Indwelling urinary catheters play a very important part in urology. However, their use is accompanied by a considerable increase in the risk of nosocomial urinary tract infections. The pathophysiological cause is ascribed to pathogens that adhere to the catheter surface, proliferate and produce a biofilm. In addition to aseptic techniques, modification of the catheter material to confer antimicrobial activity plays an essential part in the prevention of catheter-related urinary tract infections. The antimicrobial efficacy of silver against gram-positive and gram-negative bacteria is well known and amply shown in vitro. The efficacy of silver-impregnated catheters is critically dependent on both the chemical structure of the incorporated silver and the way the silver has been combined with the basic catheter material. Hence, clinical studies on silver-modified catheters have so far given inconsistent results. The new technology of the Erlanger silver catheter offers the opportunity of an effective reduction in catheter-related infections.

journal_name

Infection

journal_title

Infection

authors

Rösch W,Lugauer S

doi

10.1007/BF02561624

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

S74-7

eissn

0300-8126

issn

1439-0973

journal_volume

27 Suppl 1

pub_type

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