Display options
Cite
Verma A, Bhani D, Tomar V, et al. Differences in Bacterial Colonization and Biofilm Formation Property of Uropathogens between the Two most Commonly used Indwelling Urinary Catheters. J Clin Diagn Res. 2016;10(6):PC01-3doi: 10.7860/JCDR/2016/20486.7939.
Verma, A., Bhani, D., Tomar, V., Bachhiwal, R., & Yadav, S. (2016). Differences in Bacterial Colonization and Biofilm Formation Property of Uropathogens between the Two most Commonly used Indwelling Urinary Catheters. Journal of clinical and diagnostic research : JCDR, 10(6), PC01-3. https://doi.org/10.7860/JCDR/2016/20486.7939
Verma, Amit, et al. "Differences in Bacterial Colonization and Biofilm Formation Property of Uropathogens between the Two most Commonly used Indwelling Urinary Catheters." Journal of clinical and diagnostic research : JCDR vol. 10,6 (2016): PC01-3. doi: https://doi.org/10.7860/JCDR/2016/20486.7939
Verma A, Bhani D, Tomar V, Bachhiwal R, Yadav S. Differences in Bacterial Colonization and Biofilm Formation Property of Uropathogens between the Two most Commonly used Indwelling Urinary Catheters. J Clin Diagn Res. 2016 Jun;10(6):PC01-3. doi: 10.7860/JCDR/2016/20486.7939. Epub 2016 Jun 01. PMID: 27504341; PMCID: PMC4963701.
Copy Download .nbib Format: NLM
Share it on

J Clin Diagn Res. 2016 Jun;10(6):PC01-3. doi: 10.7860/JCDR/2016/20486.7939. Epub 2016 Jun 01.

Differences in Bacterial Colonization and Biofilm Formation Property of Uropathogens between the Two most Commonly used Indwelling Urinary Catheters.

Journal of clinical and diagnostic research : JCDR

Amit Verma, Deepa Bhani, Vinay Tomar, Rekha Bachhiwal, Shersingh Yadav

Affiliations

  1. Resident, Department of Urology, SMS Medical College , Jaipur, Rajasthan, India .
  2. Resident, Department of Microbiology, SMS Medical College , Jaipur, Rajasthan, India .
  3. Professor and Head, Department of Urology, SMS Medical College , Jaipur, Rajasthan, India .
  4. Professor, Department of Microbiology, SMS Medical College , Jaipur, Rajasthan, India .
  5. Professor, Department of Urology, SMS Medical College , Jaipur, Rajasthan, India .

PMID: 27504341 PMCID: PMC4963701 DOI: 10.7860/JCDR/2016/20486.7939

Abstract

INTRODUCTION: Catheter Associated Urinary Tract Infections (CAUTI) are one of the most common cause of nosocomial infections. Many bacterial species show biofilm production, which provides survival benefit to them by providing protection from environmental stresses and causing decreased susceptibility to antimicrobial agents. Two most common types of catheters used in our setup are pure silicone catheter and silicone coated latex catheter. The advantage of pure silicone catheter for long term catheterization is well established. But there is still a controversy about any advantage of the silicone catheter regarding bacterial colonization rates and their biofilm production property.

AIMS: The aim of our study was to compare the bacterial colonization and the biofilm formation property of the colonizing bacteria in patients with indwelling pure silicone and silicone coated latex catheters.

MATERIALS AND METHODS: This prospective observational study was conducted in the Urology Department of our institute. Patients who needed catheterization for more than 5 days during the period July 2015 to January 2016 and had sterile precatheterisation urine were included in the study. Patients were grouped into 2 groups of 50 patients each, Group A with the pure silicone catheter and Group B with the silicone coated latex catheter. Urine culture was done on the 6(th) day of indwelling urinary catheter drainage. If growth was detected, then that bacterium was tested for biofilm production property by tissue culture plate method.

STATISTICAL ANALYSIS: Statistical analyses were performed using the Statistical Package for the Social Science Version 22 (SPSS-22).

RESULTS: After 5 days of indwelling catheterization, the pure silicone catheter had significantly less bacterial colonization than the silicone coated latex catheter (p-value=0.03) and the biofilm forming property of colonizing bacteria was also significantly less in the pure silicone catheter as compared to the silicone coated latex catheter (p-value=0.02). There were no significant differences in the colonizing bacteria in the 2 groups. In both the groups the most common bacteria were Escherichia coli.

CONCLUSION: The pure silicone catheter is advantageous over the silicone coated latex catheter in terms of incidence of bacterial colonization as well as the biofilm formation and hence in the management of CAUTI.

Keywords: Catheter Associated Urinary Tract Infections; Pure silicone catheter; Silicone coated latex catheter

References

  1. Med Eng Phys. 2005 Jul;27(6):443-53 - PubMed
  2. J Endourol. 2000 Feb;14(1):5-8 - PubMed
  3. Curr Microbiol. 1996 Jul;33(1):1-5 - PubMed
  4. Br J Urol. 1997 Jul;80(1):58-63 - PubMed
  5. J Clin Microbiol. 2014 Mar;52(3):871-6 - PubMed
  6. J Intern Med. 2014 Aug;276(2):120-9 - PubMed
  7. Braz J Infect Dis. 2011 Jul-Aug;15(4):305-11 - PubMed
  8. Int J Antimicrob Agents. 2001 Apr;17(4):311-6 - PubMed
  9. Ann Intern Med. 2002 Jul 16;137(2):125-7 - PubMed
  10. Australas Med J. 2012;5(7):344-8 - PubMed
  11. Urologia. 2014 Oct-Dec;81(4):222-7 - PubMed
  12. Br J Nurs. 1997 Nov 27-Dec 10;6(21):1229-32, 1234, 1251-2 - PubMed
  13. J Endourol. 1998 Dec;12(6):493-500 - PubMed
  14. J Mater Sci Mater Med. 2006 Dec;17(12):1421-31 - PubMed
  15. BJU Int. 2002 Jan;89(1):55-60 - PubMed
  16. Indian J Med Microbiol. 2006 Jan;24(1):25-9 - PubMed
  17. J Urol. 2007 Jan;177(1):365-8 - PubMed
  18. Pathog Glob Health. 2015 Feb;109(1):26-9 - PubMed
  19. Expert Rev Med Devices. 2007 Mar;4(2):215-25 - PubMed

Publication Types