Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards

I read with great interest the article entitled "Inappropriate use of urinary catheter and its common complication in different hospital wards" by Davoodian et al. Their report is very informative, with some insight into the current trend of usage of indwelling urinary catheters (IUCs). Ho...

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Main Author:	Kamarulzaman, Mohd Nazli
Format:	Article
Language:	English
Published:	Saudi Center for Organ Transplantation 2013
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/29304/ http://irep.iium.edu.my/29304/ http://irep.iium.edu.my/29304/1/Inappropriate_Use_of_Urinary_Catheter.pdf

id	iium-29304
recordtype	eprints
spelling	iium-293042014-07-01T01:20:03Z http://irep.iium.edu.my/29304/ Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards Kamarulzaman, Mohd Nazli R Medicine (General) I read with great interest the article entitled "Inappropriate use of urinary catheter and its common complication in different hospital wards" by Davoodian et al. Their report is very informative, with some insight into the current trend of usage of indwelling urinary catheters (IUCs). However, their classification of urinary tract infection (UTI) is not precise. [1] The authors did not elaborate which classification of UTI they have used. Moreover, they also did not identify whether the patient had symptomatic UTI or asymptomatic UTI. In other studies, this definition of UTI was clearly stated in the methodology, and thus the end result of the study was able to determine whether the patients had symptomatic UTI or only bacteriuria. In an earlier study, Leone et al found that majority of the patients were asymptomatic and only 7.7% (15/194) of the patients developed symptomatic UTI. [2] Besides that, this study has not specified the gender of the patients included in the analysis. As documented in the literature, the risk of UTI in males and females was different due to anatomical variety, which was similar in patients with IUCs. This finding was noted by Leone et al and Tambyah et al in their previous studies. [2],[3] They found that the male to female ratio of UTI was 11% vs. 22% (P <0.01) and 8.9% vs. 23.2% (P <0.01), respectively. [2],[3] Not considering the gender of the patients might have led to a high rate of UTI in this study (44.2%) in comparison with the previous two studies by Tambyah et al and Leone et al, which were 14.9% and 12.0%, respectively. I do agree that the rate of inappropriate use of IUCs is high in most health-centers around the world. The use of local intervention strategies including education and information to the health-care personnel has been shown to reduce this rate significantly. This has been shown by van den Broek et al in their study involving 10 medical centers in the Netherlands, which revealed that the rate of inappropriate usage of IUCs reduced from 36 to 24%. Saudi Center for Organ Transplantation 2013 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29304/1/Inappropriate_Use_of_Urinary_Catheter.pdf Kamarulzaman, Mohd Nazli (2013) Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards. Saudi Journal of Kidney Diseases and Transplantation, 24 (2). pp. 382-383. ISSN 1319-2442 http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=2;spage=382;epage=383;aulast=Kamarulzaman
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Kamarulzaman, Mohd Nazli Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards
description	I read with great interest the article entitled "Inappropriate use of urinary catheter and its common complication in different hospital wards" by Davoodian et al. Their report is very informative, with some insight into the current trend of usage of indwelling urinary catheters (IUCs). However, their classification of urinary tract infection (UTI) is not precise. [1] The authors did not elaborate which classification of UTI they have used. Moreover, they also did not identify whether the patient had symptomatic UTI or asymptomatic UTI. In other studies, this definition of UTI was clearly stated in the methodology, and thus the end result of the study was able to determine whether the patients had symptomatic UTI or only bacteriuria. In an earlier study, Leone et al found that majority of the patients were asymptomatic and only 7.7% (15/194) of the patients developed symptomatic UTI. [2] Besides that, this study has not specified the gender of the patients included in the analysis. As documented in the literature, the risk of UTI in males and females was different due to anatomical variety, which was similar in patients with IUCs. This finding was noted by Leone et al and Tambyah et al in their previous studies. [2],[3] They found that the male to female ratio of UTI was 11% vs. 22% (P <0.01) and 8.9% vs. 23.2% (P <0.01), respectively. [2],[3] Not considering the gender of the patients might have led to a high rate of UTI in this study (44.2%) in comparison with the previous two studies by Tambyah et al and Leone et al, which were 14.9% and 12.0%, respectively. I do agree that the rate of inappropriate use of IUCs is high in most health-centers around the world. The use of local intervention strategies including education and information to the health-care personnel has been shown to reduce this rate significantly. This has been shown by van den Broek et al in their study involving 10 medical centers in the Netherlands, which revealed that the rate of inappropriate usage of IUCs reduced from 36 to 24%.
format	Article
author	Kamarulzaman, Mohd Nazli
author_facet	Kamarulzaman, Mohd Nazli
author_sort	Kamarulzaman, Mohd Nazli
title	Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards
title_short	Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards
title_full	Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards
title_fullStr	Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards
title_full_unstemmed	Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards
title_sort	letter to the editor: inappropriate use of urinary catheter and its common complications in different hospital wards
publisher	Saudi Center for Organ Transplantation
publishDate	2013
url	http://irep.iium.edu.my/29304/ http://irep.iium.edu.my/29304/ http://irep.iium.edu.my/29304/1/Inappropriate_Use_of_Urinary_Catheter.pdf
first_indexed	2023-09-18T20:43:00Z
last_indexed	2023-09-18T20:43:00Z
_version_	1777409490138693632

Letter to the editor: Inappropriate use of urinary catheter and its common complications in different hospital wards

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