Catheter-associated urinary tract infections

In patients with indwelling urethral catheters significant bacteriuria develops within 4 weeks of indwelling time in practically 100 % of the cases. Catheter encrustation and obstruction can occur in approximately 40 % of patients. Symptomatic ascending urinary tract infections, urethral complications and urolithiasis can occur in significant numbers in the long term. Regular educational and surveillance programs in nursing homes, hospitals and in home care are important to instruct personnel in hygiene procedures, to learn the indications for catheterization, to keep the indwelling time of catheters as short as possible, to detect any complications early and to initiate appropriate diagnostics and therapy by the urologist.