巴德克斯IC福勒导尿管的临床应用。

Clinical application of the Bardex IC Foley catheter.

作者信息

Verleyen P, De Ridder D, Van Poppel H, Baert L

机构信息

Service of Urology, University Hospitals Leuven, Belgium.

出版信息

Eur Urol. 1999 Sep;36(3):240-6. doi: 10.1159/000068005.

DOI:10.1159/000068005

PMID:10450010

Abstract

OBJECTIVES

We performed two randomized prospective studies with the silver-coated Bardex IC catheter in order to evaluate the incidence of bacteriuria during short- and medium-term catheterization after urological procedures.

METHODS

During catheterization only consecutive suprapubic urine samples were taken and cultured. After removal of the catheter the patient was allowed one wash-out void, and before the second micturition a suprapubic puncture was performed to collect a culture specimen.

RESULTS

In the first trial, after radical prostatectomy 18 patients with the Bardex IC catheter were compared to 17 patients with a silicon catheter after the same procedure. There was no significant difference in bacteriuria after 14 days (50.0 vs. 53.3%). In the second part of the study 180 patients were evaluated 101 with latex and 79 with Bardex IC catheters. The median catheterization time was 5 days. The results show a significant delay in the onset of bacteriuria when a silver alloy catheter is used (p < 0.003). On day 5 only 6.3% had bacteriuria in the Bardex IC group versus 11.9% in the latex group.

CONCLUSION

We conclude that, after urological procedures, short-term catheterization with the Bardex IC catheter is superior to the classical latex catheter.

摘要

目的

我们使用涂银的巴德克斯IC导管进行了两项随机前瞻性研究，以评估泌尿外科手术后短期和中期导尿期间菌尿症的发生率。

方法

导尿期间仅采集连续的耻骨上尿液样本并进行培养。拔除导管后，允许患者进行一次冲洗排尿，在第二次排尿前进行耻骨上穿刺以采集培养标本。

结果

在第一项试验中，将18例接受巴德克斯IC导管的前列腺癌根治术后患者与17例接受相同手术的硅胶导管患者进行比较。14天后菌尿症发生率无显著差异（50.0%对53.3%）。在研究的第二部分，对180例患者进行了评估，其中101例使用乳胶导管，79例使用巴德克斯IC导管。导尿的中位时间为5天。结果显示，使用银合金导管时菌尿症的发作有显著延迟（p<0.003）。在第5天，巴德克斯IC组只有6.3%的患者发生菌尿症，而乳胶组为11.9%。