PURPOSE: Foley catheters cause a variety of harms, including @entity281 , @entity158 and @entity130 . Although symptomatic @entity293 and asymptomatic @entity793 are frequently discussed, genitourinary @entity130 receives comparatively little attention. MATERIALS AND METHODS: A dedicated Foley catheter nurse prospectively reviewed the medical records of inpatients with a Foley catheter at the Minneapolis Veterans Affairs Medical Center from August 21, 2008 to December 31, 2009. Daily surveillance included Foley catheter related @entity793 and @entity130 . Data were analyzed as the number of event days per 100 Foley catheter days. RESULTS: During 6,513 surveyed Foley catheter days, urinalysis/urine culture was done on 407 (6.3%) days. This testing identified 116 possible @entity293 episodes (1.8% of Foley catheter days), of which only 21 (18%) involved clinical manifestations. However, the remaining 95 asymptomatic @entity793 episodes accounted for 39 (70%) of 56 antimicrobial treated possible @entity293 episodes (for proportion of treated episodes with vs without symptomatic @entity293 manifestations, p = 0.005). Concurrently 100 instances of catheter associated genitourinary @entity130 (1.5% of Foley catheter days) were recorded, of which 32 (32%) led to interventions such as prolonged catheterization or cystoscopy. @entity130 prompting an intervention accounted for as great a proportion of Foley catheter days (0.5%) as did symptomatic @entity293 (0.3%) (p = 0.17). CONCLUSIONS: In this prospective surveillance project, intervention triggering Foley catheter related genitourinary @entity130 was as common as symptomatic @entity293 . Moreover, despite recent increased attention to the distinction between asymptomatic @entity793 and symptomatic @entity293 in catheterized @entity1 , asymptomatic @entity793 accounted for significantly more antimicrobial treatment than did symptomatic @entity293 . Elimination of unnecessary Foley catheter use could prevent symptomatic @entity293 , unnecessary antimicrobial therapy for asymptomatic @entity793 and Foley catheter related @entity130 .

Complications of Foley catheters--is XXXX the greatest risk?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity793 :: ('MESH:D001437', 'Disease') :: ['bacteriuria'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infection'] @entity130 :: ('MESH:D014947', 'Disease') :: ['Trauma', 'trauma']
@entity281 :: (MESH:D007239,Disease) :: ['infection']
