Suprapubic catheter placement improves antimicrobial stewardship among Veterans Affairs nursing care facility residents.

In a Veterans Affairs nursing facility, suprapubic catheters were associated with significantly fewer urinary tract infections (catheter-associated urinary tract infection) than were indwelling urinary catheters (mean: 0. 95 vs 4.5/1,000 device-days, P = .05) among 18 patients with a history of both catheter types. Suprapubic catheters were associated with significantly shorter antibiotic treatment courses for catheter-associated urinary tract infection or asymptomatic bacteriuria (mean: 28.3 vs 88.8 days, P = .02).

American journal of infection control. 2020 Feb 13 [Epub ahead of print]

Deanna J Buehrle, Cornelius J Clancy, Brooke K Decker

Division of Infectious Diseases, Department of Medicine, VA Pittsburgh Healthcare System, Pittsburgh, PA. Electronic address: ., Division of Infectious Diseases, Department of Medicine, VA Pittsburgh Healthcare System, Pittsburgh, PA; Department of Medicine, University of Pittsburgh, Pittsburgh, PA., Division of Infectious Diseases, Department of Medicine, VA Pittsburgh Healthcare System, Pittsburgh, PA.