Findings show smoking and seven or more days of catheter use independently increase risk<\/p>\n<\/h3>\n
By Lori Solomon HealthDay Reporter<\/b><\/p>\n
<\/b><\/p>\n
TUESDAY, June 6, 2023 (HealthDay News) — Smoking and using a catheter for more than seven days postsurgery significantly increase the risk for catheter-associated urinary tract infections after radical hysterectomies for cervical cancer, according to a study published in the June issue of the American Journal of Obstetrics and Gynecology<\/em>.<\/p>\n Alyssa J. Mercadel, M.D., from University of Texas Southwestern Medical Center in Dallas, and colleagues characterized the rate of and factors associated with catheter-associated urinary tract infections after radical hysterectomy for cervical cancer among 160 patients who had surgery between 2004 to 2020.<\/p>\n The researchers found that 12.5 percent of patients developed catheter-associated urinary tract infections, which were significantly associated with current smoking history (odds ratio [OR], 3.76), minimally invasive surgical approach (OR, 5.24), estimated surgical blood loss >500 mL (OR, 0.18), operative time >300 minutes (OR, 2.92), and increased duration of catheterization (OR, 18.46). Current smoking history and catheterization for more than seven days were independent risk factors for development of catheter-associated urinary tract infections in an adjusted analysis (adjusted ORs, 3.94 and 19.49, respectively).<\/p>\n “Urinary tract dysfunction is one of the most common complications after radical hysterectomy, and prolonged catheterization has previously been defined as a significant risk factor for catheter-associated urinary tract infections,” senior author Jayanthi Lea, M.D., also of the University of Texas Southwestern Medical Center, said in a statement. “This study provides concrete guidance on a practice that was previously undefined.”<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n