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The effect of bladder catheterization technique on postoperative urinary tract infections after primary total hip arthroplasty

Journal of Arthroplasty Feb 26, 2020

Garbarino LJ, Gold PA, Anis H, et al. - This study was carried out to ascertain whether intermittent catheterization provides a decreased risk of postoperative urinary tract infections (UTIs) compared with indwelling catheterization in total hip arthroplasty (THA) individuals. Researchers prospectively collected individuals undergoing THA at 15 hospitals within a large health system between 2017 and 2019 and then stratified based on catheterization technique: no-catheter; indwelling catheter–only; intermittent catheter–only; and both intermittent and indwelling catheter. This study included a total of 580 patients who underwent postoperative UTI. It was reported that individuals treated with indwelling catheterization, with or without preceding intermittent catheterization, were significantly more likely to experience UTIs. Hence, in an effort to reduce the risk of UTIs, THA individuals undergoing postoperative urinary retention should be treated with intermittent catheterization.
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