{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:07:15Z","timestamp":1772251635439,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T00:00:00Z","timestamp":1533859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Rabin Medical Centre Research Authority-The \u201cyoung physician\u201d"},{"DOI":"10.13039\/501100001738","name":"Israeli Ministry of Science, Technology and Space","doi-asserted-by":"crossref","award":["3-12075"],"award-info":[{"award-number":["3-12075"]}],"id":[{"id":"10.13039\/501100001738","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess whether catheter replacement is associated with better clinical outcomes in individuals with long\u2010term urinary catheters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, noninterventional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals (mean age 79.2\u00b111.5) who had had an indwelling urinary catheter for longer than 7 days and a symptomatic urinary tract infection (UTI) (N=315).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>The exposure assessed was replacement of the indwelling urinary catheter within 6 hours. The primary outcome was clinical failure at day 7. We developed a propensity score model for catheter replacement to match participants. Multivariate analysis was conducted to adjust for other risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The catheter was replaced in 98 participants and not in 217. More than half of the participants resided in long\u2010term care facilities and had high Charlson comorbidity scores. The rate of clinical failure on day 7 was 35.2% (108\/306). The 30\u2010day fatality rate was 30.8% (96\/315). We found no statistically significant association between catheter replacement and clinical failure (propensity\u2010adjusted odds ratio (OR)=0.90, 95% CI=0.50\u20131.63) or 30\u2010day fatality (OR=0.76, 95% CI=0.40\u20131.44).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We found no clinical benefit of replacing a long\u2010term catheter at the onset of the catheter\u2010associated UTI. Further research is needed through randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15517","type":"journal-article","created":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T03:19:45Z","timestamp":1533871185000},"page":"1779-1784","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Replacement of Urinary Catheter for Urinary Tract Infections: A Prospective Observational Study"],"prefix":"10.1111","volume":"66","author":[{"given":"Tanya","family":"Babich","sequence":"first","affiliation":[{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Tel\u2010Aviv Israel"},{"name":"Department of Medicine E, Beilinson Hospital Rabin Medical Center Petah\u2010Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oren","family":"Zusman","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Tel\u2010Aviv Israel"},{"name":"Department of Medicine E, Beilinson Hospital Rabin Medical Center Petah\u2010Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"Elbaz","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Tel\u2010Aviv Israel"},{"name":"Department of Medicine E, Beilinson Hospital Rabin Medical Center Petah\u2010Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haim","family":"Ben\u2010Zvi","sequence":"additional","affiliation":[{"name":"Microbiology Laboratories, Beilinson Hospital Rabin Medical Center Petah\u2010Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mical","family":"Paul","sequence":"additional","affiliation":[{"name":"Infectious Diseases Institute Rambam Health Care Campus Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard","family":"Leibovici","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Tel\u2010Aviv Israel"},{"name":"Department of Medicine E, Beilinson Hospital Rabin Medical Center Petah\u2010Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomer","family":"Avni","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Tel\u2010Aviv Israel"},{"name":"Department of Infectious Disease, Beilinson Hospital Rabin Medical Center Petah\u2010Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1086\/313996"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/155.6.1151"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/501908"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/146.6.719"},{"key":"e_1_2_6_6_1","first-page":"1","article-title":"Guidelines for the prevention of intravascular catheter\u2010related infections. 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