{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:47:32Z","timestamp":1753883252280,"version":"3.41.2"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015027","name":"Vice Chancellor for Research and Technology, Hamadan University of Medical Sciences","doi-asserted-by":"publisher","award":["9805013424"],"award-info":[{"award-number":["9805013424"]}],"id":[{"id":"10.13039\/501100015027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research and Managerial Epidemiology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p> To investigate the efficacy of a new low-profile catheter on incidence of the catheter-associated urinary tract infections (CAUTI) in comatose patients admitted to the intensive care unit. <\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p> Catheter-induced urothelial injury is a key component in the development of urinary tract infections in catheterized patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> In this prospective randomized blinded clinical trial, 80 patients requiring indwelling urinary catheterization were equally randomized to either the standard Foley catheter (control) or the low-profile catheter (experimental) group. The signs of urinary tract infection for comatose patients were considered (ie, \u226510<jats:sup>5<\/jats:sup> of colony-forming unit\/milliliter of urine, hematuria, serum leukocytes, and body temperature) and recorded at baseline and on days 3 and 5 after catheterization. The analysis of covariance was applied by the SPSS-20 software at a 95% confidence level. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> An increasing proportion of patients with elevated urinary colony counts were seen in the Foley catheter group compared with the low-profile catheter group (12.5% vs 5%). However, there were no between-group differences in the urinary colony counts and body temperature after controlling for antibiotic doses and fluid intake. Patients in the low-profile catheter group had significantly lower rates of hematuria and serum leukocytes than those in the Foley catheter group. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> A newly designed low-profile urinary catheter has demonstrated a trend toward reducing the incidence of CAUTI in patients with indwelling urinary catheters. Further studies with larger sample sizes and follow-up are needed to confirm the benefits. <\/jats:p><\/jats:sec>","DOI":"10.1177\/23333928231211410","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T07:21:55Z","timestamp":1699600915000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating the Potential of a New Low-Profile Urinary Catheter in Preventing Catheter-Associated Urinary Tract Infections: A Prospective Randomized Blinded Clinical Trial"],"prefix":"10.1177","volume":"10","author":[{"given":"Farahnaz","family":"Ramezani","sequence":"first","affiliation":[{"name":"Besat Specialized and Sub-specialized Hospital, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7060-2205","authenticated-orcid":false,"given":"Mahnaz","family":"Khatiban","sequence":"additional","affiliation":[{"name":"Mother and Child Care Research Center, Department of Medical-Surgical Nursing, Department of Ethics Education in Medical Sciences, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farshid","family":"Rahimbashar","sequence":"additional","affiliation":[{"name":"Besat Specialized and Sub-specialized Hospital, Hamadan University of Medical Sciences, Hamadan, Iran"},{"name":"Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Reza","family":"Soltanian","sequence":"additional","affiliation":[{"name":"Modeling of Noncommunicable Disease Research Center, Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Habibollah","family":"Mousavi-bahar","sequence":"additional","affiliation":[{"name":"Besat Specialized and Sub-specialized Hospital, Hamadan University of Medical Sciences, Hamadan, Iran"},{"name":"Urology & Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ensieh","family":"Elyasi","sequence":"additional","affiliation":[{"name":"Besat Specialized and Sub-specialized Hospital, Hamadan University of Medical Sciences, Hamadan, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"bibr1-23333928231211410","unstructured":"CDC. 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