Abstract
After removal of an indwelling cathether from 54 geriatric patients, 14 became non-bacteriuric during treatment with absorbent pads. The remaining 40 patients with bacteriuria showed a significant reduction in the number of Gram-negative strains of probable nosocomial type in their urine when compared to the previous period of catheter treatment. Of these 40 patients, 27 were non-bacteriuric after a week's treatment with cotrimoxazole. Seven weeks after treatment, 15 of these patients were still non-bacteriuric. This two-step model, removal of the indwelling catheter followed by a short course of treatment with a suitable antibiotic, demonstrates a possible approach to the problem of incontinence and hospital-acquired bacteriuria in long-term care.
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