| Urinary Catheters |
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Approximately 25% of patients who are admitted to a hospital will have an indwelling catheter at some point during their stay and 7% of nursing home residents are managed by long term catheterization . In the United States there are 25 million Foley catheters sold annually and there are 75 million catheters sold elsewhere yielding a total global Foley catheter market of 100 million units worldwide. Catheter associated urinary tract infection (CAUTI) is the most common nosocomial infection in hospitals and nursing homes, representing over 40% of all HAIs and 20 % of Intensive Care Unit (ICU) HAIs . The risk of acquiring CAUTI depends on the method and duration of catheterization and patient susceptibility. It develops in up to 25% of patients requiring a urinary catheter for more than 7 days with a daily risk of developing an infection between 3 and 7% , . The frequent use of antibiotics for the treatment of UTIs is a significant contributor to the increasing antibiotic resistance of bacteria. UTI associated bacteremia (blood poisioning) occurs in about 5% of cases . There are over 1 million cases annually. The cost to treat a simple CAUTI has been estimated at $675 per case whereas the cost of treating bacteremia is $3,800 per patient. This yields a total healthcare burden of $830 million dollars per year. There are currently both antibiotic and silver coated catheters in the market which sell for approximately $10 above the non-antimicrobial equivalent. The potential market for NO dosed Foley catheters is $1 billion. 1 Newman, J Wound Ostomy Continence Nurs 2007; 34:655-661
2 Arch Intern Med. 2000 Sep 25;160(17):2670-5
3 National Center for Health Statistics, 2004. Series 13, No.157
4 Centers for Disease Control and Prevention. Mar-Apr 2001. Engineering out the Risk of Infection with Urinary Catheters, Vol 7, No.2 5
5 Infection Cont and Hosp Epid. 2008; 29 (Suppl 1): s41-50
6 Age and Aging. 2006; 35: 447-481; 4. Am J Med 1981;70:947-959
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