Genital region cleansing wipes: Effects on urine culture contamination

  • Mehmet Burak Selek Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
  • Bayhan Bektöre Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
  • Ogün Sezer Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
  • Tuğba Kula Atik Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
  • Orhan Baylan Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
  • Mustafa Özyurt Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Keywords: genital region cleansing wipe, urine culture, contamination

Abstract

Introduction: Urine culture is the gold standard test for revealing the microbial agent causing urinary tract infection (UTI). Culture results are affected by sampling techniques; improper sampling leads to contamination of urine and thus contamination of the culture with urogenital flora. We aimed to evaluate the effect of urogenital cleansing, performed with chlorhexidine-containing genital region cleansing wipes (GRCW) on contamination rates.

Methodology: A total of 2,665 patients with UTI-related complaints and with urine culture requests from various outpatient clinics were enrolled in the study. Of the patients, 1,609 in the experimental group used GRCW before sampling, while 1,046 in the control group did not use any wipes.

Results: The contamination rate in the experimental group patients was 7.7%, while it was 15.8% in the control group. Contamination rates were significantly higher in the control group than in the experimental group for both women and men. Contamination rates for children and adults were also significantly lower in the experimental group than in the control group.

Conclusions: Our study, conducted in a large population, showed that the use of chlorhexidine-containing cleansing wipes significantly reduced urine culture contamination rates in both genders, in both child and adult age groups. Using GRCW, collection of urine after urogenital area cleansing will decrease the contamination problem.

Author Biographies

Mehmet Burak Selek, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Haydarpaşa Training Hospital
Department of Medical Microbiology
Bayhan Bektöre, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Haydarpaşa Training Hospital
Department of Medical Microbiology
Ogün Sezer, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Haydarpaşa Training Hospital
Department of Medical Microbiology
Tuğba Kula Atik, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Haydarpaşa Training Hospital
Department of Medical Microbiology
Orhan Baylan, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Haydarpaşa Training Hospital
Department of Medical Microbiology
Mustafa Özyurt, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey
Haydarpaşa Training Hospital
Department of Medical Microbiology
Published
2017-01-30
How to Cite
1.
Selek MB, Bektöre B, Sezer O, Kula Atik T, Baylan O, Özyurt M (2017) Genital region cleansing wipes: Effects on urine culture contamination. J Infect Dev Ctries 11:102-105. doi: 10.3855/jidc.8910
Section
Brief Original Articles