Cp. Davis et al., IN-VIVO REDUCTION OF BACTERIAL-POPULATIONS IN THE URINARY-TRACT OF CATHETERIZED SHEEP BY IONTOPHORESIS, The Journal of urology, 154(5), 1995, pp. 1948-1953
Purpose: Iontophoresis kills microbes in vitro and, therefore, may be
a useful method for eliminating microbial populations associated with
catheter-induced urinary tract infections in vivo. Materials and Metho
ds: Catheters were modified to deliver current to platinum electrodes
in the catheter tip. Female sheep were catheterized with this iontopho
retic catheter and left ambulatory. In 5 sheep (experimental group) 40
0 mu A was applied to the catheter and withheld in 4 sheep (control gr
oup) for 20 to 21 days. The animals were then sacrificed. During the s
tudy, types and concentrations of bacteria, and physical and chemical
characteristics of the urine samples were determined. Results: Through
out the study, bacteria levels were reduced in urinary tracts of the e
xperimental group (10(3) to 10(4) microbes per ml.) compared with the
control group (10(7) microbes per ml.), without extensive alterations
to urine chemistry or the sheep urinary tract. Conclusions: Since iont
ophoresis safely reduced bacterial populations in catheterized sheep,
this technology may reduce or eliminate nosocomial, catheter-induced u
rinary tract infections in humans.