Does the use of a urinary catheter during orthopaedic surgery increase the risk of subsequent surgical site infection/periprosthetic joint infection (SSI/PJI)?

Authors: Filipenko Volodymyr, Max Greenky, Martinez Leibnitz

RECOMMENDATION: The direct association between the use of a urinary catheter and a PJI remains controversial. However, as urinary tract infection (UTI) has been associated as a risk factor for PJIs in some studies, we recommend intermittent catheterization for postoperative urinary retention (POUR), or if an indwelling urinary catheter is utilized, removing it within 48 hours of insertion to minimize the risk of a UTI.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 89%, Disagree: 6%, Abstain: 5% (Super Majority, Strong Consensus)

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