scholarly journals Washout policies in long-term indwelling urinary catheterisation in adults

2017 ◽  
Author(s):  
Ashley J Shepherd ◽  
William G Mackay ◽  
Suzanne Hagen
Keyword(s):  
Urinary Catheterisation

scholarly journals Factors associated with long-term urinary catheterisation and its impact on urinary tract infection among older people in the community: a population-based observational study in a city in Japan

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028371
Author(s):  
Motohiko Adomi ◽  
Masao Iwagami ◽  
Takashi Kawahara ◽  
Shota Hamada ◽  
Katsuya Iijima ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Regression Analysis ◽  
Urinary Tract ◽  
Rate Ratio ◽  
Long Term Care ◽  
Population Based ◽  
Term Care ◽  
Factors Associated ◽  
Urinary Catheterisation

ObjectivesThis study aimed to identify factors associated with long-term urinary catheterisation (LTUC) in community-dwelling older adults and to evaluate the risk of urinary tract infection (UTI) among people with LTUC.DesignPopulation-based observational study.SettingMedical and long-term care insurance claims data from one municipality in Japan.ParticipantsPeople aged ≥75 years living at home who used medical services between October 2012 and September 2013 (n=32 617).Outcome measures(1) Use of LTUC, defined as urinary catheterisation for at least two consecutive months, to identify factors associated with LTUC and (2) the incidence of UTI, defined as a recorded diagnosis of UTI and prescription of antibiotics, in people with and without LTUC.ResultsThe 1-year prevalence of LTUC was 0.44% (143/32 617). Multivariable logistic regression analysis showed that the male sex, older age, higher comorbidity score, previous history of hospitalisation with in-hospital use of urinary catheters and high long-term care need level were independently associated with LTUC. The incidence rate of UTI was 33.8 and 4.7 per 100 person-years in people with and without LTUC, respectively. According to multivariable Poisson regression analysis, LTUC was independently associated with UTI (adjusted rate ratio 2.58, 95% CI 1.68 to 3.96). Propensity score-matched analysis yielded a similar result (rate ratio 2.41, 95% CI 1.45 to 4.00).ConclusionsWe identified several factors associated with LTUC in the community, and LTUC was independently associated with the incidence of UTI.

Catheter blockage factors in patients cared for in their own home requiring long-term urinary catheterisation

2016 ◽  
Vol 11 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Shuko Maeda ◽  
Takako Takiuti ◽  
Yumiko Kohno ◽  
Hisao Nakai ◽  
Moriyoshi Fukuda ◽  
...  
Keyword(s):  
Urinary Catheterisation

Washout policies for the management of long-term indwelling urinary catheterisation in adults

2006 ◽  
Author(s):  
Lesley Sinclair ◽  
Stephen Cross ◽  
Suzanne Hagen ◽  
Barbara S Niël-Weise
Keyword(s):  
Urinary Catheterisation

scholarly journals Prevention of encrustation and blockage of urinary catheters by Proteus mirabilis via pH-triggered release of bacteriophage

2017 ◽  
Vol 5 (27) ◽  
pp. 5403-5411 ◽  
Author(s):  
Scarlet Milo ◽  
Hollie Hathaway ◽  
Jonathan Nzakizwanayo ◽  
Diana R. Alves ◽  
Patricia Pérez Esteban ◽  
...  
Keyword(s):  
Proteus Mirabilis ◽  
Urinary Catheters ◽  
Triggered Release ◽  
Urinary Catheterisation

The crystalline biofilms of Proteus mirabilis can seriously complicate the care of patients undergoing long-term indwelling urinary catheterisation.

scholarly journals 6 Perioperative Urinary Catheterisation in Hip Fracture Patients

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i1-i8
Author(s):  
R Bell ◽  
A Michael
Keyword(s):  
Hip Fracture ◽  
Older Patients ◽  
Urinary Catheter ◽  
National Guidelines ◽  
Orthopaedic Department ◽  
Postoperative Mobility ◽  
The Uk ◽  
Urinary Catheterisation ◽  
Time Of Admission

Abstract Introduction There are currently no national guidelines, in the UK, advising when to catheterize hip fracture patients and when to trial without a catheter (TWOC). We audited the practice in a UK teaching hospital where there is a consultants’ consensus that all patients should be catheterized on the day of admission (or day of surgery; which is usually within 36 hours of admission) and TWOC as soon as possible within 72 hours postoperatively. We also correlated delays in TWOC with urinary tract infection (UTI) rates. Methods Audit of consecutive hip fracture patients who had undergone surgery. Patients who had long term indwelling urinary catheter were excluded. Data collected include: demographics and date and time of admission, catheterisation, operation and TWOC, also duration of catheter post operatively, reason if TWOC delayed and whether the patient had a UTI. Results 43 patients were included; 30 males and 13 females with a mean age of 82.9 and 83.9 years respectively. Urinary catheters were inserted in 100% of patients preoperatively. Overall 23% of patients had a UTI. There were more UTIs with prolonged catheterization. The results are summarised in the table. The reason for delaying a TWOC was not documented in any of patients’ notes. Discussion The low rate of TWOC within 72 hours can be attributed to:Lack of clear guidelinesReluctance to have a TWOC for older patients with poor postoperative mobility with concerns regarding inability to reach the toilet timely.Reluctance to have a TWOC for those who did not open their bowels postoperatively.Time and resources pressure. Conclusion and recommendations National guidelines for urinary catheterisation in hip fracture patients are needed meanwhile Orthopaedic Department guidelines will improve the care in these patients. Patients should have a urinary catheter “passport” documenting the date of insertion, expected date of TWOC and the reasons for delaying TWOC. It is important to educate the team about the importance of TWOC as early as possible and improve communication.

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