scholarly journals Complex urinary catheterisation on-call- How much time and money is wasted?

2021 ◽  
Vol 31 ◽  
pp. S9
Author(s):  
K.G. Keane ◽  
G.J. Nason ◽  
J.S.A. Khan ◽  
A.T. Looney ◽  
M. Aboelmagd ◽  
...  
Keyword(s):  
Urinary Catheterisation

scholarly journals Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact

2019 ◽  
Vol 6 (1) ◽  
pp. e000233
Author(s):  
Jorge Espinel-Rupérez ◽  
Maria Dolores Martín-Ríos ◽  
Veronica Salazar ◽  
Maria Rosario Baquero-Artigao ◽  
Gustavo Ortiz-Díez
Keyword(s):  
Risk Factors ◽  
Soft Tissue ◽  
Surgical Site Infection ◽  
Economic Impact ◽  
Teaching Hospital ◽  
Primary Outcome Measure ◽  
Site Infection ◽  
Urinary Catheterisation ◽  
Organ Space Infection ◽  
Soft Tissue Surgery

ObjectivesTo determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DesignProspective cohort study.SettingVeterinary teaching hospital.Participants184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014).Primary outcome measureSurgical site infection.ResultsOut of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.ConclusionsThe incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.

scholarly journals A case report of anaphylaxis to chlorhexidine during urinary catheterisation

2012 ◽  
Vol 94 (4) ◽  
pp. e159-e160 ◽  
Author(s):  
J Noel ◽  
A Temple ◽  
GJA Laycock
Keyword(s):  
Case Report ◽  
Orthopaedic Surgery ◽  
Medical Literature ◽  
Chlorhexidine Gluconate ◽  
Hypersensitivity Reactions ◽  
Cell Surfaces ◽  
Urethral Catheterisation ◽  
Bacteriostatic Agent ◽  
Hand Antisepsis ◽  
Urinary Catheterisation

Chlorhexidine gluconate is a chemical antiseptic that is effective against Gram positive and negative bacteria and on certain viruses and fungi. A bacteriocidal and bacteriostatic agent, this cationic drug is absorbed on to negatively charged cell surfaces of organisms, disrupting the cell membrane, which results in increased permeability. Its use is mainly topical as a surgical hand antisepsis, site preparation/cleansing and for pre-genitourinary procedures such as urethral catheterisation. Like any drug, caution should be employed with its use as hypersensitivity reactions are being documented increasingly in the medical literature. In the following case, we present a patient who was catheterised with the chlorhexidine containing Instillagel® (CliniMed, High Wycombe, UK), prior to undergoing elective orthopaedic surgery.

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.

Clinical skills series/3: urinary catheterisation

2013 ◽  
Vol 7 (4) ◽  
pp. 169-173 ◽  
Author(s):  
Ian Peate ◽  
Christine Gault
Keyword(s):  
Clinical Skills ◽  
Urinary Catheterisation

Use of lubricant gels in urinary catheterisation

2005 ◽  
Vol 20 (8) ◽  
pp. 41-46 ◽  
Author(s):  
Alison Bardsley
Keyword(s):  
Urinary Catheterisation

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

Use of lubricant gels in urinary catheterisation

2005 ◽  
Vol 20 (8) ◽  
pp. 41-46 ◽  
Author(s):  
Alison Bardsley
Keyword(s):  
Urinary Catheterisation

scholarly journals A Randomised Controlled Trial on Analgesic Effect of Repeated Quadratus Lumborum Block Versus Continuous Epidural Analgesia Following Laparoscopic Nephrectomy

2019 ◽  
Author(s):  
Dita Aditianingsih ◽  
Pryambodho Pryambodho ◽  
Naufal Anasy ◽  
Aida Rosita Tantri ◽  
Chaidir Arif Mochtar
Keyword(s):  
Postoperative Pain ◽  
Epidural Analgesia ◽  
Laparoscopic Nephrectomy ◽  
Epidural Group ◽  
Pain Scores ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
Continuous Epidural Analgesia ◽  
Randomised Controlled ◽  
Urinary Catheterisation

Abstract Background Epidural analgesia as the pain management for abdominal surgery has side effects such as paraesthesia, hypotension, haematomas, and impaired motoric of lower limbs. The quadratus lumborum block (QLB) has potential as an abdominal truncal block, however, the analgesic efficacy of QLB compared to epidural analgesia is unknown. This prospective randomised controlled study compared the effectiveness of QLB on postoperative opioid requirement and pain intensity with the epidural analgesia technique in transperitoneal laparoscopic nephrectomy. Methods Sixty-two patients underwent laparoscopic donor nephrectomy were randomised to receive QLB (n=31) or continuous epidural (n=31). The QLB group received bilateral QLB with 0.3–0.4 ml/kg bupivacaine 0.25% and the epidural group received bupivacaine 0.25% 6 ml/h for intraoperative analgesia. As postoperative analgesia, the QLB group received repeated bilateral QLB and the epidural group received the decreased dosage of bupivacaine 0.125% 6 ml/h for 24 hours after surgery completion. The primary outcome was cumulative morphine requirement 24 hours postoperatively. Secondary outcomes included haemodynamic changes, postoperative pain scores, sensory block coverage, Bromage score, postoperative nausea and vomiting (PONV), and duration of urinary catheterisation. Result Postoperative cumulative morphine requirement, pain scores, PONV and Bromage score were not significantly different between the QLB and epidural group. The QLB affected T9–L2, continuous epidural block affected T8–L3 dermatomes. Duration of urinary catheterisation was shorter (p < 0.001) in the QLB group. The mean arterial pressure (MAP) measured at 24 hours after surgery was lower in the epidural group (p = 0.001). Conclusion The repeated QLB had similar cumulative 24-h morphine requirement, higher MAP, similar postoperative pain scores, similar PONV and degree of motor and sensory blockade, and shorter urinary catheterisation duration, compared with continuous epidural analgesia after transperitoneal laparoscopic nephrectomy. Trial Registration ClinicalTrial.gov NCT03520205 retrospectively registered on May 9th 2018.

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