Non-invasive measurement of bladder volume as an indication for bladder catheterization after orthopaedic surgery and its effect on urinary tract infections

1999 ◽  
Vol 16 (8) ◽  
pp. 503-506 ◽  
Author(s):  
R. Slappendel ◽  
E. W. G. Weber
2008 ◽  
Vol 3 (1) ◽  
pp. 175
Author(s):  
Caroline Evelin Nascimento Kluczynik ◽  
Gabriela Beserra Solano ◽  
Martha Priscila Dantas de Lima ◽  
Raïssa Mayer Ramalho Catão

ABSTRACTObjective: to check the prevalence of microorganisms isolated and described some procedures needed for prevention and diagnosis of urinary tract infections (UTI) when associated with bladder catheterization. Method: this is about a bibliographic study whose sources correspond to articles, books and manuals related to the theme. Results: the most prevalent organisms were Escherichia coli, Klebsiella sp. and Enterobacter sp. Conclusions: given the foregoing, it’s observed that the evaluation of these patients should be continuous, on suspicion of UTI the laboratorial exams should be prescribed and the samples should be collected by competent professional to facilitate and make more precise plan for the treatment of patients with this type of infection. Descriptors: infection; urinary tract; catheter; tests; laboratorial research.RESUMOObjetivos: verificar a prevalência dos microrganismos isolados e descrever alguns procedimentos necessários para prevenção e diagnóstico da infecção do trato urinário (ITU) quando associados ao cateterismo vesical. Métodos: este estudo tem cunho bibliográfico, suas fontes correspondem aos artigos, livros e manuais pertinentes ao tema. Resultados: os microrganismos mais prevalentes foram Escherichia coli, Klebsiella sp. e Enterobacter sp. Conclusão: diante do exposto, observa-se que a avaliação destes pacientes deve ser contínua, em suspeita de ITU os exames laboratoriais devem ser prescritos e as amostras devem ser coletadas por profissional competente, a fim de facilitar e tornar mais precisa o plano de tratamento do paciente com este tipo de infecção. Descritores: infecção; trato urinário; cateter; exames; investigação laboratorial.RESUMENObjetivo: verificar la prevalencia de los microorganismos aislados y describir algunos de los procedimientos necesarios para la prevención y diagnóstico en la infecciones del aparato urinario (IAU) cuando se asocian con el cateterismo vesical. Métodos: El estudio fue de naturaleza bibliográfica, a partir de artículos científicos, libros y manuales pertinentes al tema. Resultados: los organismos más prevalentes fueron Escherichia coli, Klebsiella sp. y Enterobacter sp. Conclusiones: Se observa que la avaluación de esos pacientes debe ser continua en los casos que se sospeche de infecciones urinarias, con prescripción de  exámenes de laboratorio, destacándose que las muestras  deben ser colectadas por profesionales competentes, para que el plano de tratamiento del paciente  sea precisa. Descriptores: infección; aparato urinario; catéter; investigación laboratorial.


2015 ◽  
Vol 90 (3) ◽  
pp. 240-247 ◽  
Author(s):  
R. Girard ◽  
S. Gaujard ◽  
V. Pergay ◽  
P. Pornon ◽  
G. Martin Gaujard ◽  
...  

2019 ◽  
Vol 105 (3) ◽  
pp. 164-171 ◽  
Author(s):  
Jonathan Kaufman

Urine samples are commonly collected from young children to diagnose or exclude urinary tract infections, but collection from precontinent children is challenging. Each collection method has advantages and limitations. Non-invasive methods (urine pads, bags, clean catch) are convenient but can be time-consuming and are limited by sample contamination. Voiding stimulation methods (bladder-lumbar stimulation, Quick-Wee) can expedite clean catch collection. Invasive methods (catheter, suprapubic aspiration) can be more reliable, but require expertise to perform and cause pain for the child. This article reviews each collection method, and describes collection procedures, indications and strategies to optimise success and reduce contamination.


MediAl ◽  
2020 ◽  
pp. 10-15
Author(s):  
I. A. Kas'yanova ◽  
D. V. Kvashnina ◽  
O. V. Kovalishena ◽  
O. M. Sutyrina

Urinary tract infections (UTI) represent actual form of healthcare-associated infections. The main risk factor of UTI is bladder catheterization. Currently, there are not valid and systematic data on the frequency of atheter-associated urinary tract infections (CAUTI) in Russia, because standard case determination for the official registration is not being used and, consequently, no full-scale records and registration of this nosological form is being maintained. Research objective: to estimate incident rate and potential risk factors of UTI in patients when making bladder catheterization in the urology department at the multidisciplinary clinic for adults. In the course of diagnostic and treatment process it has been determined that bladder catheterizations ratio among all indoor patients amounted to 49,6%; in 2,3% of cases intrusive procedure was carried out urgently in the form of a single urine drainage; the overwhelming majority of catheterized patients were men – 61,5%; catheterization of 9,7% of patients has been lasted for more than 7 days; 48,5% of catheterized patients were individuals of 60 years old and over. According to retrospective analysis data with the use of standard case determination it was found out that CAUTI case rate amounted to 10,68 (95% CI 7,08–14,28) per 100 patients; stratified index of CAUTI incidence amounted to 32,86 per 1000 patient-days of catheterization (95% CI: 21,66–44,06). Epidemical process of CAUTI is characterized by high intensity, predominance of S. epidermidis. The result of the work was the development of a standard operating procedure for setting up a urethral catheter, which includes 8 stages of epidemiologically safe catheterization of the bladder. The proposed SOP on catheterization focuses on individual actions that require mandatory implementation and control.


2018 ◽  
Vol 35 (5) ◽  
pp. 63-69
Author(s):  
K. I. Sursyakova ◽  
T. V. Safyanova

Aim. To assess manifestations and risk factors of epidemiological process of catheter-associated urinary tract infections (UTI) in patients of the urological unit of “Altai Territory Hospital for War Veterans” (ATHWV). Materials and methods. One hundred medical records of UTI patients, treated in this urological unit were analyzed to determine the association between the UTI sickness rate and the insertion of catheters among patients, treated in the urological unit of “Altai Territory Hospital for War Veterans” during 2017. Results. Assessment of epidemiological process in catheter-associated UTI patients of “ATHWV” urological unit resulted in the following: UTI sickness rate in “ATHWV” is associated with urinary bladder catheterization and can be interpreted as health care-associated infections since all the observed patients underwent urinary tract catheterization procedure in conditions of “ATHWV” urological unit. Conclusions. Microbiological urine analysis with determination of antibiotic-resistance and disinfectant-resistance of the excreted pathogens should be conducted in all the patients, who undergo urinary bladder catheterization procedure since there is a high percentage of microbiologically-evidenced symptomatic UTI (35.9 %).


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