scholarly journals British Association of Urological Surgeons (BAUS) and Nurses (BAUN) Consensus Document: Management of the Complications of Long Term Indwelling Catheters

2021 ◽  
Author(s):  
Sheilagh Reid ◽  
Jane Brocksom ◽  
Rizwan Hamid ◽  
Ased Ali ◽  
Nikesh Thiruchelvam ◽  
...  
2021 ◽  
Author(s):  
Arun Sahai ◽  
Ased Ali ◽  
Rachel Barrett ◽  
Mohammed Belal ◽  
Suzanne Biers ◽  
...  

2021 ◽  
Author(s):  
Suzanne M. Biers ◽  
Chris Harding ◽  
Mo Belal ◽  
Nikesh Thiruchelvam ◽  
Rizwan Hamid ◽  
...  

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Sanket Kalpande ◽  
P. R. Saravanan ◽  
K. Saravanan

Abstract Background Long-term catheterisation is frequently necessary for patients with retention of urine or intractable incontinence who are unfit for definitive treatment or being evaluated for definitive treatment. In this study, the important factors influencing the encrustation of indwelling catheters are analysed. Methods A total of 52 patients on catheter drainage for a period ranging from 1 month to 1 year were taken in the study. Patients reported either for problems like catheter block or routine changing of catheter. The catheters were removed, and encrustation was subjected to chemical analysis. Urine was examined for pH, specific gravity, culture sensitivity and appearance. Blood samples were taken for estimation of calcium, phosphorus and uric acid. Results Out of 52 patients, 28 with urea splitting and 15 with non-urea splitting had positive urine culture (43 out of 52). Amongst 28, 27 (96%) had encrustation compared to 10 (50%) out of 15 with non-urea splitting bacteria (p value < .05). Amongst 24 patients having pH > 6, 22 (92%) had encrustation (p value < .05). The encrustation was found to be more common in bedridden patients (91%) when compared to physically active patients (54%) (p value < .05). The encrustation was more common in patients having single catheter for more than 15 days (86%) when compared to patients having catheter for shorter period (43%) (p value < .05). Conclusion This study showed definitive influence of the following factors in encrustation formation: infection with urea splitting organism, alkaline pH, physical activity of patient and duration of keeping a particular catheter.


1990 ◽  
Vol 258 (1) ◽  
pp. R274-R280 ◽  
Author(s):  
H. W. Reinhardt ◽  
U. Palm ◽  
R. Mohnhaupt ◽  
K. Dannenberg ◽  
W. Boemke

A computerized system is described, combining automatic collection of urine in short intervals (minutes) over long periods (days) and recordings of body temperature, MABP, and heart rate in chronically instrumented conscious dogs. During the studies the dogs are housed in metabolic cages. Indwelling catheters and electrical wires are connected to a specially designed swivel and directed out of the cage to the next room. Infusions, blood sampling, and monitoring can be performed from this room without disturbance to the dogs. Three examples of recordings are given. In one of these examples the sodium excretion patterns on 5 consecutive days under continuous saline infusion in one dog is evaluated. Urine was collected every 20 min. Sodium excretion showed cyclic variations. Fourier analysis exhibited 18-h periods and 4- to 8-h periods. The described system renders, e.g., coherent time series analysis possible for a variety of simultaneously recorded physiological variables and may thus acquire considerable importance for integrative physiology.


2021 ◽  
Author(s):  
Eunyoung Lee ◽  
Se Yoon Park ◽  
Eunjung Lee ◽  
Tae Hyong Kim

Abstract The aim of study was to elucidate simple and effective risk factors for scabies infection in medical environment for early detection and prevention of exposure to other patients and medical staffs. We conducted a case-control study of patients who were diagnosed with scabies among hospitalized patients between 2008 and 2019 in an acute-care teaching hospital. Each case was matched sex and age with two randomly selected controls without scabies during hospitalization. Clinical characteristics of cases at the time of hospital admission were compared to those of control group. Scabies group included 34 patients and 68 patients were included in control group. Scabies group was admitted more via emergency department and had more history of long-term care facility admission. Scabies group had more indwelling catheters, was more in severe medical status, incommunicable, in a bed ridden condition. Scabies patients also had higher C-reactive protein and lower albumin levels. After adjustment, previous long-term care facility admission alone was associated with scabies (risk ratio 12.74, 95% confidence interval 1.42-114.31, P = 0.023). Careful examination particularly patients with previous long-term care facility admission might useful for early detection of scabies infection.


1983 ◽  
Vol 11 (2) ◽  
pp. 116-119 ◽  
Author(s):  
Allan Eddeland ◽  
Hans Hedelin

A randomized double-blind study of the effect of allopurinol on the need for catheter attention and the amount of catheter encrustation has been conducted in hospitalized patients with long-term indwelling catheters. Allopurinol 300 mg as a single daily dose significantly reduced the frequency of need for catheter attention including catheter change. There was no significant effect on the quantity of catheter encrustation.


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