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Review Care of patients with long-term indwelling urinary cathetersElizabeth Madigan et al. Online J Issues Nurs. 2003. AbstractThe complications and management of long-term indwelling catheters used for urinary retention and incontinence were reviewed. Research evidence from 1992 - 2002 was located through searches of CINAHL (38 articles), and Medline (89 articles). Fifty studies were critiqued for this review. The most common complications of long-term indwelling catheters are bacteriuria, encrustation, and blockage. Less common is the prevalence of bacteremia and renal disease. Risk factors for bacteriuria include female gender, older age, and long-term indwelling catheter use. Urinary white blood cells are the best indicator of urinary tract infection. For drainable catheter systems used by community dwelling adults, daily bag cleaning with a diluted bleach solution (1:10) is effective in reducing bacterial counts to negligible numbers. Application of topical antibiotic cream to the meatus around the catheter does not reduce bacteriuria. Silicone catheters and larger lumen size catheters are more resistant to encrustation than other catheter types and smaller lumen size catheters. Acidifying the urine without removing the urease-producing bacteria does not reduce encrustation. Removal of catheter blockage is preventive for renal disease. Because of the complications of long-term indwelling catheter usage, periodic assessment and voiding trials should be used to determine the continued need for a catheter. Evidence-based recommendations for managing indwelling urinary catheters include screening for risk factors and evaluating urinary white blood cell count for infection, and assessment of the continued need for a catheter. Interventions include consideration of closed versus open drainage systems, type of catheter, and size of catheter lumen. Similar articles
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Publication typesMeSH termsHow can you prevent risk of infection in a patient with indwelling catheter?If you have an indwelling catheter, you must do these things to help prevent infection:. Clean around the catheter opening every day.. Clean the catheter with soap and water every day.. Clean your rectal area thoroughly after every bowel movement.. Keep your drainage bag lower than your bladder.. Which action would the nurse take to reduce the risk for catheterEnsure that only properly trained persons insert and maintain catheters. Insert catheters using aseptic technique and sterile equipment (acute care setting) Following aseptic insertion, maintain a closed drainage system. Maintain unobstructed urine flow.
What is the most effective way to prevent infection when providing catheter care for a patient?How can you help prevent infection?. Always wash your hands well before and after you handle your catheter.. Clean the skin around the catheter daily using soap and water. Dry with a clean towel afterward. ... . When you clean around the catheter, check the surrounding skin for signs of infection.. What are the nurses responsibilities to prevent minimize the infections due to catheterization?Hand hygiene before and after manipulating the catheter and providing perineal care is imperative for infection prevention. Perform hand hygiene and don gloves immediately before and after accessing the drainage system, emptying the drainage bag, and collecting a urine sample.
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Which action would best minimize a patients risk for infection during removal of an indwelling urinary catheter?
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