Care of patients with long-term indwelling urinary catheters.
The 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 com...
| Publicado en: | Online Journal of Issues in Nursing Vol. 8; no. 3; pp. 10p - 11 |
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| Autores principales: | , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
American Nurses Association
2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106736179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106736179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10913734 G6M jtl: Online Journal of Issues in Nursing issn: 10913734 maglogo: N pubinfo: dt: 2003 vid: 8 iid: 3 pid: 10858 pub: American Nurses Association place: Silver Spring, Maryland artinfo: ui: 106736179 106736179 2004076563 10.3912/ojin.vol8no01hirshpsy01 NLM14656194 106736179 ppf: 10p ppct: 1 formats: fmt: @attributes: type: T tig: atl: Care of patients with long-term indwelling urinary catheters. aug: au: Madigan E Neff DF affil: The Sarah Cole Hirsh Institute for Best Nursing Practices, Case Western Reserve University Frances Payne Bolton School of Nursing sug: subj: Catheter Care, Urinary Catheter-Related Complications Bacteriuria Catheter Irrigation, Urinary Catheter Occlusion Catheter Removal Catheter-Related Complications Prevention and Control Catheter-Related Infections Catheters, Urinary Inpatients Long Term Care Nursing Practice, Evidence-Based Outpatients Time Factors Urinary Tract Infections Human ab: The 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. © 2003 Online Journal of Issues in Nursing June 30, 2003 pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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