Encrustations of the urinary catheter and prevention strategies: an observational study.

Patients with an indwelling urinary catheter are at risk of developing urinary tract infection: for each day of the catheter remaining in situ, there is an increasing risk from 3% to 7% for infection to appear. One of the main complications of catheterization is the onset of encrustations, frequentl...

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Published in:International Journal of Urological Nursing Vol. 9; no. 3; pp. 138 - 143
Main Authors: Marcone Marchitti, Claudia, Boarin, Mattia, Villa, Giulia
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Nov2015
Online Access:View this record in EBSCOhost
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        17497701
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      jtl: International Journal of Urological Nursing
      issn: 17497701
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      dt: Nov2015
      vid: 9
      iid: 3
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        110368784
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        10.1111/ijun.12080
        110368784
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        atl: Encrustations of the urinary catheter and prevention strategies: an observational study.
      aug:
        au:
          Marcone Marchitti, Claudia
          Boarin, Mattia
          Villa, Giulia
        affil: San Raffaele Hospital, Milan Italy
      sug:
        subj:
          Catheters, Urinary Adverse Effects
          Human
          Italy
          Outpatients
          Convenience Sample
          Male
          Female
          Time Factors
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Descriptive Research
          Tube Removal
          Observational Methods
          Antibiotic Prophylaxis
          Equipment Design
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Patients with an indwelling urinary catheter are at risk of developing urinary tract infection: for each day of the catheter remaining in situ, there is an increasing risk from 3% to 7% for infection to appear. One of the main complications of catheterization is the onset of encrustations, frequently resulting in obstruction of the catheter. To investigate the prevalence of encrusted indwelling urinary catheters in outpatients referred to the Department of Urology. An observational study was carried out on outpatients referred to the Department of Urology in need of removal or replacement of indwelling urinary catheters. A table was completed to collect the data of each patient in order to investigate the presence of any possible encrustation. The collected data concerned 85 patients, 81 male (95·3%) and 4 female (4·7%). Patients had different pathologies and different types of catheter, with different sizes and different materials. The number of indwelling urinary catheters that during removal/replacement were visibly encrusted in the eyehole area totaled eight (9·4%). The analysis of the collected data suggests that the permanence of the catheter could potentially be one of the most relevant causes of encrustation; five out of eight patients with encrusted urethral catheter had it in place for 1 month, three of them for 2 weeks. There are many prevention strategies, among which promotion of nucleation pH (pHn) supplementation in the daily diet with liquids containing citrate is the most simple and suitable for all patients being inexpensive and effective.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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