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CC March 2016 Urinary catheter management

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echoecho's version from 2016-06-22 17:21

Section

Question Answer
What is the most common healthcare device-associated infection?catheter-associated UTI (CAUTIs)
What is the best means of preventing CATIs?avoid use of indwelling catheters
What should urinary catheters NOT be used for?1) convenience (to obtain accurate urine output measure) 2) not be used as primary mgmgt for urinary incontinence
What is the best management modalities for urinary incontinence?1) scheduled toileting 2) use of wicking incontinence garments 3) pads 4) bedpans 5) bedside commodes 6) condom catheters 7) urinals for men
When is intermittent catheterization helpful?in preventing CAUTIs in patients with urinary retention
Name an example when an indwelling catheter may be necessary on a short-term basis??while co-managinng urinary incontinence and a pelvic decubitus
*** In the above example, what could you do to prevent the development of CAUTIs?1) use of closed urinary catheter systems (sealed ports for removal of urine samples) 2) placing catheter collection bag below the bladder 3) emptying catheter bag when 2/3 full to prevent reflux 4) meatal hygiene 5) use of aseptic technique during placement
Have antibiotic prophylaxis and irrigations been shown to reduce infection?no
Do antimicrobial treated catheters support routine use?not enough data to know
When should suprapubic catheters (which have been shown to reduce infections in short- and medium-term use)be used?for patients in whome primary preventive measures have failed
Suprapubic catheters have not been shown to reduce long-term infection rates but may be more easily managed than ____- catheters?urethral
Does periodic prophylactic catheter replacement has not been shown to reduce infection rates?no
The dx of CAUTIs is based on a number of clinical markers and not solely on what?the presence of bacteria in the urine
Define CAUTI?onset of a confirmed UTI (>100,000 colonies of one or more bacterial species in the presence of fever and suprapubic tenderness or costo-vertebral angle tenderness)
What should not be the sole criteria for diagnosiing a CAUTI?foul smelling or cloudy urine
When should antibiotic therapy be used? when it should not be used?in the presence of true CAUTIs and should not be used to treat asymptomatic bacteriuria
What should be done if a urinary catheter has been in place for > 2 weeks?it should be removed at the time of infection dx and replaced only if needed
*** SUMMARY = What is the best means of preventing CAUTIs?to avoid the use of indwelling catheter
*** SUMMARY = Have antibiotic prophylaxis and irrigation been shown to reduce infections?no
*** SUMMARY = Has periodic prophylactic catheter replacement been shown to reduce infection rates?no
*** SUMMARY = the dx of CAUTIs is based on a number of clinical markers and not solely on what?the presence of bacteria in the urine
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