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  • Catheter-Associated Urinary Tract Infection Prevention

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    Adi Priyatna
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    This document provides an audit tool for indwelling urinary catheters with questions to assess appropriate use and care. It notes that catheter use should be limited to patients requiring relief of anatomical or physiological outlet obstruction, undergoing genitourinary surgery, or who are critically ill, postoperative, debilitated, paralyzed, or comatose. Females and those with other infections or chronic conditions like diabetes are at higher risk of catheter-associated urinary tract infections. Alternatives like condom drainage for incontinent males without obstruction should be considered. Proper insertion technique, closed drainage system, and prompt removal when no longer needed can reduce risks.

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    UTI Catheter-Related Infections Audit Tool

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    This document provides an audit tool for indwelling urinary catheters with questions to assess appropriate use and care. It notes that catheter use should be limited to patients requiring relief of anatomical or physiological outlet obstruction, undergoing genitourinary surgery, or who are critically ill, postoperative, debilitated, paralyzed, or comatose. Females and those with other infections or chronic conditions like diabetes are at higher risk of catheter-associated urinary tract infections. Alternatives like condom drainage for incontinent males without obstruction should be considered. Proper insertion technique, closed drainage system, and prompt removal when no longer needed can reduce risks.

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    Attribution Non-Commercial (BY-NC)
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    130 Ansichten1 Seite

    Catheter-Associated Urinary Tract Infection Prevention

    Hochgeladen von

    Adi Priyatna
    This document provides an audit tool for indwelling urinary catheters with questions to assess appropriate use and care. It notes that catheter use should be limited to patients requiring relief of anatomical or physiological outlet obstruction, undergoing genitourinary surgery, or who are critically ill, postoperative, debilitated, paralyzed, or comatose. Females and those with other infections or chronic conditions like diabetes are at higher risk of catheter-associated urinary tract infections. Alternatives like condom drainage for incontinent males without obstruction should be considered. Proper insertion technique, closed drainage system, and prompt removal when no longer needed can reduce risks.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 1

    CATHETER-RELATED URINARY TRACT INFECTIONS (UTIs) Nursing Unit: _______________________ Audit Tool or Ind!"lling Urin#r$ C#t%"t"r D"&i'"s 1.

    Placement of urinary catheter appropriate? 2. Risk for UTI elevated prior to patient catheterization? 3. lternative!s" to ind#ellin$ catheter placement discussed prior to catherization? %. Insertion usin$ aseptic techni&ue? '. Use of antimicro(ial of impre$nated catheter? ). *losed+ dependent draina$e system? ,. Proper use collection practice? -. ppropriate urinary catheter care? .. Reassessment of need for continuation of catheter use? 1/. Prompt removal+ #hen possi(le.
    Audit ( ) Audit ( * Audit ( + Audit ( , Audit ( -

    !1" Use of ind#ellin$ urethral catheters should (e limited to patients re&uirin$ relief of anatomical or physiolo$ic outlet o(struction0 patients under$oin$ sur$ical repair of the $enitourinary tract !to facilitate healin$"0 critically ill or postoperative patients #ho need their urinary output accurately measures0 and+ de(ilitated+ paralyzed+ or comatose patients !to prevent skin (reakdo#n and infect pressure ulcers". !2" 1emales have a su(stantially hi$her risk than males0 patients #ith other active sites of infections or a ma2or pree3istin$ chronic condition+ such as dia(etes+ malnutrition+ or renal insufficiency. Insertion outside of the 4R or late in hospitalization further increases the risk of a UTI. !3" 1or incontinent males #ho do not have (ladder outlet o(struction+ condom draina$e appears to (e associated #ith a lo#er risk than ind#ellin$ urethral catheters. The use of in5and5out catheterization or temporary diaperin$ and (ladder trainin$ should (e considered. !%" 1ollo# facility policy and procedure closely. Use e3cellent hand hy$iene. !'" 6ultiple studies have su$$ested that silicone urethral catheters coated #ith hydro$el and silver salts reduce the risk of developin$ (acteriuria+ compared #ith standard late3 urethral catheters. !)" fter a catheter is inserted+ uncompromisin$ maintenance of closed draina$e is of the hi$hest propriety0 collection tu(in$ and (a$ should al#ays remain (elo# the level of the patient7s (ladder.

    !," The catheter draina$e system should (e manipulated as little as possi(le+ and urine output should (e monitored hourly only #hen clearly indicated (y the patient7s condition. !-" 1ollo# facility7s urinary catheter care procedure0 use a separate drainin$ device for each patient. !." Reassess need and alternatives daily. !1/" Prompt removal #hen catheter is no lon$er needed. Audit () . #t ti/" o ins"rtion0 Audit (* - (- don" d#il$ 1211 %ours3

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