CUA BPR: 2020: Catheter Use Flashcards
what is the gold standard for drainage of bladder if a catheter is desired?
Intermittent catheterization
when would intermitted catherization be used?
Last resort
quadriplegic patients with impaired dexterity
Bedridden
when IC difficult or impossible
what are proposed advantages of a SP vs indwelling catheter?
improve independence
facilitate engagement in sexual activity
decrease the risk of epididymitis
– some studies have suggested better rates of bacteriuria…
What are advantages of IC over indwelling catheters?(4)
1-Reduce the risk of indwelling catheter complications( dislodged catheter, urethral erosion)
2- reduced risk of UTIs
3-less barrier to intimacy
4- reduced LUTS between catheterizations
How does ID society of America defines catheter related infections?
symptoms or sings compatible with UTI with no other source, with >/=10^3 CFU/ml of >/=1 bacterial species in a single catheter urine specimen or in midstream urine in patients whose catheter was removed in the last 48 hours.
How does ID society define Catheter associated asymptomatic bacteriuria?
> /=10^5 CFU/ml of >/=1 species in a single catheter urine specimen in a patient without symptoms compatible with a UTI
When is screening for CA-ASB recommended by ID society?
not recommended
**except for pregnant women
is SPC recommended over urethral cath for long term indwelling catheters?
No, data is insufficient
which type of IC is better? which material?
Hydrophilic has some RCTs and metanalysis supporting it being associated with less UTIs, but there are some that say it is equal to PVC- ID society does no recommend HC over PVC.
do pre-lubricated catheters reduce the risk of UTIs?
YES
Is the use of Abx/silver coated catheters recommended?
No,
in short term reduce UTI and bacteriuria but in long-term inc resistance and silver toxicity
is there a reduction in UTIs with aseptic vs clear technique?
Yes, but rates of bacteriuria are equal
Is there a difference in risk of UTI/bacteriuria with single vs multi use catheters in spina bifida patients?
No
what are some indicators of urethral trauma used in research?
microscopic hematuria, gross hematuria, quantity of epithelial cells left on the catheter after removal
Are HC associated with less urethral trauma? single use vs multi use?
HC associated with less hematuria, decreased epithelial cell count, not enough evidence to say single vs multiuse
