Impact of Urinary Catheterization on Geriatric Inpatients with Community-acquired Urinary Tract Infections

Kang, Shih Chao; Hsu, Nan‐Yung; Tang, Gau Jun; Hwang, Shinn Jang

doi:10.1016/s1726-4901(09)70365-x

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…The prevalence of PUBS in acute inpatient rehabilitation units appears low. As noted previously, elderly women are more prone to this disorder, likely related to anatomic considerations, increased rate of chronic catheterization compared with men, and the association of vaginal discharge and urinary infections [15‐18]. The reason for the low frequency of PUBS overall may be attributable to the intense bladder and bowel programs offered in the rehabilitation facilities upon admission, including regular changing or discontinuation of indwelling urinary catheters to prevent urinary tract infections and bowel regimens to prevent constipation.…”

Section: Discussionmentioning

confidence: 99%

Purple Urine Bag Syndrome in Rehabilitation

Siu

Watanabe

2010

PM&R

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Section: Discussionmentioning

confidence: 99%

Purple Urine Bag Syndrome in Rehabilitation

Siu

Watanabe

2010

PM&R

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A scoping review of important urinary catheter induced complications

Dellimore

Helyer

Franklin

2013

J Mater Sci: Mater Med

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Abstract:This study presents a scoping review of the literature on the morbidity and mortality associated with several common complications of urinary catheterization. Data gathered from the open literature were analyzed graphically to gain insights into the most important urinary catheter induced complications. The results reveal that the most significant catheter complications are symptomatic bacterial infection, severe mechanical trauma (perforation, partial urethral damage and urinary leakage) and anaphylaxis, catheter toxicity and hypersensitivity. The data analysis also revealed that the complications with the highest morbidity are all closely related to the mechanical interaction of the catheter with the urethra. This suggests that there is a strong need for urinary catheter design to be improved to minimize mechanical interaction, especially mechanical damage to the urinary tract, and to enhance patient comfort. Several urinary catheter design directions have been proposed based on tribological principles. Among the key recommendations is that catheter manufacturers develop catheter coatings which are both hydrophilic and antibacterial, and which maintain their antibacterial patency for at least 90 days.

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Pain induced by investigations and procedures commonly administered to older adults in the emergency department: a prospective cohort study

et al. 2021

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BackgroundThis study aimed to assess the level of pain induced by common interventions performed in older adults consulting to the ED.MethodsWe conducted a prospective multicentre observational cohort study in two academic EDs (Quebec City, Canada) between June 2018 and December 2019. A convenience sample of well-oriented and haemodynamically stable older adults (≥65 years old) who underwent at least two interventions during their ED stay was recruited. The level of pain was assessed using an 11-point Numerous Rating Scale (NRS) and is presented using median and IQR or categorised as no pain (0), mild (1–3), moderate (4–6) or severe pain (7–10).ResultsA total of 318 patients were included. The mean age was 77.8±8.0 years old and 54.4% were female . The number of pain assessments per intervention ranged between 22 (urinary catheterisation) and 240 (intravenous catheter). All imaging investigations (X-rays, CT and bedside ultrasound) were associated with a median level of pain of 0. The median level of pain for other interventions was as follows: blood samplings (n=231, NRS 1 (IQR 0–3)), intravenous catheters (n=240, NRS 2 (IQR 0–4)), urinary catheterisations (n=22, NRS 4.5 (IQR 2–6)), cervical collars (n=50, NRS 5 (IQR 0–8)) and immobilisation mattresses (n=34, NRS 5 (IQR 0–8)). Urinary catheterisations (63.8%), cervical collars (56.0%) and immobilisation mattresses (52.9%) frequently induced moderate or severe pain.ConclusionsMost interventions administered to older adults in the ED are associated with no or low pain intensity. However, urinary catheterisation and spinal motion restriction devices are frequently associated with moderate or severe pain.

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Impact of Urinary Catheterization on Geriatric Inpatients with Community-acquired Urinary Tract Infections

Abstract: For geriatric inpatients, urinary catheterization must be evaluated cautiously before being performed. The impact of urinary catheterization on the distribution of microorganisms in CAUTIs was shown to be insignificant.

Cited by 4 publications

References 12 publications

Purple Urine Bag Syndrome in Rehabilitation

Purple Urine Bag Syndrome in Rehabilitation

A scoping review of important urinary catheter induced complications

Pain induced by investigations and procedures commonly administered to older adults in the emergency department: a prospective cohort study

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