Long‐term bladder drainage: Suprapubic catheter versus other methods: A scoping review

Lovrinić²,

et al. 2018

Urol Int

Introduction: This study is aimed at assessing the use of various types of urinary catheters, appropriateness of catheter placement and factors associated with antibiotic use in a population of chronically catheterized patients in Istria County. Materials and Methods: This cross-sectional study, conducted between March and June 2017 in Istria County, Croatia, was initiated through a network of general family medicine offices. Data were collected from general practitioners (GPs) and from medical managers in nursing homes. Participants were asked to review medical records of their patients and to complete a 10-item questionnaire designed to retrieve information on patients with urinary catheter. Results: All GPs in the county were surveyed. We identified 309 patients with urinary catheter: 216 men (70%) and 93 women (30%). The overall prevalence of individuals with urinary catheters was 0.18%: 4.7% in nursing home population and 0.1% among non-institutionalized adult population. Most common indication for catheterization was chronic urinary retention (52%). One hundred eighty-six patients (60.4%) reported antibiotic usage in the previous 3 months for treating urinary infection. Conclusions: In Istria County, the prevalence of indwelling urinary catheters is highest in males, especially among patients in nursing homes. There is a need for focused education among GPs regarding urinary catheter maintenance and antibiotic prescription for suspected urinary tract infections.

Section: Discussionmentioning

confidence: 99%

Use of Urinary Collection Devices in Community and Nursing Homes in Istria County

Lovrinić²,

et al. 2018

Urol Int

“…50,51 SPCs avoid known UC complications, such as anterior urethral damage (iatrogenic hypospadias), urethral stricture, fistula formation, epididymitis, and scrotal abscess in men. 52 In women with SCI, UCs have been shown to cause urethral stricture or erosion in 37.2% of patients. 53 SPCs seem especially relevant in MS patients with impaired urethral or perineal sensation who are wheelchair-bound.…”

Section: Indwelling Urinary Drainagementioning

confidence: 99%

Treatment of lower urinary tract symptoms in multiple sclerosis patients: Review of the literature and current guidelines

Aharony

Lam

Corcos

2017

CUAJ

Multiple sclerosis (MS) is a unique neurological disease with a broad spectrum of clinical presentations that are time-and disease course-related. Lower urinary tract symptoms (LUTS) are highly prevalent in this patient population, with approximately 90% showing some degree of voiding dysfunction and/or incontinence 6-8 years after the initial MS diagnosis. Major therapeutic goals include quality of life improvement and the avoidance of urological complicationsOwing to the wide divergence of clinical symptoms and disease course, evaluation and treatment differ between patients. Treatment must be customized for each patient based on disease phase, patient independence, manual dexterity, social support, and other medical-or MS-related issues. Ablative or irreversible therapies are indicated only when the disease course is stable. In most cases of "safe" bladder, behavioural treatment is considered first-line defense. Antimuscarinic drugs, alone or in combination with intermittent self-catheterization, are currently the mainstay of conservative treatment, and several other medications may help in specific disease conditions. Second-line treatment includes botulinum toxin A injection, neuromodulation, indwelling catheters, and surgery in well-selected cases.

Vignettes in Patient Safety - Volume 1

“…While the relative rates of the various mechanical complications of IUCs are unknown, obstruction, retained IUC due to balloon port obstruction and hematuria are frequently described [1,6]. There have even been reports of life-threatening hemorrhage following traumatic catheter removal [7].…”

Section: Mechanical Complicationsmentioning

confidence: 99%

“…This problem was addressed through the development of silicone-coated latex and silicone-based catheters that are frequently used today when long-term catheter requirement is suspected. Today, prolonged length of catheterization is known to be a signiicant risk factor for the development of bladder neck and urethral strictures, calculi and even squamous cell carcinoma of the bladder [6].…”

Section: Mechanical Complicationsmentioning

confidence: 99%

Unnecessary Complications: The Forgotten Indwelling Urinary Catheter

Hromatka¹,

Guo²

2017

Complications of indwelling urinary catheters (IUCs) are common, with the infectious one accounting for 40% of all reported healthcare-associated infections. Myths and rituals exist among healthcare professionals in the application of the urinary catheter, and the catheter is often forgoten after the placement, resulting in a potentially signiicant impact on patient outcomes and healthcare cost. The implementation of institutional protocols through a bundled approach can signiicantly reduce forgoten IUCs and dramatically improve patient safety.