Policies for replacing long-term indwelling urinary catheters in adults

Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults

“…obstructed catheter flow, leakage from around the catheter insertion site, physical defect in the catheter, or CAUTI) rather than routinely, as there is inadequate evidence that the latter practice reduces rates of CAUTI [85]. Attempts to decrease rates of catheter-associated UTI and bacteriuria by coating catheters with antibiotics or antiseptic materials have been largely unsuccessful, with either no or limited reductions in clinical outcome at the expense of increased patient discomfort and higher costs [86].…”

“…Attempts to decrease rates of catheter-associated UTI and bacteriuria by coating catheters with antibiotics or antiseptic materials have been largely unsuccessful, with either no or limited reductions in clinical outcome at the expense of increased patient discomfort and higher costs [86]. Systemic antibiotic prophylaxis for patients with long-term urinary catheters does not reduce rates of bacteriuria, CAUTI, or death [85]. …”

Living with an indwelling urethral catheter in a community setting: Exploring triggers for unscheduled community nurse “out‐of‐hours” visits

“…The introduction of the Foley indwelling flexible urethral catheter almost 80 years ago was a welcome replacement for its metal and vulcanised rubber predecessors (Feneley, Hopley, & Wells, ). However, this intervention continues to have common challenging consequences for patients including catheter‐associated urinary tract infection (CAUTI), encrustations, blockage (Cooper, Alexander, Sinha, & Omar, ; Feneley et al., ) and incidences of urine bypassing (when urine passes between the outside of the catheter and the urethra) (Feneley et al., ; Theriault, Ward‐Smith, & Soper, ). Managing urethral catheter‐related consequences creates a burden on health and social service resources, causing unnecessary attendance at accident and emergency departments and hospitalisations (Feneley et al., ).…”

Managing long term indwelling urinary catheters

“…There is limited evidence to support the relative merits of different long term catheter management strategies and long term catheter care regimens, including the use of bladder washout,19 protocols for catheter change frequency,33 and the use of different catheter materials 12. Some strategies, although lacking evidence, appear to offer common sense advantages—for example, carefully securing catheter, tubing, and collection bag to avoid trauma and pain, and the use of a valve (fig 3), which removes the need for a collection bag.…”