The effectiveness of the ultrasound bladder scanner in reducing urinary tract infections: a meta‐analysis

Palese, Alvisa; Buchini, Sara; Deroma, Laura; Barbone, Fabio

doi:10.1111/j.1365-2702.2010.03281.x

Cited by 43 publications

(39 citation statements)

References 64 publications

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“…[6][7][8][9] However, the majority of studies were conducted as post-void measurements or in surgical patients. Additionally, the majority of literature evaluating BS was conducted in non-ICU populations.…”

Section: Discussionmentioning

confidence: 99%

Discrepancies in measuring bladder volumes with bedside ultrasound and bladder scanning in the intensive care unit: A pilot study

Prentice

Sona

Wessman

et al. 2017

Journal of the Intensive Care Society

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Objective: Intensive care unit patients are at risk for catheter-associated urinary tract infection. Earlier removal of catheters may be possible with accurate measurement of bladder volume. The purpose was to compare measured bladder volumes with bedside ultrasound, bladder scanner, and urine volume. Design: Prospective correlational descriptive study. Setting: Surgical/trauma intensive care unit and medical intensive care unit. Patients: Renal dialysis patients with less than 100 ml of urine in 24 h prior to urinary catheter removal and patients with suspected catheter obstruction. Measurements and main results: A physician trained in ultrasound and an advanced practice registered nurse trained in bladder scanning measured bladder volume; each blinded to the other's measurement. Device used first (ultrasound or bladder scanner) alternated daily. The intensive care unit team determined need for intermittent catheterization or treatment for suspected obstruction. Fifty-one measurements from 13 patients were obtained with results reported in milliliters. Ultrasound measurements were a mean volume of 72.1 AE 127 (range: 1.7-666) and the bladder scanner measurements were 117 AE 131 (0-529). On six occasions in five dialysis patients, urine volume measurement was available. The mean difference in ultrasound-urine volume mean difference was 0.5 AE 37.8 (range: À68 to 38.2) and the bladder scanner-urine volume was 132 AE 167 (À72 to 397). Two patients with suspected catheter obstructions had ultrasound, bladder scanner, urine volume measurements, respectively: (1) 539, 51, >300 (began voiding before catheter replaced); (2) 666, 68, 1000 with catheter replacement. Conditions leading to greatest differences were obesity, indwelling catheter and ascites.Conclusions: These results demonstrate the inaccuracy of the bladder scanner. Ultrasound measurements appear more accurate. To remove urinary catheters in patients with minimal to low urine output, serial ultrasound measurements can be used to monitor bladder volumes and return of renal function. KeywordsCatheter-associated urinary tract infection, ultrasound, bladder scanner, urine volume Critically ill patients frequently require hourly monitoring of urine output with an indwelling urinary catheter placing them at risk for catheter-associated urinary tract infection (CAUTI). CAUTI remains an important healthcare-associated infection, despite national prevention guidelines and mandates for reduction. The daily risk of acquiring bacteriuria is 3%-7% with an indwelling urinary catheter.1 Urinary catheter utilization rates are higher in the intensive care unit (ICU), 61% compared to 20% in non-ICU areas.2 However, in recent studies with

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Section: Discussionmentioning

confidence: 99%

Discrepancies in measuring bladder volumes with bedside ultrasound and bladder scanning in the intensive care unit: A pilot study

Prentice

Sona

Wessman

et al. 2017

Journal of the Intensive Care Society

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“…Since experience has now shown that routine urinary catheterization is not necessary for all caesareans, and its use carries a high risk for infection, other approaches need to be explored. The best way to prevent urinary infection is to use urinary catheters as little as possible, and if they are used, they should be removed as soon as possible (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…Many factors play a role in the development of postoperative urinary retention. Although age is accepted as the general precipitating factor, long surgical procedures, the surgical site, and pain can also lead to postoperative urinary retention (1)(2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Sacral Region Massage as an Alternative to the Urinary Catheter Used to Prevent Urinary Retention after Cesarean Delivery

et al. 2013

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IntroductionUrinary retention is failure to void in the postoperative period even though the urinary bladder is full. Urinary retention, which can be seen in the early postoperative period (the first 6-8 hours), is a general complication that can also be seen in patients who do not have known urinary complaints. Many factors play a role in the development of postoperative urinary retention. Although age is accepted as the general precipitating factor, long surgical procedures, the surgical site, and pain can also lead to postoperative urinary retention (1-5).Urinary retention is seen most often after anterior abdominal wall and anorectal area operations. A cesarean section is an anterior abdominal wall operation. A urinary catheter may be inserted after abdominoperineal operations if there is a likelihood that urinary bladder functions will be impaired due to operation trauma in the sacral plexus. In our country urinary catheters are routinely inserted in patients before they undergo cesarean delivery, and they are removed shortly after surgery.The literature has reported various methods to encourage voiding after surgery. These have included voiding in a sitting position; early ambulation; providing a bedpan; listening to the sound of water; pouring warm water onto the pelvic area; applying pressure on the urinary bladder in the form of a hand massage; pelvic floor exercises (the kegel exercise); and providing diuretic drinks such as tea and coffee. All of these have been reported as treatments for urinary retention in patients who were unable to urinate after urinary catheter removal (2, 4). Despite the risk of infection, catheterization has also been recommended when micturition has not been achieved after all noninvasive methods have been tried (6, 7).As mentioned earlier, acute urinary retention is an inability to empty the bladder despite being full, and this complication frequently occurs during the postoperative period. Nurses are able to evaluate the presence of urinary retention, monitor the volume and excessive relaxation of the bladder and avoid unnecessary catheterizations (2-4). The association between urinary catheterization and urinary tract infection is well documented in the literature (5-7).Genitourinary infection is one of the most common complications (1.7 per 1000) of cesarean deliveries (6). One of the preoperative preparations for cesarean section is the placement of a foley catheter. However, bladder catheterization ABSTRACTObjective: The aim of the study was to determine the effect of massage to the sacral region after cesarean delivery instead of employing a urinary catheter for the prevention of urinary retention.Study Design: Cross sectional study. Material and Methods:This interventional study population consisted of 60 women who were divided into two intervention groups and one control group. For the first intervention group, the sacral region was massaged every hour 10-15 minutes after cesarean delivery and every 30 minutes after a voiding sensation for the second intervention gr...

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“…Assim, foi possível observar que, mesmo no ensino, pois a amostra foi constituída por alunos, houve a omissão da avaliação clínica do paciente antes da insersão do cateter urinário, além de, haver a possibilidade de ser desnecessário, é um procedimento invasivo, que pode acarretar na ocorrência de traumas uretrais e IU. De fácil manuseio, o US elimina as cateterizações desnecessárias, o que leva a um forte impacto nas taxas de IUs e sistémicas e à redução do tempo de hospitalização (Palese, Buchini, Deroma, & Barbone, 2010), resultando assim em baixo custo…”

Section: Discussionunclassified

The person with urinary retention: student perception and scientific evidence on the use of portable ultrasound scanners

et al. 2017

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The effectiveness of the ultrasound bladder scanner in reducing urinary tract infections: a meta‐analysis

Abstract: The systematic use of the ultrasound bladder scanner in the peri-operative period could increase the appropriateness of catheterisation and reduce patient discomfort, costs and days of hospitalisation associated with urinary tract infection associated with catheterisation.

Cited by 43 publications

References 64 publications

Discrepancies in measuring bladder volumes with bedside ultrasound and bladder scanning in the intensive care unit: A pilot study

Discrepancies in measuring bladder volumes with bedside ultrasound and bladder scanning in the intensive care unit: A pilot study

Sacral Region Massage as an Alternative to the Urinary Catheter Used to Prevent Urinary Retention after Cesarean Delivery

The person with urinary retention: student perception and scientific evidence on the use of portable ultrasound scanners

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