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Results for “Urinary Catheterization”

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PubMed1989

Incidence and importance of bacteriuria in postoperative, short-term urinary catheterization.

The frequency and importance of bacteriuria in patients requiring short-term postoperative catheterization (24 to 48 hours) is unknown. From a prospective, controlled study of 100 patients requiring catheterization postoperatively, the authors determined that there was a definite risk (6%) of bacteriuria; however, a symptomatic urinary tract infection developed in only 1% of the patients. There was no advantage to using either a latex or silicone catheter. It appears that the risk of symptomatic bacteriuria in this group of patients is very low when a closed urinary drainage system is used under strict, sterile conditions of catheter insertion and with meticulous ongoing catheter care.

Bacteriuria↗
PubMed1985

Prevention of bacteriuria during urinary catheterization of patients in an intensive care unit: evaluation of the 'Ureofix 500' closed drainage system.

In a consecutive study of 1088 patients admitted to a general intensive care unit the incidence of catheter-associated urinary tract infection amongst 512 patients managed with a conventional urine meter drainage system was 26.8%. Introduction of a new closed urine drainage system incorporating a urine meter 'Ureofix 500' enabled a reduction of catheter-associated infection to 12.2% of 576 patients. The unique design of the 'Ureofix 500' system fulfils the criteria for use in the intensive care unit and affords significant protection against catheter-associated urinary tract infection in the high risk patient.

Adolescent↗
PubMedDate not supplied

Implementing evidence-based practice for urinary catheterization.

Nursing development units (NDUs) are ideal centres for the critical examination of clinical nursing practice. In addition, staff are enabled to clarify appropriate and effective methods of care and interventions based on evidence to date (Department of Health (DoH), 1993, 1998; English National Board (ENB), 1996, 1997; Centre for Policy in Nursing Research, 1997). In July 1996, the staff within the cardiology NDU at Addenbrooke's NHS Trust looked at the potential for various projects that were central to practice. One concerned the management of urinary catheters. A pilot study was initiated, one outcome of which was the design of a project checklist based on Sackett et al's definition of evidence-based practice (EBP) (Sackett et al, 1997). In this article, the aims and intentions of the project are evaluated in relation to the problems associated with implementing evidence. In addition, the framework of the White Paper (DoH, 1998) is examined against the need for an organizational Infrastructure, which is required to enable achievement of the outcomes of EBP. The benefits of the project are outlined, both in the changes to practice and for the unit. Recommendations for other professionals are also offered, as there are few recorded experiences in the literature of implementation of EBP, the process framework required and the costs involved.

Clinical Nursing Research↗