Indwelling catheters and neurogenic bladder: Are they really that bad?

Autor: Moussa, Sabri, Campeau, Lysanne, Corcos, Jacques
Zdroj: Current Bladder Dysfunction Reports; Sep2009, Vol. 4 Issue 3, p132-136, 5p
Abstrakt: Indwelling catheters are one viable option in treatment of neurogenic bladder. Indwelling catheters require appropriate and regular follow-up to avoid associated complications, which may be severe. However, even if a high rate of complications was reported with the use of indwelling catheters, they still have their place in neurogenic bladder management. The most common complications associated with their use are catheter blockage, catheter-associated urinary tract infection (CAUTI), and stone formation. Indwelling catheters violate the sterile bladder environment by providing a route for bacterial entry along both the internal and external surfaces. This violation leads to a high rate of CAUTI. However, there are innovative ways to reduce the CAUTI rate. In patients in whom clean intermittent catheterization can be performed, indwelling catheters should not even be considered as an alternative for bladder emptying. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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