Catheter-associated urinary tract infection therapy by bladder irrigation ? Success or washout?
| Autor: | T. S. J. Elliott, S. L. Cotterill |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
medicine.medical_specialty
business.industry Sterility Urology medicine.medical_treatment Urinary system Obstetrics and Gynecology Washout Urine urologic and male genital diseases Bladder Irrigation female genital diseases and pregnancy complications Surgery Catheter Antibiotic resistance Medicine business Saline |
| Zdroj: | International Urogynecology Journal. 3:222-228 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | The sterility of the urinary tract is maintained in part by the outflow of urine which prevents pathogenic organisms from ascending into the bladder. The use of a urinary catheter in a patient's management impairs this protective mechanism. Prolonged usage increases the risk of infection. A variety of techniques and irrigation fluids have been used to prevent or treat catheter-associated urinary tract infections (UTI) caused by bacteria and certain fungi. Despite promising results, the efficacy of bladder irrigation has been limited by toxic effects of the solutions used and the development of bacterial resistance. When catheterization is essential it should be for a limited period, allied to careful patient and catheter hygiene. In long term catheterization, catheter blockages may be cleared by intermittent irrigation using sterile saline. Although the use of amphotericin irrigation is effective in treating candidal UTI, the use of bladder irrigation in bacterial UTI remains controversial. |
| Databáze: | OpenAIRE |
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