[Prescribe clean intermittent self-catheterization]

Autor: Bonniaud, Véronique, Leroy, Joël, Kleinclauss, François, Look, Pierre-Yves, Bévalot, Julien, Parratte, Bernard
Přispěvatelé: Service de médecine physique et de réadaptation, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Service des maladies infectieuses et tropicales, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Hôpital Saint-Jacques, Service d'urologie, andrologie et transplantation rénale, Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098) (RIGHT), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté]), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Hôpital Saint-Jacques, Service de Néphrologie et Urologie, Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC ( HOTE GREFFON ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Etablissement français du sang [Bourgogne-France-Comté] ( EFS [Bourgogne-France-Comté] ) -Université de Franche-Comté ( UFC ), Hôpital Saint-Jacques-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang [Bourgogne-Franche-Comté] (EFS [Bourgogne-Franche-Comté])-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Saas, Philippe
Jazyk: francouzština
Rok vydání: 2008
Předmět:
MESH: Bacteriuria
[SDV.IMM] Life Sciences [q-bio]/Immunology
MESH : Family Practice
Bacteriuria
Urinary Bladder
MESH: Patient Education as Topic
MESH: Urinary Tract Infections
MESH: Catheterization
Catheterization
MESH : Catheterization
Patient Education as Topic
MESH: Risk Factors
Risk Factors
MESH: Urinary Bladder
[ SDV.IMM ] Life Sciences [q-bio]/Immunology
MESH: Hygiene
Humans
MESH : Bacteriuria
MESH : Urinary Tract Infections
MESH: Family Practice
MESH : Diuresis
MESH : Urinary Bladder
MESH: Humans
MESH : Humans
MESH: Diuresis
MESH: Urinary Retention
MESH : Hygiene
Hygiene
Urinary Retention
MESH : Risk Factors
Diuresis
Self Care
MESH : Self Care
MESH: Self Care
Urinary Tract Infections
[SDV.IMM]Life Sciences [q-bio]/Immunology
MESH : Urinary Retention
MESH : Patient Education as Topic
Family Practice
Zdroj: La Presse Médicale
La Presse Médicale, Elsevier Masson, 2009, 38 (3), pp.392-6. ⟨10.1016/j.lpm.2008.12.011⟩
La Presse Médicale, Elsevier Masson, 2009, 38 (3), pp.392-6. 〈10.1016/j.lpm.2008.12.011〉
ISSN: 2213-0276
0755-4982
DOI: 10.1016/j.lpm.2008.12.011⟩
Popis: International audience; Clean intermittent self-catheterization is the recommended mode of voiding in patients with urinary retention. CISC is a non-sterile catheterization, done by the patient himself to insure complete emptying of the bladder several times per day. Its prescription rests on well-established recommendations with a sufficient frequency of self-catheterization (minimum 4), collected volumes less than 400 mL and a diuresis higher than 1.5 L. Clean intermittent self-catheterization allows a reduction in complications of infection, protects the upper urinary tract and provides urinary continence for the patient. Asymptomatic bacteriuria is very frequent in patients treated with intermittent catheterization and does not justify antibiotic therapy. Only symptomatic urinary tract infections have to be treated by a short course of antibiotics. Patient education and personalized medical follow-up must ensure adapted management dependant on this voiding mode and its risk factors. A guideline is provided to prescribe clean intermittent self-catheterization with its indications, its advantages and complications, its medical surveillance and treatment of urinary tract infection. This procedure should be well-known to general practitioners who are responsible for the follow up of these patients.
Databáze: OpenAIRE
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