Don’t practice bladder catheterization with 2-ways latex catheters; caliber of less than 22 ch for men and 20 ch for women; in patients with suspected or confirmed diagnosis of macrohematuria.
An improper indication and subsequent management of bladder catheterization can determine up to 40% of infections related to care practices, resulting in increased morbidity and costs.In case of macrohematuria it is indicated to use catheters that have as minimum requisites the indicated size and are 3-ways silicone devices.
From this data comes the need of standardizing the knowledge and skills of all professionals who have to perform the procedure of bladder catheterization, especially in order to prevent CAUTI (Catheter Associated Urinary Tract Infections). In patient with suspected or confirmed macrohematuria, the correct choice of the device allows for an effective management of the care process, significantly reducing the occurrence of catheter obstruction, urethral trauma and /or UTI. In case these conditions arise, it is often necessary to repeat the catheterization procedure resulting in the patient’s additional exposure to the risks arising from the operation.
1. Hartley S, Valley S, Kuhn L, Washer LL, Gandhi T, Meddings J, Chenoweth C, Malani AN, Saint S, Srinivasan A, Flanders SA. Inappropriate Testing for Urinary Tract Infection in Hospitalized Patients: An Opportunity for Improvement. Infect Control Hosp Epidemiol. 2013;34(11):1204-1207.
2. Meddings J, Rogers MA, Krein SL, Fakih MG, Olmsted RN, Saint S. Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf 2013; 0:1–13.
3. Kennedy EH, Greene MT, Saint S. Estimating hospital costs of catheter-associated urinary tract infection. J Hosp Med. 2013; 8(9):519-22.
4. Associazione infermieri di urologia ospedaliera. Nursing in endourologia dell’alto apparato urinario. Pavan G. (a cura di). Milano: Masson; 2004.
Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.