{"id":5428,"date":"2020-05-27T17:42:50","date_gmt":"2020-05-27T15:42:50","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?post_type=raccomandazione-prof&#038;p=5428"},"modified":"2020-05-27T17:42:50","modified_gmt":"2020-05-27T15:42:50","slug":"dont-place-or-leave-in-place-urinary-catheters-for-unacceptable-indications","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-place-or-leave-in-place-urinary-catheters-for-unacceptable-indications\/","title":{"rendered":"Don\u2019t place or leave in place urinary catheters for unacceptable indications"},"content":{"rendered":"<p>Urinary tract infection (UTI) has long been considered the most common healthcare-associated infection. They account for increased morbidity and mortality, excess length of hospital stay, increased cost and unnecessary antimicrobial use. Avoiding unnecessary urinary catheter use is the most important strategy in prevention of Catheter-associated Urinary Tract Infection (CAUTI) Appropriate indications for indwelling urinary catheter placement in medical patients include acute retention or outlet obstruction, continuous bladder irrigation for gross hematuria, need for accurate measurements of urinary output in critically ill patients, assisting in healing of deep sacral or perineal wounds in female patients with urinary incontinence and providing comfort at the end of life. Without critical illness use weights instead of urinary catheters to monitor diuresis. Incontinence, immobilization or dementia are not proper indications for urinary catheter use.<\/p>\n","protected":false},"featured_media":4579,"template":"","meta":{"_wpml_word_count":["{\"total\":153,\"to_translate\":{\"it\":153}}"],"_wpv_contains_gutenberg_views":[""],"_layouts_template":["modello-per-raccomandazioni-professionista"],"_wp_page_template":["default"],"_edit_lock":["1590594636:2"],"_edit_last":["2"],"_wpml_media_featured":["1"],"_wpml_media_duplicate":["1"],"_wpml_location_migration_done":["1"],"_thumbnail_id":["4579"],"wpcf-pacchetto":["-"],"wpcf-bibliografia":["1.\tCanadian Society of Internal Medicine, Choosing Wisely Canada recommendation 2.\r\n2.\tSociety of Hospital Medicine- Adult of Hospital Medicine, Choosing Wisely recommendation 1 (2013)\r\n3.\tAmerican Academy of Nursing, Choosing Wisely recommendation 5 (2014)\r\n4.\tThe society for post acute and long\u2013term care (AMDA), Choosing Wisely recommendation 6\r\n5.\thttp:\/\/www.cdc.gov\/hicpac\/pdf\/CAUTI\/CAUTIguideline2009final.pdf\r\n6.\tMeddings 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 2014; 23: 277-89."],"wpcf-posizione-prof":["2"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-pdfpdf-prosfessionista":["https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/05\/Scheda-AMGE-english.pdf"],"wpcf-area-ordinamento":["Geriatrics"],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.9.4\",\"enable_all_character_sets\":\"false\"}\";}"]},"eta":[{"term_id":97,"name":"Geriatric","slug":"geriatric","term_group":0,"term_taxonomy_id":97,"taxonomy":"eta","description":"","parent":0,"count":242,"filter":"raw"}],"disciplina":[7224],"tipologia":"Other health practices","class_list":["post-5428","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-geriatric","disciplina-geriatrics","tipologia-other-health-practices"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/5428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/4579"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=5428"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=5428"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=5428"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=5428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}