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Catheter associated urinary tract infections literature review
Catheter associated urinary tract infections literature review
Catheter associated urinary tract infections literature review
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This section of the paper examines the current literature as it pertains to the current research related to catheter-associated urinary tract infection (CAUTI). A urinary tract infection is an infection that refers to any parts of the urethra, bladder or kidney. This type of infection is the most common type of healthcare-associated infection as reported by the National Healthcare Safety Network and 15-25% of hospitalized patients who received a catheter during their hospitalization (NHSN, 2017). A study by Nicolle (2014), hypothesized that urinary tract infection is attributed to the use of the indwelling catheter and is one of the most common infection in healthcare. Nicolle (2014) stipulates that 70-80% are related to a catheter used.
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
Central lines (CL) are used frequently in hospitals throughout the world. They are placed by trained health care providers, many times nurses, using sterile technique but nosocomial central line catheter associated blood stream infections (CLABSI) have been a dangerous issue. This is a problem that nurses need to pay particular attention to, and is a quality assurance issue, because CLABSI’s “are associated with increased morbidity, mortality, and health care costs” (The Joint Commission, 2012). There have been numerous studies conducted, with the objective to determine steps to take to decrease CLABSI infection rate, and research continues to be ongoing today. The problem is prevalent on many nursing units, with some patients at great risk than others, but some studies have shown if health care providers follow the current literature, or evidence based guidelines, CLABSIs can be prevented (The Joint Commission, 2012). The purpose of this paper is to summarize current findings related to this topic, and establish a quality assurance (QA) change plan nurses can implement for CL placement and maintenance, leading to decreased risk of nosocomial CLABSIs.
Biofilms are ubiquitous in nature; however, the addition of an external object further enhances biofilm formation. In the human body implantation of medical devices can foster the growth of biofilms and cause infection. A notable example of an external medical device is the conventional urinary catheter which invites biofilm formation, making the development of CAUTI inevitable. Current methods of treatment for CAUTI include use of antibiotics and a range of preventative measures. Novel therapeutic methods involve a range of strategies, such as catheter impregnation with antimicrobial agents and disruption of quorum sensing; proposing a promising future for CAUTI infected patients.
A urinary tract infection or UTI during pregnancy can be a recurring dilemma, and if left untreated it can lead to other dire health complications. The urinary tract, especially for pregnant women is the perfect host of unwanted bacteria. The reason for this is that as your uterus expands, it makes it simpler for bacteria breeding around your anus from fecal matter and even on your skin as well as from the toilet seat, to find its way up your urethra. UTIs are common in women who are in the first and second trimester of their pregnancy.
Healthcare-associated infections (HAIs) contribute to mortality, prolonged hospital stays, and increased healthcare costs. The Center for Disease Control and Prevention (CDC, 2016) announces, “one in 25 hospital patients has at least one healthcare-associated infection.” Given this astounding statistic and the fact that most of HAIs are preventable; nurses must seek out evidence-based research to employ interventions that prevent HAIs such as such as chlorhexidine gluconate (CHG) bathing. The use of this intervention is applicable to all adult patient populations. This intervention should be of interest to nursing organizations that initiate change in practices and treat adult
The patient is a 56-year-old gentleman who presented to the ED with a complaint of constipation for 5 days prior to presentation patient reports child the being bags of sunflower seeds 6 days prior to presentation and since that time he has not had a bowel movement. He reports some associated left lower quadrant pain 2/10, sharp and constant. He also reports associated increased urinary frequency and straining to urinate. He has no significant past medical history. He has tried some stool softeners etc. at home with no results. Clinical review of his records indicates he does have a mild elevation in his white count with a left shift. His SMA-18 reveals some hypokalemia. Urinalysis reveals a small amount of blood. A CT the abdomen
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
Interstitial cystitis is a condition that causes inflammation of the bladder. The bladder is a hollow organ in the lower part of your abdomen. It stores urine after the urine is made by your kidneys. With interstitial cystitis, you may have pain in the bladder area. You may also have a frequent and urgent need to urinate.
The components of the urinary tract from the renal pelvis is the urethra, ureter, urinary bladder and renal pelvis. The urinary bladder is the muscular sac in the pelvic cavity that serves as a storage for urine. The urethra is the tube muscle and membrane extending from the bladder to the urinary meatus which is the external opening of the urinary system. The male urethra is approximately 20 cm and the females' urethra is approximately 3cm long. The ureter is two narrow and muscular tubes that carry the newly formed urine from the renal pelvis in each kidney to the urinary bladder. The renal pelvis connects the kidneys to the ureter at the concave of the hilum. Daniel was diagnosed with urolithiasis, the presence of kidney stones in the urinary
Urinary tract infection (UTI) is a bacterial infection or inflammation of the bladder (cystitis), kidneys (pyelonephritis), or urethra (urethritis), leading to bacterial colonization of the urine. Infection of the urinary tract is a common problem, causing more than eight million office visits annually in the United States. UTI is the second most common infection that affects women. UTIs typically affect young, sexually active women. A lower UTI is an infection or inflammation of the bladder or urethra. Upper UTIs involve infections of the ureters and kidneys. Simple or uncomplicated UTIs are infections experienced by women with no significant history of UTIs and are characterized by new onset of mild to moderate symptoms. A complicated UTI
In 2005, I was diagnosed with an inflammatory bladder condition called Interstitial Cystitis (IC). My IC symptoms included intense bladder pain, pelvic pain, urinary frequency, a constant, strong urge to urinate, and more. Certain foods and drinks also irritated my bladder, forcing me to make drastic dietary changes. While women are the more likely to be diagnosed with IC, it also impacts men and children. Like Lyme disease, there is no foolproof test to diagnosis IC, and many patients take an average of five to seven years to be correctly diagnosed.
The specific diagnosis of a urinary tract infection (UTI) needs the isolation of merely one uropathogen from the urine culture. Urine sample should be performed before any antimicrobial therapy is initiated. The urine sample can be obtained in various methods. The simplest method is via a bagged specimen, which includes connecting a plastic bag to the perineum. • Urine Sampling
The components of the urinary tract; 2 kidney, 2 ureters, urinary bladder and urethra. The waste product of this process is urine, a concentrated solution containing water, urea a product of the breakdown of proteins, salts, amino acids, by products of hepatic bile, ammonia and any other substance that cannot be reabsorbed by the blood. Urine also contains urinary pigments, a colored blood product that gives urine its characteristic yellow color. The renal pelvis acts as a filter, collects the urine that flows from the calyces, leaves the kidneys through the ureters and reaches the urinary bladder. The bladder dilates as it is filled, when it is full, it sends an impulse to the brain and the muscular walls of the bladder contract and the sphincter
A urinary tract infection (UTI) is a very common bacterial infection that can affect any part of the urinary system, including the bladder, kidneys, or urethra. Patients can experience lower or upper infections. Lower UTIs affect the bladder and urethra, while upper UTIs involve the ureters and kidneys. Upper UTIs have the potential to be more serious due to the increased risk of damage to the kidneys. Very rarely are the ureters the main site of an infection. Additionally, UTIs can have different names depending on what part of the urinary system they affect:
URINARY TRACT INFECTIONS (UTIs) Description Urinary tract infection (UTI) is defined as an infection of any part of the urinary tract. UTIs are common bacterial infections managed in general practice, particularly in sexually active women except in first year of life and in elderly. UTIs represent the most frequent bacterial infections encountered in the community settings. One per cent boys and 3-5% girls below 14 years develop UTI. Risk of UTI is also higher in children with congenital urinary tract anomalies, chronic diarrhoea and malnutrition.