Inserted catheters form an entry point for microbes to colonize the patient’s rather sterile body. “Following finite colonization, the risk rate of bacteriuria is estimated at (3-10) % per day. The invading microbes could be of low virulence but nonetheless they are no match for the body’s host defense system, which is compromised” (Nicolle 2012, p.13). The immune-comprised patients succumb to nosocomial infections and in this respect, catheter urinary tract infection (CAUTI). Underlying malignancies and therapeutic interventions e.g. corticosteroids, parenteral nutrition are recognized as risk factors. The risk of suffering from nosocomial infections is mainly linked to duration of hospital stay. Multivariate analyses of evidence shows that catheters and implantable devices are risk factors for over 50% of patients with blood cultures that test positive for bacterial contamination. Consequently the duration at which a patient has an inserted catheter strongly predisposes him/her to contracting catheter-associated bacteriuria. However, even short-term use of catheters ranging from 3 to 11 days poses a risk of bacteriuria by up to 26%. Consequently, it is no wonder that bacteriuria develops in nearly all patients who have been catheterized for only 1 month. Of these patients who develop bacteriuria, the disease progresses to urinary tract infection (acteremia (Warren, 1997). This prompted the Center for Disease Control and Prevention (CDC) to form stringent guidelines....
Consequently the duration at which a patient has an inserted catheter strongly predisposes him/her to contracting catheter-associated bacteriuria. However, even short-term use of catheters ranging from 3 to 11 days poses a risk of bacteriuria by up to 26%. Consequently, it is no wonder that bacteriuria develops in nearly all patients who have been catheterized for only 1 month. Of these patients who develop bacteriuria, the disease progresses to urinary tract infection (UTI) and the incidence of suffering bacteremia is about 5%. Hence, the prevalence of nosocomial CAUTI is 15% of the overall nosocomial bacteremia (Warren, 1997). Effective Catheter Management There is evidence on the overuse and misuse of catheters, and hence the prevalence of CAUTI. Evidence shows that catheters are used for unknown as well as unjustified medical conditions in about 20% of hospitalized patients. Moreover, this continued use of catheters is unnecessary for (0.3-0.5) % of catheterization days. This prompted the Center for Disease Control and Prevention (CDC) to form stringent guidelines concerning the use of catheters. According to the CDC (2011), catheter use should be streamlined and removal of catheters should be done promptly after an appropriate duration of usage. Most important, health workers are required to be responsible and to avoid misuse of catheterization. Guidelines concerning approved techniques of catheter insertion and care were also issued. However, there has been poor adherence and implementation of these guidelines (Furfari & Wald, 2008). Catheter Use Several health conditions warrant the insertion of catheters. For instance, a case of acute urinary retention
The purpose of this paper “Reduction of urinary catheter days versus catheter irrigation” is to support, educate, and demonstrate that only one intervention decreases the incident of CAUTI (Catheter Urinary Tract Infection) based on the evidence…
Qualitative research design shall be adapted as the major form of research action towards the achievement of the research aim and objectives. Qualitative research is generally discretional, which means that its analysis and conclusions are drawn based on the researcher’s interpretation to data collected (Moy and Wein, 2007).
In our body, there are preventive mechanisms like the lining of the bladder, antimicrobial properties of urine, etc. Even then the bacterium enters through external mediums or proliferates in the bladder and other regions, leading to acute infection. One of the external mediums, through which or because of which the incidence of UTI increase is Foley Catheters, used to drain urine, when normal urination is not possible due to some medical conditions.
es includes, ventricular assist device, cardiovascular devices, urinary catheter and penile implants .Other causes blood infections includes use of unscreened blood products, and contact between patients. For central line associated bloodstream infections, they are actually associated with increased length of hospitalization (Guerin, 2010).
However, indwelling catheters are associated with a number of complications; primarily urinary tract infections (UTIs) (Voss, 2009). It is estimated that between 16% and 25% of all patients hospitalized in the United States have indwelling catheters in place, but there are suggestions that as many as 21% of these did not meet established criteria for insertion and as many as 50% had the catheter in place for longer than required (Gotelli et al, 2008).
The risk of acquiring bacteriuria (bacteria in urine) increases with time, from approximately 5% per day during the first week of hospitalization to nearly 100% in 4 weeks. It has been estimated that 1-4% of bacteriuric patients will ultimately develop clinically significant bacteraemia with a case fatality of 13-30%.
Even then the bacterium enters through external mediums or proliferates in the bladder and other regions, leading to acute infection. One of the external mediums, through which or because of which the incidence of UTI increase is Foley
iotics (Ibrahim, 2000).They are a major cause of morbidity and mortality in immune compromised cases and patients who have hematologic malignancies because they receive intensive cytotoxic therapies (Apostolopoulou, 2010).The use of medical device also has a consequence of
énez-Alcaide, E.; García-González, L.; Guerrero-Ramos, F.; Pérez-Cadavid, S.; Arrébola-Pajares, A.; Sopeña-Sutil, R.;, Benítez-Salas, R.; Díaz-González, R. & Tejido-Sánchez, A. (2013). Healthcare-associated infections in a department of urology: Incidence and patterns
The author states that besides the indwelling catheter, however, nosocomial urinary tract infections can result from contaminated beddings that cause direct entry of microorganisms. The danger of the situation is that with the repeated emptying of the urinary bag and handling of the catheters, there is risk of a rise of the infection.
19 pages (1000 words)Research Paper
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