ブックタイトルカテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

概要

カテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

II. Summary of RecommendationsTable 1. Modified HICPAC Categorization Scheme* for RecommendationsCategory IAA strong recommendation supported by high to moderate quality† evidencesuggesting net clinical benefits or harmsCategory IBA strong recommendation supported by low quality evidence suggesting netclinical benefits or harms or an accepted practice (e.g., aseptic technique)supported by low to very low quality evidenceCategory ICA strong recommendation required by state or federal regulation.Category IIA weak recommendation supported by any quality evidence suggesting atrade off between clinical benefits and harmsNo recommendation/unresolved issueUnresolved issue for which there is low to very low quality evidence withuncertain trade offs between benefits and harms* Please refer to Methods (p.81) for implications of Category designations† Please refer to Methods (p.78-79) for process used to grade quality of evidenceI. Appropriate Urinary Catheter UseA. Insert catheters only for appropriate indications (see Table 2 for guidance), and leave inplace only as long as needed. (Category IB) (Key Questions 1B and 2C)1. Minimize urinary catheter use and duration of use in all patients, particularly those athigher risk for CAUTI or mortality from catheterization such as women, the elderly,and patients with impaired immunity. (Category IB) (Key Questions 1B and 1C)2. Avoid use of urinary catheters in patients and nursing home residents formanagement of incontinence. (Category IB) (Key Question 1A)a. Further research is needed on periodic (e.g., nighttime) use of externalcatheters (e.g., condom catheters) in incontinent patients or residents and theuse of catheters to prevent skin breakdown. (No recommendation/unresolved issue) (Key Question 1A)3. Use urinary catheters in operative patients only as necessary, rather than routinely.(Category IB) (Key Question 1A)4. For operative patients who have an indication for an indwelling catheter, remove thecatheter as soon as possible postoperatively, preferably within 24 hours, unless thereare appropriate indications for continued use. (Category IB) (Key Questions 2A and2C)< 原文 > II. Summary of Recommendations59