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. Proper Techniques for Urinary Catheter InsertionA. Perform hand hygiene immediately before and after insertion or any manipulation of thecatheter device or site. (Category IB) (Key Question 2D)B. Ensure that only properly trained persons (e.g., hospital personnel, family members, orpatients themselves) who know the correct technique of aseptic catheter insertion andmaintenance are given this responsibility. (Category IB) (Key Question 1B)C. In the acute care hospital setting, insert urinary catheters using aseptic technique andsterile equipment. (Category IB)1. Use sterile gloves, drape, sponges, an appropriate antiseptic or sterile solution forperiurethral cleaning, and a single-use packet of lubricant jelly for insertion.(Category IB)2. Routine use of antiseptic lubricants is not necessary. (Category II) (Key Question2C)3. Further research is needed on the use of antiseptic solutions vs. sterile water orsaline for periurethral cleaning prior to catheter insertion. (No recommendation/unresolved issue) (Key Question 2C)D. In the non-acute care setting, clean (i.e., non-sterile) technique for intermittentcatheterization is an acceptable and more practical alternative to sterile technique forpatients requiring chronic intermittent catheterization. (Category IA) (Key Question 2A)1. Further research is needed on optimal cleaning and storage methods for cathetersused for clean intermittent catheterization. (No recommendation/unresolved issue)(Key Question 2C)E. Properly secure indwelling catheters after insertion to prevent movement and urethraltraction. (Category IB)F. Unless otherwise clinically indicated, consider using the smallest bore catheter possible,consistent with good drainage, to minimize bladder neck and urethral trauma. (Category II)G. If intermittent catheterization is used, perform it at regular intervals to prevent bladderoverdistension. (Category IB) (Key Question 2A)H. Consider using a portable ultrasound device to assess urine volume in patients undergoingintermittent catheterization to assess urine volume and reduce unnecessary catheterinsertions. (Category II) (Key Question 2C)1. If ultrasound bladder scanners are used, ensure that indications for use are clearlystated, nursing staff are trained in their use, and equipment is adequately cleanedand disinfected in between patients. (Category IB)< 原文 > II. Summary of Recommendations61