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

S. Further research is needed on the use of a portable ultrasound device to evaluate forobstruction in patients with indwelling catheters and low urine output. (Norecommendation/unresolved issue) (Key Question 2C)T. Further research is needed on the use of methenamine to prevent encrustation in patientsrequiring chronic indwelling catheters who are at high risk for obstruction. (Norecommendation/unresolved issue) (Key Question 2C)Specimen CollectionU. Obtain urine samples aseptically. (Category IB)1. If a small volume of fresh urine is needed for examination (i.e., urinalysis or culture),aspirate the urine from the needleless sampling port with a sterile syringe/cannulaadapter after cleansing the port with a disinfectant. (Category IB)2. Obtain large volumes of urine for special analyses (not culture) aseptically from thedrainage bag. (Category IB)Spatial Separation of Catheterized PatientsV. Further research is needed on the benefit of spatial separation of patients with urinarycatheters to prevent transmission of pathogens colonizing urinary drainage systems. (Norecommendation/unresolved issue) (Key Question 2D)原IV. Quality Improvement ProgramsA. Implement quality improvement (QI) programs or strategies to enhance appropriate use ofindwelling catheters and to reduce the risk of CAUTI based on a facility risk assessment.(Category IB) (Key Question 2D)文The purposes of QI programs should be: 1) to assure appropriate utilization of catheters 2)to identify and remove catheters that are no longer needed (e.g., daily review of theircontinued need) and 3) to ensure adherence to hand hygiene and proper care of catheters.Examples of programs that have been demonstrated to be effective include:1. A system of alerts or reminders to identify all patients with urinary catheters and assessthe need for continued catheterization2. Guidelines and protocols for nurse-directed removal of unnecessary urinary catheters3. Education and performance feedback regarding appropriate use, hand hygiene, andcatheter care4. Guidelines and algorithms for appropriate peri-operative catheter management, such as:a. Procedure-specific guidelines for catheter placement and postoperative catheterremoval64 < 原文 > II. Summary of Recommendations