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

2C.5.a.2C.5.b.2C.6.2C.7.a.2C.7.b.2C.9.2C.10.2C.11.a.2C.11.b.2C.11.c.2C.12.a.2C.12.b.Do not clean the periurethral area with antiseptics to prevent CAUTI while thecatheter is in place. Routine hygiene (e.g., cleansing of the meatal surface duringdaily bathing) is appropriate. (Category IB)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)Changing indwelling catheters or drainage bags at routine, fixed intervals is notrecommended. Rather, catheters and drainage bags should be changed based onclinical indications such as infection, obstruction, or when the closed system iscompromised. (Category II)Use a sterile, single-use packet of lubricant jelly for catheter insertion. (CategoryIB)Routine use of antiseptic lubricants is not necessary. (Category II)Further research is needed on the use of bacterial interference to prevent UTI inpatients requiring chronic urinary catheterization. (No recommendation/unresolvedissue)Further research is needed on optimal cleaning and storage methods for cathetersused for clean intermittent catheterization. (No recommendation/unresolvedissue)Clamping indwelling catheters prior to removal is not necessary. (Category II)Insert catheters only for appropriate indications, and leave in place only as long asneeded. (Category IB)For operative patients who have an indication for an indwelling catheter, removethe catheter as soon as possible postoperatively, preferably within 24 hours, unlessthere are appropriate indications for continued use. (Category IB)Consider using a portable ultrasound device to assess urine volume in patientsundergoing intermittent catheterization to assess urine volume and reduceunnecessary catheter insertions. (Category II)Further research is needed on the use of a portable ultrasound device to evaluatefor obstruction in patients with indwelling catheters and low urine output. (Norecommendation/unresolved issue)原文Q2D. What are the risks and benefits associated with different systemsinterventions?The available data examined the following systems interventions:1. Infection control/quality improvement programs (multifaceted)2. Catheter reminders3. Bacteriologic monitoring4. Hand hygiene5. Patient placement6. Catheter team versus self-catheterization7. Feedback8. Nurse-directed catheter removal94 < 原文 > VIII. Evidence Review