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Related Concept Videos

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Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
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Clean intermittent catheterization: Single use vs. reuse.

Seyed Hossein Saadat1, Shaun Shepherd1, Brandon Van Asseldonk2

  • 1Division of Urology, Department of Surgery, University Health Network, Toronto, ON, Canada.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
|August 24, 2018
PubMed
Summary
This summary is machine-generated.

Single-use catheters, particularly hydrophilic-coated (HC) ones, are recommended for intermittent catheterization (IC) to reduce urinary tract infection (UTI) risks and costs. Patient-centered care should guide catheter choice, especially for children.

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Area of Science:

  • Urology
  • Infectious Disease Management
  • Healthcare Economics

Background:

  • Intermittent catheterization (IC) is crucial for managing chronic urinary retention.
  • Debate exists regarding optimal IC methods and catheter types, including reuse vs. single-use.
  • Literature review focused on urinary tract infection (UTI) risks and costs of different IC approaches.

Purpose of the Study:

  • To review the literature on UTI risks and costs associated with various intermittent catheterization (IC) methods and catheter types.
  • To inform optimal catheter selection for patients with chronic urinary retention.

Main Methods:

  • Systematic literature search conducted in March 2018 using MEDLINE, EMBASE, and EBSCO host.
  • Publication dates were limited to 2014 to the present.
  • Focused on studies comparing different catheter types (hydrophilic-coated, uncoated) and usage (single-use, reuse).

Main Results:

  • Single-use catheters (hydrophilic-coated [HC] or uncoated [UC]) demonstrated a lower UTI risk across most studies.
  • Cost-effectiveness favored single-use catheters in all reviewed studies.
  • One study noted potential issues with HC catheter handling in children.

Conclusions:

  • Reuse of catheters presents unpredictable cleaning adherence, increasing complication risks and healthcare burden.
  • Hydrophilic-coated (HC) catheters are recommended as a first option, with patient/caregiver ability considered.
  • Single-use UC catheters and catheter reuse are alternative options, particularly if HC catheters are difficult for children to manage.