Hilton P
University of Newcastle-upon-Tyne, Department of Obstetrics and Gynaecology, Princess Mary Maternity Hospital.
Br J Obstet Gynaecol. 1988 Nov;95(11):1178-89. doi: 10.1111/j.1471-0528.1988.tb06797.x.
All 2836 members and fellows of the Royal College of Obstetricians and Gynaecologists were circulated with a questionnaire concerning catheterization practices; 1229 replies were received, an overall response rate of 43%; the response rate from practitioners of consultant and senior registrar status was 67%. Practices varied considerably, some aspects of management apparently relating to the age or experience of the surgeon, some to their level of interest or surgical commitment in gynaecological urology, and some showing regional variation. Of the 960 respondents in active gynaecological practice, 84-93% (depending on the operation) drained the bladder before routine abdominal procedures, 52-54% (depending on the route) drained the bladder before incontinence surgery, and 62-70% routinely used continuous bladder drainage for periods between 1 and 12 days following these procedures. Overall, 51% of respondents preferred urethral, and 39% suprapubic catheters for postoperative bladder drainage; this showed a marked regional- and experience-related variation. Prophylactic antibiotics were used by 32% of gynaecologists overall, and a wide variety of other measures were employed in the management of catheter-associated infection, and other problems of catheter management.
皇家妇产科学院的所有2836名成员和研究员都收到了一份关于导尿操作的调查问卷；共收到1229份回复，总体回复率为43%；顾问医生和高级住院医生的回复率为67%。操作方法差异很大，管理的某些方面显然与外科医生的年龄或经验有关，有些与他们对妇科泌尿学的兴趣程度或手术投入有关，还有些存在地区差异。在960名从事妇科临床工作的受访者中，84% - 93%（取决于手术类型）在常规腹部手术前排空膀胱，52% - 54%（取决于途径）在失禁手术前排空膀胱，62% - 70%在这些手术后常规进行1至12天的持续膀胱引流。总体而言，51%的受访者更喜欢使用尿道导管，39%更喜欢耻骨上导管用于术后膀胱引流；这显示出明显的地区和经验相关差异。总体而言，32%的妇科医生使用预防性抗生素，在导管相关感染及其他导管管理问题的处理上采用了多种其他措施。
