采用 incontinence management alternatives 预防导管相关性尿路感染：PureWick 和 condom catheter。

Preventing Catheter-Associated Urinary Tract Infections with Incontinence Management Alternatives: PureWick and Condom Catheter.

机构信息

Critical Care Medicine, Duke Health, Duke Raleigh Hospital, ATTN: DRAH ICU, 3400 Wake Forest Road, Raleigh, NC 27609, USA; Duke University School of Nursing, Durham, NC, USA.

Intensive Care Unit, Duke Raleigh Hospital, ATTN: DRAH ICU, 3400 Wake Forest Road, Raleigh, NC 27609, USA.

出版信息

Nurs Clin North Am. 2021 Sep;56(3):413-425. doi: 10.1016/j.cnur.2021.05.002.

DOI:10.1016/j.cnur.2021.05.002

PMID:34366161

Abstract

Catheter-associated urinary tract infections (CAUTI) have a high financial and human impact on patients and society at large, making CAUTI prevention strategies essential. A shift has occurred where nurses play an increased role in infection prevention. Nurses promote staff and patient education on CAUTI prevention, identification of appropriate urinary incontinence management, and implementation of bundles and patient care strategies to minimize complications from urinary incontinence management. Because they understand the severity of CAUTI and current recommendations, nurses at the bedside are in the best position to identify appropriate indications of indwelling urinary catheters and external urine collection devices for patients.

摘要

导管相关尿路感染（CAUTI）对患者和整个社会的经济和人力都有重大影响，因此预防 CAUTI 的策略至关重要。护士在感染预防中的作用有所增加。护士在 CAUTI 预防、合适的尿失禁管理、以及实施集束化和患者护理策略以最小化尿失禁管理并发症方面，对医护人员和患者进行教育。由于他们了解 CAUTI 的严重程度和当前的建议，因此床边护士最适合确定患者留置导尿管和外部尿液收集装置的合适适应证。