Hashisaki P, Swenson J, Mooney B, Epstein B, Bowcutt C
Arch Phys Med Rehabil. 1984 Aug;65(8):474-6.
Patients with neurologic injuries frequently have permanent indwelling or external catheters connected to disposable urinary bags. These patients routinely disconnect the bed bag during the day and apply a leg bag which can be concealed under their clothes. In our rehabilitation unit, both bags are discarded daily. This study investigated the possibility of safely reusing bed and leg bags. The procedure involved decontamination of the bags using 180 ml of a 1% solution of sodium hypochlorite. Initially, discarded bed and leg bags were decontaminated in the lab to ensure effectiveness of the procedure. Next, 22 patients reused their bed and leg bags with daily decontamination by the rehabilitation nursing staff. These bags were reused for two to eight days. Cultures of 137 bags were obtained to evaluate the technique. All cultures were negative. Baseline urine cultures for both time periods showed no significant difference in rates of bacteriuria. The potential savings for one year on our rehabilitation unit, with an average of 12 catheterized patients, would be approximately $39,000. Although this methodology conflicts with thoughts about not reusing disposable products, we have shown that the procedure can be done safely in rehabilitation patients and it is easy and inexpensive.
患有神经损伤的患者常常配有与一次性尿袋相连的永久性留置导管或外置导管。这些患者通常在白天断开床边尿袋，换上一个可以藏在衣服下面的腿袋。在我们的康复科，这两种尿袋每天都会丢弃。本研究调查了安全重复使用床边尿袋和腿袋的可能性。该流程包括使用180毫升1%的次氯酸钠溶液对尿袋进行消毒。最初，先在实验室对丢弃的床边尿袋和腿袋进行消毒，以确保该流程的有效性。接下来，22名患者在康复护理人员每天进行消毒的情况下重复使用他们的床边尿袋和腿袋。这些尿袋被重复使用了两到八天。采集了137个尿袋的样本进行培养，以评估该技术。所有培养结果均为阴性。两个时间段的基线尿培养结果显示，菌尿发生率没有显著差异。在我们的康复科，平均有12名导尿患者，一年潜在的节省费用约为39,000美元。虽然这种方法与不重复使用一次性产品的观念相悖，但我们已经证明，该流程在康复患者中可以安全进行，而且操作简单、成本低廉。
