Brazier A M, Palmer M H
Geriatr Nurs. 1995 Sep-Oct;16(5):217-24. doi: 10.1016/s0197-4572(05)80167-3.
Bacteriuria in incontinent nursing home residents is prevalent. It is often difficult to determine whether bacteriuria is accompanied by symptoms of a urinary tract infection, especially in cognitively impaired persons. Careful nursing assessment of the person's behavior and voiding pattern is essential and should be shared with the clinician determining medical treatment. All residents who have bacteriuria should be monitored for signs and symptoms of bacteremia. Clean-catch urine specimens are needed to guide diagnosis and treatment decisions concerning bacteriuria in the nursing home setting, and yet these specimens are difficult to obtain. The adaptations to the standard guidelines for obtaining clean-catch urine specimens that were described in this article provide nurses with a method of specimen collection that can minimize difficulty, save time, and better assure accurate results.
失禁的疗养院居民中菌尿症很常见。通常很难确定菌尿症是否伴有尿路感染症状，尤其是在认知障碍者中。对患者的行为和排尿模式进行仔细的护理评估至关重要，并且应与确定治疗方案的临床医生共享这些信息。所有患有菌尿症的居民都应监测是否有菌血症的体征和症状。在疗养院环境中，需要清洁中段尿标本以指导有关菌尿症的诊断和治疗决策，然而这些标本很难获取。本文所述的对获取清洁中段尿标本标准指南的调整为护士提供了一种标本采集方法，该方法可以最大程度地减少困难、节省时间并更好地确保结果准确。
