Lees G F
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, Collete Station, Texas, USA.
Vet Clin North Am Small Anim Pract. 1996 May;26(3):499-505. doi: 10.1016/s0195-5616(96)50080-x.
Because indwelling urethral catheterization is potentially detrimental, especially when it leads to urinary tract infection, indwelling urinary catheters must not be used indiscriminately. Appropriate use of indwelling catheters in recently obstructed cats is accomplished by identifying which cats are likely to experience repeated obstruction if such catheterization is not performed. When indwelling catheters are used, precautions must be taken to minimize the occurrence and severity of catheter-associated complications. Following catheter removal, which should be done as soon as possible, urine culture results should be used to verify absence of infection or to guide treatment when infection is detected.
由于留置导尿存在潜在危害,尤其是当它导致尿路感染时,因此不得随意使用留置导尿管。对于近期出现尿路梗阻的猫,要通过识别哪些猫若不进行导尿可能会反复出现梗阻,来实现留置导尿管的合理使用。使用留置导尿管时,必须采取预防措施以尽量减少与导管相关并发症的发生和严重程度。在导管拔除后(应尽快拔除),尿培养结果应用于确认是否无感染,或在检测到感染时指导治疗。