討論區

因泌尿科醫師建議；存留導尿管可2週更換1 次，操作時注意無菌技術，並不會增加其感染率，本院一直是7天就更換，請問各位先知是否可行。

http://www.nlm.nih.gov/medlineplus/ency/article/000483.htm

1.Prevention

If you have an indwelling catheter, you must do these things to help prevent infection:

• Clean around your urethra (where the catheter comes out) every day.
• Clean the catheter with soap and water every day.
• Clean your bottom thoroughly after every bowel movement.
• Always keep your drainage bag lower than your bladder so that the urine in the bag does not go back into your bladder.
• Empty the drainage bag at least every 8 yours, or whenever it is full.
• Have your indwelling catheter changed at least once a month.
• Wash your hands before and after you touch your urine.

Your health care provider might advise you to drink more fluids every day. This is not healthy for everyone, so talk with your doctor before you do this.

Your health care provider may prescribe a low-dose antibiotic to take every day to keep bacteria from growing in your catheter.

2.導管的材質亦有分,橡膠是短期使用導尿管時使用,使用2-3天,最差不可超過1週,矽膠長期病患使用,至少1月更換

3.導尿管使用會產生菌尿症是不爭的事實,現在大部份bundle都在改善導尿管的使用日數

What are some examples of quality improvement programs that may ensure appropriate urinary catheter utilization?

• System of alerts or reminders to remove unnecessary catheters
• Stop orders for urinary catheters
• Protocols for nurse-directed removal of unnecessary catheters
• Guidelines/algorithms for appropriate perioperative catheter management