Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma.
Ann Phys Rehabil Med
; 59(2): 125-9, 2016 Apr.
Article
en En
| MEDLINE
| ID: mdl-27053002
ABSTRACT
Intermittent catheterization is considered the standard of care in most neurologic patients with lower urinary tract disorders. However, in this context, genitourinary tract infection and urethral trauma represent specific challenges. Such conditions have been found to significantly deteriorate quality of life and complicate subsequent treatments. Only optimal prevention associated with appropriate treatment allows for the long-term continuation of such bladder management. Here, we discuss the diagnosis and therapeutic and preventive approaches associated with genitourinary tract infection and urethral trauma in this specific population. This "state-of-the-art" article results from a literature review (MEDLINE articles and scientific society guidelines) and the authors' experience. It was structured in a didactic way to facilitate comprehension and promote the implementation of advice and recommendations in daily practice. Genitourinary tract infection and urethral trauma associated with intermittent catheterization in neurologic patients should be managed with a global approach, including patient and caregiver education, optimal catheterization with hydrophilic-coated or pre-lubricated catheters and adequate use of antibiotic therapy.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Uretra
/
Infecciones Urinarias
/
Cateterismo Uretral Intermitente
/
Infecciones del Sistema Genital
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Humans
Idioma:
En
Revista:
Ann Phys Rehabil Med
Asunto de la revista:
MEDICINA FISICA
/
REABILITACAO
Año:
2016
Tipo del documento:
Article
País de afiliación:
Francia