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1.
FP Essent ; 488: 11-15, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31894950

RESUMEN

Circumcision is the surgical removal of some or all of the foreskin (ie, prepuce) of the penis. Among high-resource countries, the United States is the only country in which the majority of newborns are circumcised for nonreligious reasons. The rate of circumcision in the United States has been decreasing. Circumcised males have a lower risk of urinary tract infections, penile cancer, and several sexually transmitted infections. The benefit of circumcision is greater for males with certain urologic conditions, such as isolated hydronephrosis, vesicoureteral reflux, and ureteropelvic junction obstruction. Complications develop in approximately 1 of every 200 procedures. The American Academy of Pediatrics and the American Academy of Family Physicians recommend continued access to circumcision on an elective basis and conclude that the benefits outweigh the risks. However, they do not endorse routine neonatal circumcision. Local anesthesia should be used to decrease pain during the procedure. Three devices commonly are used. Each has risks and benefits, and no one device has been proven to be superior to another.


Asunto(s)
Circuncisión Masculina , Neoplasias del Pene , Enfermedades de Transmisión Sexual , Infecciones Urinarias , Niño , Humanos , Lactante , Recién Nacido , Masculino , Neoplasias del Pene/prevención & control , Enfermedades de Transmisión Sexual/prevención & control , Estados Unidos , Obstrucción Ureteral , Infecciones Urinarias/prevención & control
2.
Urology ; 136: 225-230, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31758980

RESUMEN

OBJECTIVE: To determine pediatric urologists' antibiotic prophylaxis prescribing practices for children with vesicoureteral reflux (VUR) and other congenital anomalies of the kidney and urinary tract (CAKUT). METHODS: Web-based survey of pediatric urologists about their practice of antibiotic prophylaxis in children with CAKUT. RESULTS: We had a response rate of 17.8% (n = 73). The majority of respondents always or often prescribe prophylactic antibiotics for grade IV or V VUR, while greater variability was seen for lower grades of VUR. 47.9% of respondents report that they often or always prescribe antibiotics for patients with grade 4 hydronephrosis, and most respondents report that they never or rarely prescribe antibiotics for grade 1 or 2 hydronephrosis. The majority of respondents never or rarely prescribe antibiotics for horseshoe or solitary kidney (88% and 86%, respectively), but frequently prescribed antibiotic for ureterocele. For ectopic ureter, almost half of respondents prescribe prophylactic antibiotics always or often, whereas only 18% prescribe antibiotics always or often for duplication anomalies. Only 11% reported prescribing antibiotics for prophylaxis always or often for children with myelomeningocele. CONCLUSION: We report notable variability in antibiotic prescribing patterns for children with CAKUT. Given the lack of guidelines around the use of prophylaxis in the majority of these conditions, standardization of care may be warranted to decrease this variability.


Asunto(s)
Antibacterianos/uso terapéutico , Profilaxis Antibiótica , Prescripciones de Medicamentos/estadística & datos numéricos , Pediatría , Pautas de la Práctica en Medicina , Infecciones Urinarias/etiología , Infecciones Urinarias/prevención & control , Anomalías Urogenitales/complicaciones , Urología , Reflujo Vesicoureteral/complicaciones , Niño , Encuestas de Atención de la Salud , Humanos
5.
BMC Infect Dis ; 19(1): 901, 2019 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-31660885

RESUMEN

BACKGROUND: To prospectively analyze the efficacy of uromune® in the prevention of uncomplicated recurrent urinary tract infections at 3 and 6 months, and according to gender and menopause. METHODS: From September 2011 to December 2017 uromune® was administered sublingually every 24 h along 3 months to 784 patients with history of three or more uncomplicated urinary tract infections in the 12 months prior to the first visit. The variables analyzed with statistical package system for science version 15.0 were age, gender, number of urinary tract infections with positive urine culture in the first consultation, and 3 and 6 months after the end of treatment. The results with positive urine culture were registered at 3 and 6 months after the end of the treatment according to gender and also in the menopausal group with respect to pre-menopausal women. RESULTS: Mean age was 73.5 years. 82.7% were women and 94.3% menopausal. The number of episodes of urinary tract infections in the 12 months prior to uromune® were 3 in 37.2%, 4 in 28.1%, 5 in 19.5%, 6 in 9.6%, 7 in 4%, 8 in 1.4%, 9 in 0.1% and 10 in 0.1%. Three months after uromune® 44.1% had 0 urinary tract infections and 27.6% had 1. After 6 months the results were 0 urinary tract infections in 32.3% and 1 in 32.4%. Women had 0 urinary tract infections after 3 months in 45.4% and 1 in 28.5%. At 6 months the female had 0 episodes in 32.7% and 1 in 33.2%. Menopausal women had 0 urinary tract infections at 3 months in 46.5% and 1 in 28% and at 6 months scored 0 episodes in 33.6% and 1 in 32.9%. CONCLUSIONS: Uromune® was highly effective to reduce the number of episodes of urinary tract infections at three and six months of follow-up. Uromune® reduced the number of episodes to zero or one in 71.7 and 64.7% at three and six months with minimal side effects. The best results were observed in women over 50 years old. Sublingual immunoprophylaxis with uromune® could be the treatment of first choice in the prevention of uncomplicated recurrent urinary tract infections according to the sample analyzed.


Asunto(s)
Vacunas Bacterianas/uso terapéutico , Infecciones Urinarias/terapia , Vacunación/métodos , Administración Sublingual , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Vacunas Bacterianas/administración & dosificación , Femenino , Estudios de Seguimiento , Humanos , Masculino , Menopausia , Persona de Mediana Edad , Estudios Prospectivos , Recurrencia , Factores Sexuales , Resultado del Tratamiento , Infecciones Urinarias/prevención & control , Adulto Joven
6.
Urologe A ; 58(11): 1353-1360, 2019 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-31659370

RESUMEN

Effective vaccines against various urologically important diseases have been established for a long time, nevertheless, vaccination activities are generally underperformed in urology. Consistently low vaccination rates, e.g. for human papillomavirus (HPV) vaccines and a widespread vaccination hesitancy characterize the situation especially in men. This article highlights the importance of various aspects of vaccinations in urology and focuses on the improvement of consultation techniques for vaccinations to increase the vaccination rate and acceptance in the future.


Asunto(s)
Hepatitis/prevención & control , Programas de Inmunización , Vacunas contra Papillomavirus , Urología/métodos , Cobertura de Vacunación , Vacunación/estadística & datos numéricos , Vacunas contra el Cáncer/administración & dosificación , Humanos , Masculino , Infecciones por Papillomavirus/prevención & control , Vacunas contra Papillomavirus/administración & dosificación , Derivación y Consulta , Infecciones Urinarias/prevención & control
7.
Top Spinal Cord Inj Rehabil ; 25(3): 228-240, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31548790

RESUMEN

Urinary tract infections (UTIs) are among the most common microbial infections in humans and represent a substantial burden on the health care system. UTIs can be uncomplicated, as when affecting healthy individuals, or complicated, when affecting individuals with compromised urodynamics and/or host defenses, such as those with a urinary catheter. There are clear differences between uncomplicated UTI and catheter-associated UTI (CAUTI) in clinical manifestations, causative organisms, and pathophysiology. Therefore, uncomplicated UTI and CAUTI cannot be approached similarly, or the risk of complications and treatment failure may increase. It is imperative to understand the key aspects of each condition to develop successful treatment options and improve patient outcomes. Here, we will review the epidemiology, pathogen prevalence, differential mechanisms used by uropathogens, and treatment and prevention of uncomplicated UTI and CAUTI.


Asunto(s)
Infecciones Relacionadas con Catéteres/microbiología , Infecciones Relacionadas con Catéteres/prevención & control , Infecciones Urinarias/microbiología , Infecciones Urinarias/prevención & control , Antibacterianos/uso terapéutico , Humanos , Inmunoterapia , Inmunoterapia Activa
8.
Expert Rev Med Devices ; 16(9): 809-820, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31478395

RESUMEN

Introduction: Catheter-associated urinary tract infection (CAUTI) is one of the most common nosocomial infections in hospitals, accounting for 36% of all health care-associated infections. Areas covered: We aimed to address the potential impact of antimicrobial coating of catheter materials for the prevention of CAUTI and to analyze the progress made in this field. We conducted literature searches in the PubMed, Embase, and Cochrane Library databases, and found 578 articles. Data from 60 articles in either the preclinical or clinical stage were analyzed in this expert review. Expert opinion: The literature review revealed many promising methods for preventing CAUTI. Recent studies have suggested the combination of silver-based products and antibiotics, owing to their synergistic effect, to help address the problem of antibiotic resistance. Other coating materials that have been tested include nitric oxide, chlorhexidine, antimicrobial peptides, enzymes, and bacteriophages. Because of heterogeneity among studies, it is difficult to reliably comment on the clinical efficacy of different coating materials. Future research should focus on double-blind randomized clinical trials for evaluating the role of these potential coating agents.


Asunto(s)
Antiinfecciosos/farmacología , Infecciones Relacionadas con Catéteres/prevención & control , Materiales Biocompatibles Revestidos/farmacología , Catéteres Urinarios/microbiología , Infecciones Urinarias/prevención & control , Animales , Infecciones Relacionadas con Catéteres/microbiología , Humanos , Plata/farmacología
9.
Br J Hosp Med (Lond) ; 80(9): C136-C138, 2019 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-31498670

RESUMEN

Urinary catheterization is an important procedure that is regularly performed in hospital. All clinicians should have a good working knowledge of urinary catheters and the competence to manage them effectively. This topic is discussed over two articles: the first article focused on indications, and this second discusses techniques and managing failure. Good technique is essential to prevent complications and if problems do occur, these must be managed efficiently to prevent long-term consequences. In some situations, this may require referral to the urology team for more specialized intervention. This article discusses this in more detail to help guide clinicians involved in urethral catheterization.


Asunto(s)
Cateterismo Urinario/métodos , Infecciones Relacionadas con Catéteres/prevención & control , Cistostomía , Femenino , Humanos , Masculino , Derivación y Consulta , Insuficiencia del Tratamiento , Infecciones Urinarias/prevención & control , Urología
10.
Eur J Obstet Gynecol Reprod Biol ; 241: 88-93, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31479991

RESUMEN

OBJECTIVE: Pregnancy-related urinary tract infections (UTI) is the leading cause of obstetrical ward admissions and is responsible for poor maternal and perinatal outcomes. This study aimed to reduce the incidence of UTI by improving the knowledge and preventive practices of pregnant women through the implementation of a health education package. STUDY DESIGN: A health education package consisting of a seminar, sending of weekly text messages, and distribution of educational leaflets on UTI awareness and prevention was implemented in various rural health units in Pampanga, Philippines. A structured questionnaire was used to assess the pre- and post-intervention knowledge and preventive practices of pregnant women. Whereas, urinalysis results from the various rural health units were used to assess the incidence of UTI among the respondents. RESULTS: Significant improvement (p <  0.001) was observed regarding the participant's knowledge and water intake after the intervention. Although there was no significant change (p =  0.16) in their hygiene statistically, all participants had improvements in hygiene practices after the intervention. The number of pregnant women who were positive for UTI also decreased significantly (p <  0.001) following the intervention. CONCLUSION: The implemented health education package was able to reduce the incidence of pregnancy-related UTI by improving the knowledge and preventive practices of pregnant women.


Asunto(s)
Educación en Salud/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Complicaciones Infecciosas del Embarazo/prevención & control , Infecciones Urinarias/prevención & control , Adolescente , Adulto , Femenino , Educación en Salud/métodos , Humanos , Incidencia , Filipinas/epidemiología , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Atención Prenatal , Infecciones Urinarias/epidemiología , Adulto Joven
11.
Br J Community Nurs ; 24(9): 424-431, 2019 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-31495217

RESUMEN

The UK has an ageing population, and with continence-related issues expected to rise, there will be increasing demands for specialist input within nurse-led continence prescription services. Continence nurse specialists can apply expert product knowledge to ensure patients are prescribed bladder and bowel appliances that are of high quality, the most appropriate product for the patient and also cost effective. The management of catheter drainage and fixation supplies can be challenging, particularly for services managing caseloads of multiple patients living with catheters. Ugo 4 Weeks has been created to help streamline the process of ordering continence products and reducing appliance wastage for catheterised patients living in the community setting. Each box provides a 4-week supply of catheter drainage and fixation supplies and can be prescribed on a single prescription. It enables better control over stock levels, reducing the risk of accidental over-ordering and stockpiling, thereby generating significant cost savings.


Asunto(s)
Enfermeras Especialistas , Rol de la Enfermera , Catéteres Urinarios/provisión & distribución , Incontinencia Urinaria/enfermería , Infecciones Relacionadas con Catéteres/enfermería , Infecciones Relacionadas con Catéteres/prevención & control , Análisis Costo-Beneficio , Equipos y Suministros/provisión & distribución , Humanos , Prescripciones , Infecciones Urinarias/enfermería , Infecciones Urinarias/prevención & control
12.
Prog Urol ; 29(10): 504-509, 2019 Sep.
Artículo en Francés | MEDLINE | ID: mdl-31387836

RESUMEN

OBJECTIVE: To assess the value of systematic urine culture before ureteric double j removal. MATERIAL AND METHODS: This prospective audit was performed to assess the validity of our current clinical practice. A cohort of informed patients without clinical signs of urinary tract infection and without predefined risk factors were programmed for ureteral double j stent removal in an outpatient setting. Urine was sampled for culture immediately before the procedure. Patients had to complete a self-questionnaire 15 days following stent removal, inquiring about tolerance and complications which were to be analyzed according to the culture results. The primary endpoint was the occurrence of febrile urinary tract infection. RESULTS: Among the 56 participants, immediate preoperative urine culture revealed colonization in 9 patients (16.1%) and contamination in 6 patients (10.7%). A significant association was found between bacteriuria and double j placement following surgery with urinary tract injury (P<0.02) and diabetes (P<0.009). Two patients had fever including a man with sterile urine and a woman with Staphylococcus Aureus infection. No hospitalization was necessary. Twelve patients reported functional signs with lumbar pain being the most common. There was no significant association between functional signs and patients' clinical characteristics. CONCLUSION: This evaluation was not in favor of modifying our protocol of care i.e. the lack of performing neither antibiotic prophylaxis nor systematic urine culture before JJ ureteral stent removal in a selected population. LEVEL OF EVIDENCE: 4.


Asunto(s)
Remoción de Dispositivos/métodos , Cuidados Preoperatorios/normas , Stents , Uréter/cirugía , Orina/microbiología , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Diseño de Prótesis , Infecciones Urinarias/prevención & control
13.
Future Microbiol ; 14: 1013-1021, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-31469009

RESUMEN

Aim: To evaluate the efficacy of a medical device containing xyloglucan, hibiscus and propolis in the management of recurrent urinary tract infections (rUTIs). Patients & methods: Sixty-one women affected by rUTIs received this medical device, one capsule a day for 15 days (one cycle every month, for 6 months), in an observational, prospective study. Clinical and microbiological evaluations were performed at baseline and 1, 3 and 6 months from enrolment. Results: At first follow-up, 41 reported a clinical improvement and a return to their clinical status before UTI, while 47 and 51 did so at the second and third follow-up evaluations. A statistically significant clinical improvement was reported at each follow-up visit (quality of life [QoL] 94.2 vs 98.6; QoL 94.1 vs 98.7; QoL 94.2 vs 99.1; p < 0.001). A statistically significant reduction in antibiotic use was reported. Conclusion: This medical device is able to improve quality of life in women with rUTIs, reduce recurrences and antibiotic use.


Asunto(s)
Antiinfecciosos/administración & dosificación , Glucanos/administración & dosificación , Extractos Vegetales/administración & dosificación , Própolis/administración & dosificación , Infecciones Urinarias/tratamiento farmacológico , Xilanos/administración & dosificación , Adulto , Femenino , Hibiscus/química , Humanos , Persona de Mediana Edad , Estudios Prospectivos , Prevención Secundaria , Resultado del Tratamiento , Infecciones Urinarias/prevención & control , Adulto Joven
14.
Future Microbiol ; 14: 1023-1034, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-31469013

RESUMEN

Aim: This study proposes the impregnation of Foley catheters with chlorpromazine (CPZ) to control biofilm formation by Escherichia coli, Proteus mirabilis and Klebsiella pneumoniae. Materials & methods: The minimum inhibitory concentrations (MICs) for CPZ and the effect of CPZ on biofilm formation were assessed. Afterward, biofilm formation and the effect of ciprofloxacin and meropenem (at MIC) on mature biofilms grown on CPZ-impregnated catheters were evaluated. Results: CPZ MIC range was 39.06-625 mg/l. CPZ significantly reduced (p < 0.05) biofilm formation in vitro and on impregnated catheters. In addition, CPZ-impregnation potentiated the antibiofilm activity of ciprofloxacin and meropenem. Conclusion: These findings bring perspectives for the use of CPZ as an adjuvant for preventing and treating catheter-associated urinary tract infections.


Asunto(s)
Antiinfecciosos/administración & dosificación , Biopelículas/efectos de los fármacos , Infecciones Relacionadas con Catéteres/prevención & control , Clorpromazina/administración & dosificación , Infecciones por Enterobacteriaceae/prevención & control , Cateterismo Urinario/métodos , Infecciones Urinarias/prevención & control , Biopelículas/crecimiento & desarrollo , Escherichia coli/efectos de los fármacos , Escherichia coli/crecimiento & desarrollo , Humanos , Klebsiella pneumoniae/efectos de los fármacos , Klebsiella pneumoniae/crecimiento & desarrollo , Pruebas de Sensibilidad Microbiana , Proteus mirabilis/efectos de los fármacos , Proteus mirabilis/crecimiento & desarrollo
15.
Dimens Crit Care Nurs ; 38(5): 236-240, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31369441

RESUMEN

Urinary tract infections are the most common type of health care-associated infection, and greater than 75% of them are attributed to an indwelling urinary catheter. A catheter-associated urinary infection may lead to a longer hospital length of stay by as many as 4 days. A new patient care standard requiring twice-daily chlorhexidine cleansing from umbilicus to knees was implemented on all patients of the pilot unit with a urinary catheter. This same technique was used after a patient with a urinary catheter had an incontinent bowel movement. The 9-month average catheter-associated urinary infection rate decreased from 3.06/1000 urinary catheter days to 0.46/1000 urinary catheter days after implementation of the new standard. The use of chlorhexidine for routine urinary catheter care and after bowel movements from umbilicus to knees for patients with urinary catheters may significantly decrease catheter-associated urinary tract infections when compared with the standard of care using soap and water. Standards for Quality Improvement Reporting Excellence guidelines were used in reporting these data.


Asunto(s)
Antiinfecciosos Locales/uso terapéutico , Infecciones Relacionadas con Catéteres/prevención & control , Clorhexidina/análogos & derivados , Infección Hospitalaria/prevención & control , Infecciones Urinarias/prevención & control , Infecciones Relacionadas con Catéteres/enfermería , Catéteres de Permanencia/efectos adversos , Clorhexidina/uso terapéutico , Infección Hospitalaria/enfermería , Humanos , Rodilla , Mejoramiento de la Calidad , Ombligo , Infecciones Urinarias/enfermería
16.
Mater Sci Eng C Mater Biol Appl ; 103: 109868, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31349427

RESUMEN

In this study, a series of phosphate-based glasses; (P2O5)50(Na2O)20(CaO)30-x (ZnO)x were prepared with increasing concentration of zinc oxide to determine the antimicrobial effect against clinically relevant microorganisms. The addition of 1 and 3 mol% zinc oxide decreased glass degradation however a higher dissolution rate was observed for 5 and 10 mol% ZnO. The antimicrobial results showed a concentration dependent effect on the viability of microorganisms. When in direct contact zinc doped glasses showed a complete kill, within 24 h, against Escherichia coli and a significant (p < 0.01) kill was observed against Staphylococcus aureus however the effect of dissolution products was not seen until 48 h. Furthermore, the cytotoxic studies showed no toxic effects on the viability of uroepithelial cells. This study has shown that zinc doped phosphate-based glasses can potentially be used to prevent/treat catheter associated urinary tract infections.


Asunto(s)
Antibacterianos/química , Catéteres , Infecciones por Escherichia coli/prevención & control , Escherichia coli/crecimiento & desarrollo , Vidrio/química , Fosfatos/química , Infecciones Estafilocócicas/prevención & control , Staphylococcus aureus/crecimiento & desarrollo , Infecciones Urinarias/prevención & control , Zinc/química , Línea Celular , Humanos , Infecciones Urinarias/etiología
18.
Geriatr Nurs ; 40(3): 338-341, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31202425

RESUMEN

A total incontinence management program will benefit a community's administration, nurses, caregivers, families and most importantly, residents. An incontinence program helps reduce the risk of incidences such as agitation, urinary tract infection, falls and skin complications which assisted living and memory care communities are trying to prevent. The correct evaluation tools increase the likelihood of successful outcomes because the program has to be the right program for the resident. After evaluation of the level of incontinence, the resident can then be enrolled. This article provides a practical toolkit for assessment of a resident in assisted living general or memory care populations in addition to the different types of programs a resident can enroll into after evaluation completed.


Asunto(s)
Instituciones de Vida Asistida , Enfermería Geriátrica , Encuestas y Cuestionarios , Incontinencia Urinaria/enfermería , Anciano , Cuidadores , Femenino , Humanos , Infecciones Urinarias/prevención & control
19.
Metas enferm ; 22(5): 21-26, jun. 2019. tab
Artículo en Español | IBECS | ID: ibc-183567

RESUMEN

Objetivo: evaluar el cumplimiento de las medidas de seguridad en la colocación, mantenimiento y retirada del sondaje vesical en pacientes ingresados en un hospital de segundo nivel de atención. Método: diseño analítico observacional prospectivo. Se elaboró un plan de monitorización de pacientes con sonda vesical (SV), el cual incluyó: pertinencia clínica de instalación, información oportuna al paciente, uso de material apropiado, técnica correcta de instalación, fijación adecuada de la sonda, mantenimiento de la sonda y evaluación de la retirada de la misma. Los monitores observaban y registraban las medidas de seguridad en función de una lista de verificación confeccionada ad hoc. Se llevó a cabo un análisis descriptivo y analítico. Para el análisis estadístico se usó el programa SPSS versión 24. Resultados: se reclutaron 184 pacientes. El porcentaje de cumplimiento de las medidas de seguridad fue de 40,5%. Las medidas que se cumplieron con mayor frecuencia durante la colocación de la SV fueron: toma de orina para cultivo (93%), identificación correcta del procedimiento realizado y su registro (86%) y aplicación de la técnica correcta de instauración del SV (64%). Los factores asociados a infección del tracto urinario fueron: mayor número de días con sonda (r2= 0,49, p< 0,05), falta de aseo genital (r2= 0,20, p< 0,05), ausencia de cuidados del sistema de drenaje (r2= 0,23, p< 0,05) e inmovilidad y/o postración (r2= 0,22, p< 0,05). Conclusiones: el cumplimiento de medidas de seguridad en la colocación, mantenimiento y retirada de la sonda vesical son bajas. Se han identificado varios factores que aumentan el riesgo de infecciones de tracto urinario (ITU) asociado a SV


Objective: to assess the compliance with safety measures in the insertion, maintenance and removal of urinary catheters in patients admitted to a hospital of second level of care. Method: a prospective observational analytical design. A monitoring plan was prepared for patients with urinary catheter (UC), including: clinical relevance of the insertion, adequate information for patients, use of adequate materials, correct insertion technique, adequate attachment of the catheter, maintenance of the catheter, and assessment of its removal. The monitors observed and recorded the safety measures based on a check-list prepared ad hoc. Descriptive and analytical analysis was conducted. The SPSS program, version 24, was used for statistical analysis. Results: in total, 184 patients were recruited. There was a 40.5% rate of compliance with safety measures. The measures with more frequent compliance during UC placement were: taking a urine sample for culture (93%), correct identification of the procedure conducted and its record (86%), and application of the correct technique for UC insertion (64%). The factors associated with urinary tract infection were: higher number of days with a catheter (r2= 0.49, p< 0.05), lack of genital hygiene (r2= 0.20, p< 0.05), lack of care for the drainage system (r2= 0.23, p< 0.05) and immobility and/or prostration (r2= 0.2, p< 0.05). Conclusions: there is low compliance in terms of safety measures for the insertion, maintenance and removal of urinary catheters. Various factors have been identified which increase the risk of UC-related UTI


Asunto(s)
Humanos , Medidas de Seguridad/normas , Catéteres Urinarios , Infecciones Urinarias/epidemiología , Factores de Riesgo , Estudios Prospectivos , Monitoreo , Análisis Estadístico , Infecciones Urinarias/prevención & control , Infección Hospitalaria/epidemiología , Análisis de Varianza
20.
Ther Umsch ; 73(9): 547-552, 2019.
Artículo en Alemán | MEDLINE | ID: mdl-31113321

RESUMEN

Acute and recurrent urinary tract infections in women presenting in primary practice Abstract. Acute and recurrent urinary tract infections in women of all age groups are becoming an increasing problem in primary care and medical practice. Symptoms can be relieved by a guideline-oriented acute therapy and a multimodal infection prophylaxis. The restoration of the body's natural defence mechanisms plays a central role. This article informs about the causes, the basic diagnostic examinations and the practical use of therapeutic and prophylactic measures.


Asunto(s)
Antiinfecciosos Urinarios/uso terapéutico , Infecciones Urinarias , Femenino , Humanos , Recurrencia , Prevención Secundaria , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/prevención & control
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