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PEER-TO-PEER CLINICAL CONVERSATIONS
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Enhancing Catheterization Safety: Touchless Solutions and Effective Techniques for UTI Prevention
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Don Darais and Diane K. Newman, DNP, ANP-BC, BCB-PMD, FAAN
Diane Newman and Don Darias discuss the complications associated with catheterization, particularly urinary tract infections. They introduce the concept of touchless or no-touch catheterization, where catheters have a sleeve or finger grip to prevent bacterial contamination, and highlight GentleCath™ Glide products.
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Breaking Free from Incontinence: A Journey to Reclaiming Confidence and Comfort
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Carolyn Sampselle, PhD, ANP, FAAN
Carolyn Sampselle discusses urinary incontinence, a condition affecting one in three women. She underscores the impacts of urinary incontinence, including the cost of incontinence products and the negative influence on women's physical activity and social life.
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| Preventing Catheter-Associated UTIs: US Perspective
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| Shannon Novosad, MD, MPH
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| Shannon Novosad discusses catheter-associated urinary tract infections (CAUTI) in the United States. CAUTIs are the most common healthcare-associated infections in the country, leading to increased morbidity, mortality, longer hospital stays, and higher healthcare costs. Dr. Novosad highlighted the importance of reducing CAUTIs by emphasizing the appropriate use and duration of urinary catheters, reducing unnecessary antibiotic use, and implementing prevention strategies like the Targeted Assessment for Prevention (TAP) framework.
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| Complications - Intermittent Catheters
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| Diane Newman, DNP, ANP-BC, BCB-PMD, FAAN
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| Intermittent catheterization is the preferred method for individuals with incomplete bladder emptying due to various conditions. However, despite improvements in catheter materials and properties, complications such as urinary tract infections, urethral injuries, and other adverse events can still occur, particularly in male patients performing intermittent self-catheterization for an extended period.
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| Complicated UTI Management
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| Brooke Zilinskas MMS, PA-C
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| Physician assistant Brooke Zilinskas discusses the management of urinary tract infections (UTIs). She provides definitions for various UTI-related terms and emphasizes the differences between uncomplicated UTIs (in healthy patients with normal genitourinary tract anatomy) and complicated UTIs (in patients with factors like catheter use, pregnancy, or immunocompromised states).
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| Patient Report of Intermittent Catheterization Experience (PRICE) Study
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| Daniel Roberson, Ariana L. Smith, Justin Ziemba et al.
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| The Patient Report of Intermittent Catheterization Experience (PRICE) Study was a clinical investigation involving adult men and women who had been performing intermittent self-catheterization (ISC) for at least six months. The study found that participants generally felt confident with ISC, had high satisfaction scores, and experienced little difficulty, though they expressed concerns about long-term adverse effects and self-consciousness.
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| Incidence of Urinary Tract Infections Between Neurogenic and Non-Neurogenic Bladder Dysfunction Patients Performing Intermittent Catheterization - An Analysis of Marketscan Data
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| Blayne Welk, MD, FRCSC, MSC, Sara Lenherr, MD, Yasir Santiago-Lastra, MD et al.
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| This study analyzed urinary tract infection (UTI) incidence among intermittent catheter (IC) users with neurogenic and non-neurogenic bladder dysfunction, comparing them to the general population. The data showed that IC users, especially those with neurogenic bladder dysfunction, had a significantly higher risk of UTIs compared to the general population. Furthermore, neurogenic IC users were at a substantially increased risk of UTI-related hospitalization, indicating that neurologic disease is an independent risk factor for UTIs in IC users.
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| An Overlooked Complication of the Clean Intermittent Catheters: Prostate Calculi - Beyond the Abstract
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| Gökhan Ecer MD
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| Today, the prevalence of prostate calculi is increasing due to the increasing use of radiological imaging methods. Prostate calculi are mostly detected in X-RAY graphics, Transrectal ultrasonography, and Computed tomography (CT) imaging. Although there are different factors in the etiology of prostate calculi, the most important ones are; Intraprostatic infection reflux in the urethra, bladder, and sphincter dysfunction, obstruction in the prostatic ducts, hypercalciuria, low urine pH, increased uric acid excretion.
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