Indwelling Catheters

Routine Use of Indwelling Urinary Catheters During Endovascular Abdominal Aortic Aneurysm Repair is Not Necessary.

Endovascular infra-renal abdominal aortic aneurysm repair (EVAR) has proven to be an effective, less invasive alternative to open aortic aneurysm repair with decreased 30-day mortality. Historically, urinary drainage catheters were routinely placed preoperatively before EVAR in our institution.

Adherence to Evidence-Based Guidelines and Implications When Designing Electronic Documentation for Urinary Catheters.

The aim of this study was to investigate the point prevalence and the rate of adherence to evidence-based guidelines for patients who had indwelling urinary catheters in three Australian acute care hospitals.

Innovating Indwelling Catheter Design to Counteract Urinary Tract Infection.

Bacteriuria is anticipated in long-term indwelling catheter (IDC) use, and urinary tract infections (UTIs) and related issues are common. Defence mechanisms against infection are undermined by the presence of a Foley catheter, and adjustments to design could influence UTI risk.

Development and psychometric evaluation of the catheter assessment, management and performance (CAMP) scale for nurses

Aim: To develop and test the psychometric properties of a self-administered scale to assess the knowledge, skills, attitudes and behaviour of nurses to support the self-management of patients living with indwelling urinary catheters.

Background: Nurses are pivotal in supporting patients with urinary catheter self-management to prevent potentially avoidable hospital presentations. However, no validated scale is available to assess nurses' attitudes and readiness for this task.

Design: A quasi-experimental design was used to collect survey data both at baseline and after the completion of the intervention. A total of 128 participants were recruited from the Western Sydney region (New South Wales, Australia), who were working in community healthcare settings. Research Electronic Data Capture (REDCap™) database was used to manage the survey data collected for data analysis purposes. This study has been registered with the Australian New Zealand Clinical Trials Registry (ACTRN126210 0 0683831) METHODS: Using a three-stage process of concept identification, item construction and pilot testing to develop the Catheter Assessment, Management and Performance (CAMP) scale, followed by factorial and discriminant validity and reliability testing. This 23-item CAMP scale is theoretically informed by the COM-B (Capability, Opportunity, Motivation-Behaviour) model, recognised for its effectiveness in understanding and influencing behaviour change. The scale was distributed to nurses working in three community health care settings to assess their knowledge, attitude and behaviour regarding catheter management and performance.

Results: Four factors were identified using scree plot, accounting for 63.36 % of total explained variance, which reflected the four dimensions of the COM-B model. Cronbach's alpha of the overall CAMP scale (0.93) and subscales (0.92, 0.87, 0.85 and 0.86) indicate good internal consistencies. The CAMP scale was able to detect changes in nurses' self-reported behaviour change following educational intervention (85.53 versus 95.98, p < 0.001).

Conclusion: The CAMP scale is valid and reliable scale, capable of assessing nurses' capability, opportunity and motivation to support patients, through delivery of catheter self-management education that can potentially prevent catheter-related complications and avoid hospital presentations. Future research could explore using CAMP scale among non-specialist nurses and in various clinical settings to enhance its effectiveness and generalisability.

Joby Alex,1 Lucie M Ramjan,2 Caleb Ferguson,3 Michelle Louise Fishburn,4 Jed Montayre,5 Yenna Salamonson6

  1. Mt Druitt Community Health Centre, Integrated & Community Health, Western Sydney Local Health District, Cnr Buran & Kelly Cl, Mount Druitt, NSW 2770, Australia.; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia. Electronic address: .
  2. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797 Penrith NSW 2751, Australia.; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia. Electronic address: .
  3. Centre for Chronic & Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, Australia; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia. Electronic address: .
  4. The Hills Community Health Centre, Westmead, Auburn Chronic & Complex Nursing, Integrated & Community Health Directorate, Western Sydney Local Health District, Australia. Electronic address: .
  5. Centre of Evidence-based Practice for Health Care Policy, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, SAR.; School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia. Electronic address: .
  6. School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia; Australian Centre for Integration of Oral Health (ACIOH), Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool NSW 2170, Australia. Electronic address: .
Source: Alex J., Ramjan LM., Ferguson C. et al. Development and psychometric evaluation of the catheter assessment, management and performance (CAMP) scale for nurses. Nurse Educ Pract. 2024 Sep 5:80:104122. doi: 10.1016/j.nepr.2024.104122.

Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients.

The effects of non-infectious urinary catheter-related complications such as measurements of indwelling urinary catheter overuse, catheter-related trauma, and urinary retention are not well understood.

The Development of a Biomimetic Model of Bacteria Migration on Indwelling Urinary Catheter Surfaces.

The aim of this study was to develop a novel biomimetic in vitro extraluminal migration model to observe the migration of bacteria along indwelling urinary catheters within the urethra and assess the efficacy of a prototype chlorhexidine diacetate (CHX) coating to prevent this migration.

Impact of practice on quality of life of those living with an indwelling urinary catheter – an international evaluation

Introduction: Patients using indwelling urinary catheters often experience complications that have the potential to negatively impact quality of life. Limited evidence exists to inform and guide urinary catheter management, especially in those with long-term catheters; thus, patient care varies.

Incidence of catheter-associated urinary tract infections by Gram-negative bacilli and their ESBL and carbapenemase production in specialized hospitals of Bahir Dar, northwest Ethiopia.

Catheter-associated urinary tract infections (CAUTIs) due to multidrug-resistant Gram-negative bacilli (GNB) is a common concern globally. Investigating the incidence of CAUTI and associated antibiotic resistance has paramount importance from the health care associated infections perspective.

Regional variation in urinary catheter use in the Netherlands from 2012 to 2021: a population-based cohort.

Our aim was to evaluate trends and regional differences in the use of indwelling and intermittent urinary catheters in the community setting in the Netherlands from 2012 to 2021.

For this population-based cohort study, data on catheter use was collected from the Drug and Medical Devices Information System of the National Healthcare Institute of the Netherlands.

Urinary catheter placement and adverse urinary outcomes with a focus on elevated risk in men with indwelling Foley catheters.

Prior studies indicated a link between urinary catheter use and urinary complications, highlighting the need for comprehensive, gender-specific investigations. This study explored the association through a national retrospective cohort, emphasizing gender disparities and long-term outcomes.

Development and psychometric evaluation of an expanded urinary catheter self-management scale: A cross-sectional study.

To develop and test the psychometric properties of an expanded catheter self-management scale for patients with in-dwelling urinary catheters.

A cross-sectional validation study. Despite the utility of the original 13-item catheter self-management scale, this instrument did not include bowel management, general hygiene and drainage bag care, which are fundamental skills in urinary catheter self-management to prevent common problems resulting in unnecessary hospital presentations.

Optimizing the Postoperative Management of Children Undergoing Resection of High-Risk Abdominal Neuroblastoma.

Surgical resection is a mainstay of treatment in high-risk neuroblastoma (HR-NB), but there exists wide variability in perioperative management practices. The aim of this study was to evaluate two standardized adult perioperative enhanced recovery practices (ERPs) in pediatric patients undergoing open resection of abdominal HR-NB.

Antibiotics prophylaxis at the time of catheter removal after radical prostatectomy: a systematic review of the literature and meta-analysis.

To conduct a systematic literature review with meta-analysis to identify whether antibiotic prophylaxis after removal of the indwelling urinary catheter reduces posterior infections.

A systematic literature review was conducted in the databases PubMed, Embase, Cochrane, Google Scholar, and Latin American and Caribbean Health Sciences Literature, using the keywords "antibiotics" AND "prostatectomy" AND "urinary catheter.

Prevalence of indwelling urinary catheters in nursing home residents: Systematic review.

This systematic review examines the prevalence of indwelling urinary catheters in nursing home residents.

MEDLINE via PubMed, CINAHL, and EMBASE were searched from inception to 9 August 2022. Cross-sectional studies and longitudinal studies with cross-sectional analyses reporting catheter prevalence in nursing home residents were identified and summarized descriptively.

ASSESSMENT OF PATIENT SATISFACTION WITH HOME VERSUS OFFICE INDWELLING CATHETER REMOVAL PLACED FOR URINARY RETENTION AFTER FEMALE PELVIC FLOOR SURGERY: A RANDOMIZED CONTROLLED TRIAL.

To assess patient satisfaction with location of indwelling catheter removal placed for urinary retention after urogynecologic surgery.

All adult women who were diagnosed with urinary retention requiring post-operative indwelling catheter insertion after undergoing surgery for urinary incontinence and/or pelvic organ prolapse were eligible for this randomized controlled study.

Safety and efficacy of silicone tape for indwelling urinary catheter fixation in intensive care patients-A randomized clinical trial.

Critically ill patients are more vulnerable to medical adhesive-related skin injuries (MARSI), whose prevention is a constant challenge and one of the main quality indicators of nursing care. MARSI associated with indwelling urinary catheter (IUC) fixation is a relevant adverse event, mainly because of the constant involuntary traction and high skin vulnerability of the fixation site.

A single institution pre-/post-comparison after introduction of an external urinary collection device for female medical patients.

External urinary collection devices (EUCDs) may serve as an alternative to indwelling urinary catheters (IUCs) and decrease the rate of catheter associated urinary tract infections (CAUTIs). PureWick® is a novel female EUCD; however, no study has definitively proven benefit regarding reduction of CAUTIs.

Need to clamp indwelling urinary catheters before removal after different durations: a systematic review and meta-analysis.

This meta-analysis aimed to evaluate the effect of bladder training by clamping on bladder urethral function in patients with indwelling urinary catheters used for different durations.

Systematic review and meta-analysis.

Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review.

to analyze the production of knowledge in research articles about the effectiveness of nursing protocols for reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection rate in hospitalized adult and older patients.

Is There Any Benefit to the Use of Antibiotics with Indwelling Catheters after Urologic Surgery in Adults.

Antibiotic stewardship in urologic reconstruction is critically important, as many patients will require indwelling catheters for days to weeks following surgery and thus are at risk of both developing catheter-associated urinary tract infections (CAUTI) as well as multi-drug resistant (MDR) uropathogens.