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"Indwelling Catheter" OR "Urinary Catheter" OR "Bladder Irrigation"

Takele Feyera, Pan Zhou, Morakot Nuntapaitoon, Kristina Ulrich Sørensen, Uffe Krogh, Thomas Sønderby Bruun, Stig Purup, Henry Jørgensen, Hanne Damgaard Poulsen, Peter Kappel Theil
The aims of this study were to investigate 1) the effect of high dietary fiber (DF; 19.3 to 21.7%) supplemented to late gestating sows on mammary uptake and metabolism of energy substrates as well as colostrum production and 2) the ontogeny of colostral fat and lactose synthesis using mammary carbon balance, and colostral protein using IgG as a biomarker. Sows were fed either a control diet (CON) consisting of a standard gestation diet (14.6% DF) until d 108 of gestation and a transition diet (16.8% DF) from d 109 of gestation until farrowing or a high DF treatment where part of the daily ration was replaced with a high DF supplement (FIB)...
October 12, 2018: Journal of Animal Science
Catherine Murphy, Alex Cowan, Katherine Moore, Mandy Fader
No abstract text is available yet for this article.
October 11, 2018: BMJ: British Medical Journal
Timothy J P Batchelor, Neil J Rasburn, Etienne Abdelnour-Berchtold, Alessandro Brunelli, Robert J Cerfolio, Michel Gonzalez, Olle Ljungqvist, René H Petersen, Wanda M Popescu, Peter D Slinger, Babu Naidu
Enhanced recovery after surgery is well established in specialties such as colorectal surgery. It is achieved through the introduction of multiple evidence-based perioperative measures that aim to diminish postoperative organ dysfunction while facilitating recovery. This review aims to present consensus recommendations for the optimal perioperative management of patients undergoing thoracic surgery (principally lung resection). A systematic review of meta-analyses, randomized controlled trials, large non-randomized studies and reviews was conducted for each protocol element...
October 9, 2018: European Journal of Cardio-thoracic Surgery
Ana Cecilia Bardossy, Takiah Williams, Karen Jones, Susan Szpunar, Marcus Zervos, George Alangaden, Katherine Reyes, Mohamad G Fakih
We compared interventions to improve urinary catheter care and urine culturing in adult intensive care units of 2 teaching hospitals. Compared to hospital A, hospital B had lower catheter utilization, more compliance with appropriate indications and maintenance, but higher urine culture use and more positive urine cultures per 1,000 patient days.
October 10, 2018: Infection Control and Hospital Epidemiology
Ywe Wong, N Abdullah
Purple urine bag syndrome (PUBs) is a rare and startling phenomenon of purple discolouration in the urine or urinary catheter and bag. It is reported in chronically debilitated elderly patients, mostly in women on long-term urinary catheters. Its prevalence is strikingly more common in nursing home residents. Several factors contribute to the formation of indigo (blue) and indirubin (red) pigments from a breakdown of dietary tryptophan, which stains the urine purple. These factors include constipation, dysmotility of the bowel, bowel bacterial overgrowth, dehydration, and urinary tract infection...
2018: Malaysian Family Physician
Benjamin Tremblais, Inès Dominique, Jean-Etienne Terrier, René Ecochard, Hélène Hacquard, Alain Ruffion, Philippe Paparel
OBJECTIVE: To assess the benefits and safety of non-catheterization during robot-assisted partial nephrectomy within an enhanced recovery protocol. MATERIALS AND METHODS: A single-center retrospective comparative study was carried out of consecutive patients who underwent a robot-assisted partial nephrectomy between February 2015 and December 2017 within an early recovery program. The patients who received a urinary catheter were compared with those who did not in terms of postoperative complications, acute urinary retention rates, urinary tract infection rates, and lengths of hospital stay...
October 6, 2018: Urology
Alison Coady, Anissa R Ramos, Joshua Olson, Victor Nizet, Kathryn A Patras
Urinary tract infections (UTIs) caused by the human fungal pathogen Candida albicans and related species are prevalent in hospitalized patients, especially those on antibiotic therapy, with indwelling catheters, or with predisposing conditions such as diabetes or immunodeficiency. Understanding of key host defenses against Candida UTI are critical for developing effective treatment strategies. Tamm-Horsfall glycoprotein (THP) is the most abundant urine protein with multiple roles in renal physiology and bladder protection...
October 8, 2018: Infection and Immunity
Zyta B Wojszel, Małgorzata Toczyńska-Silkiewicz
Purpose: Bacterial urinary tract infections (UTIs) are the most frequently occurring infectious diseases in the geriatric population. The aim of the study was to determine the prevalence and clinical features of UTIs in geriatric in-patients and their association with health and functional ability characteristics. Methods: A prospective cross-sectional cohort study was conducted among patients hospitalized on the geriatric ward. Patients were interviewed, examined, and had their hospital records analyzed...
2018: European Geriatric Medicine
Ryan Cornelis Huiszoon, Sowmya Subramanian, Pradeep Ramiah Rajasekaran, Luke Beardslee, William Bentley, Reza Ghodssi
GOAL: This paper reports a platform for real-time monitoring and treatment of biofilm formation on 3D biomedical device surfaces. METHODS: We utilize a flexible platform consisting of gold interdigitated electrodes patterned on a polyimide substrate. The device was integrated onto the interior of a urinary catheter and characterization was performed in a custom-developed flow system. Biofilm growth was monitored via impedance change at 100 Hz AC with a 50 mV signal amplitude...
October 1, 2018: IEEE Transactions on Bio-medical Engineering
Emily R W Davidson, Katherine Woodburn, Mariam AlHilli, Cecile A Ferrando
INTRODUCTION AND HYPOTHESIS: This study's objectives were to compare the incidence of adverse events after concurrent urogynecologic and gynecologic oncology surgery to gynecologic oncology surgery alone and to describe the frequency of modification in planned urogynecologic procedures. The authors hypothesized there would be no difference in major complications. METHODS: This was a retrospective matched cohort study of women who underwent concurrent surgery at a large tertiary care center between January 2004 and June 2017...
October 2, 2018: International Urogynecology Journal
Adriana Aparecida Feltrin Correa, Carlos Magno Castelo Branco Fortaleza
Colonization with carbapenem-resistant Enterobacteriaceae (CRE) precedes invasive infections. Neither the actual risk for the latter nor the route between the 2 stages is completely clear. We studied a retrospective cohort of patients hospitalized between 2013-2016 and colonized with CRE. The incidence of CRE health care-associated infections was 13.2%, and predictors were the presence of a urinary catheter and the use of carbapenems. Infection prevention strategies in CRE-colonized patients should focus on invasive devices and antimicrobial stewardship...
September 29, 2018: American Journal of Infection Control
Stephen B Kinnear, Ned Kinnear, John Bolt
Intraoperative cell salvage (ICS) became commercially available in 1968 and has enjoyed wide uptake. However, its use in transurethral resection of prostate (TURP) remains rare. We describe a 71-year-old man who underwent TURP with incomplete blood cross-matching. He suffered significant hemorrhage requiring return to theater. There was great delay in obtaining appropriately cross-matched blood, due to previous alloimmunization. ICS was used to retrieve blood present in bladder irrigation. This is the first Australian report of ICS use during TURP...
September 28, 2018: A&A practice
Christina Pindar, Roberto A Viau
Introduction: Although more often recognized as a culprit in female urinary tract infection, coagulase-negative staphylococci (CoNS) can cause severe genitourinary infections in men. While positive blood cultures with CoNS are usually thought to be contaminants, in the setting of a severe genito-urinary infection they can represent true infection. Case presentation: We present the case of a 70-year-old male without a central venous catheter or urinary catheter who developed Staphylococcus haemolyticus bloodstream infection secondary to epididymo-orchitis...
July 2018: JMM Case Reports
Siriwan Srisang, Norased Nasongkla
In this study, chlorhexidine-loaded poly(ε-caprolactone) nanospheres (CHX-NS) were prepared and successfully coated on the urinary catheters. Properties of CHX-NS were evaluated including drug loading content and the nanosphere size. Effects of different lyoprotectants for long-term storage of CHX-NS were also investigated. In vitro release study and antibacterial activity were also conducted using 20 cycles coated-urinary catheters. Results showed that the high-pressure emulsification-solvent evaporation technique provided the drug loading content at 1...
September 28, 2018: Pharmaceutical Development and Technology
Anthony M Villano, Raul Caso, M Blair Marshall
Malignant pleural effusion (MPE) is a common and complex manifestation of advanced stage cancer. Treatment options have trended towards less invasive approaches such as intrapleural catheter drainage, however this technique is not without morbidity and not suitable for every patient. A troublesome scenario arises when an MPE is secondarily infected in the setting of an indwelling catheter, given both the high frequency of recurrence of such fluid and the presence of a foreign body. Further, quality literature surrounding this specific management issue is sparse and thus practice is heterogeneous...
2018: AME case reports
Tjokorda Gde Agung Senapathi, Made Wiryana, I Made Subagiartha, I Putu Pramana Suarjaya, I Made Gede Widnyana, Ida Bagus Krisna Jaya Sutawan, A A Gde Putra Semara Jaya, Andri Thewidya
Purpose: Postoperative urinary retention (POUR) is one of the most common complications following spinal anesthesia. Spinal anesthesia may influence urinary bladder function due to interruption of the micturition reflex. Urinary catheterization is the standard treatment of POUR. Urinary catheter insertion is an invasive procedure, which is associated with catheter-related infections, urethral trauma, and patient discomfort. The purpose of this study was to determine the effectiveness of intramuscular (IM) neostigmine to accelerate bladder emptying after spinal anesthesia...
2018: Therapeutics and Clinical Risk Management
Evelyn Lengetti, Rebecca Kronk, Karen W Ulmer, Karen Wilf, Diane Murphy, Margaret Rosanelli, April Taylor
AIM: This study examined the effect of mastery learning on new graduate nurses' skill and self-regulation practices for indwelling urinary catheter insertion in a simulated learning environment. BACKGROUND: Clinical competence is a patient safety imperative, it is therefore important to use the most effective approaches to prepare competent nurses resulting in improved patient care and clinical outcomes. Catheter associated Urinary Tract Infections (CaUTI) are a nursing quality indicator, and account for 30% of all Hospital-Acquired Conditions (HAC) annually in the US...
September 8, 2018: Nurse Education in Practice
Kim Liberatore, Kevin J Kelly
Reduction in the prevalence of IgE-mediated allergy to latex proteins from gloves in patients may lead to lax attention by health care personnel to avoid use of latex products in latex-allergic subjects. Recent evidence from the Pennsylvania Patient Safety Reporting System shows an alarming continuation of adverse events mostly from latex urinary catheters. We are strongly advocating that health care personnel must continue to pay close attention to avoidance of latex in patients with a history of latex allergy...
September 21, 2018: Journal of Allergy and Clinical Immunology in Practice
Aparna S Ramaseshan, Christine LaSala, David M O'Sullivan, Adam C Steinberg
OBJECTIVE: The aim of this study was to evaluate reasons and factors associated with patient calls in the postoperative period after female pelvic medicine and reconstructive surgery. METHODS: A retrospective review using electronic medical records was performed on consecutive patients who underwent surgery within our academic female pelvic medicine and reconstructive surgery practice during a 6-month period. Calls after postoperative discharge until first scheduled postoperative visit were included...
September 21, 2018: Female Pelvic Medicine & Reconstructive Surgery
Yulong Cao, Zhizhong Gong, Jiao Shan, Yan Gao
BACKGROUND: Catheter-associated urinary tract infections (CAUTIs) are the main cause of infectious complications in Indwelling urinary catheters (IDCs). However, the best cleaning methods for preventing CAUTIs have not been evaluated clearly by previous studies. METHODS: We searched electronic database, from their inception to December 2017. Randomized clinical trials and quasi-experimental with different methods of urethral cleaning versus disinfection to prevent CAUTIs were considered...
September 20, 2018: International Journal of Infectious Diseases: IJID
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