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

Jun Li, Hao Li, Zheng-Kuan Xv, Jian Wang, Qun-Fei Yu, Gang Chen, Fang-Cai Li, Ying Ren, Qi-Xin Chen
Enhanced recovery after surgery (ERAS) has been shown to shorten length of hospital stay and reduce perioperative complications in many types of surgeries. However, there has been a paucity of research examining the application of ERAS to major spinal surgery. The current study was performed to compare complications and hospital stay after laminoplasty between an ERAS group and a traditional care group.The ERAS group included 114 patients who underwent laminoplasty managed with an ERAS protocol between January 2016 and June 2017...
November 2018: Medicine (Baltimore)
Céline Pulcini, Isabelle Clerc-Urmes, Cossi Angelo Attinsounon, Sébastien Fougnot, Nathalie Thilly
Objectives: Although nursing homes are thought to be significant reservoirs of antibiotic-resistant bacteria, very few large population-based studies comparing antibiotic resistance prevalence in nursing homes and in the community have adjusted for patient characteristics. Our objective was to compare the prevalence of antibiotic resistance of Enterobacteriaceae cultured from urine samples of nursing home residents with that of community-dwelling adults, all aged 65 years or older. Methods: This study analysed around 20 000 positive urine samples sent to a large laboratory in north-eastern France from 2014 to 2017, collected from individuals aged 65 years or older...
November 30, 2018: Journal of Antimicrobial Chemotherapy
Yuhong Xie, Xiaojie Wang, Zhifen Chen, Pan Chi, Guoxian Guan, Huiming Lin, Xingrong Lu, Ying Huang, Zhengqiong Wang, Mingxing Wang, Jie Chen, Xiuying Li, Min Wang, Xuezhen Zheng, Ximei Zheng, Ran Li, Qianqian Lin
OBJECTIVE: To investigate the efficacy and safety of the bladder training in male patients before urinary catheter removal after mid-low rectal cancer surgery. METHODS: This was a prospective, open, randomized controlled study. INCLUSION CRITERIA: male patients; pathologically diagnosed as mid-low rectal adenocarcinoma; distance from tumor lower edge to anal margin ≤10 cm; standard radical surgery for rectal cancer, including intestinal resection and regional lymph node dissection...
November 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Maneesha K Suresh, Raja Biswas, Lalitha Biswas
Staphylococcus aureus (S. aureus) readily forms biofilms on prosthetic devices such as the pacemakers, heart valves, orthopaedic implants, and indwelling catheters. Its biofilms are recalcitrant to antibiotic therapy and pose a serious burden in the healthcare setting as they drastically increase the treatment cost and morbidity of the patient. Prevention and treatment of staphylococcal biofilms has therefore been an area of active research for the past two decades. While catheters coated with different antiseptics and antibiotics capable of preventing S...
November 27, 2018: International Journal of Medical Microbiology: IJMM
Justin A Sobrino, Jason Axt, Joseph A Sujka, Leo Andrew Benedict, Lisa Wedel, Dan Millspaugh, Shawn D St Peter
BACKGROUND: In some institutions, urinary catheters (UCs) have been placed in all patients receiving opioid patient-controlled analgesia (PCA) because of the increased incidence of urinary retention. Our institutional data demonstrated no UC replacements in 48 children who had PCA for perforated appendicitis who had their catheters removed before discontinuation of the PCA. As part of a quality improvement initiative, we discontinued the practice of requiring UC with PCA for perforated appendicitis...
January 2019: Journal of Surgical Research
Blayne Welk, Patrick McGarry, Michael Kennelly, Jeremy Myers
AIM: To systematically review the qualitative literature on neurogenic bladder management to better understand the relevant psychosocial issues. METHODS: We used two reviewers to systematically review EMBASE, CINAHL, and PsycINFO for qualitative studies that included a neurogenic bladder patient population and were relevant to bladder management. We used a meta-ethnography technique to summarize and synthesize the data. RESULTS: We found 13 studies that were relevant...
November 29, 2018: Neurourology and Urodynamics
Tejashree Anantharaj Urs, Visakha Kadiyala, Saundarya Deepak, M Krishna Karthik
Urinary tract infections (UTIs) caused by fungi, frequently associated with medical devices, have increased and caused great morbidity and mortality among hospitalized patients. Difficulties on different species identification as well as the lack of standardized sensitivity tests in vitro , contribute to the limited information available on epidemiology, diagnosis, and therapeutics of Trichosporon infections. There are only sporadic reports of UTI caused by Trichosporon asahii reported from India. We report six cases of UTI caused by T...
October 2018: Journal of Laboratory Physicians
Jun Zhang, Xilong Wang, Yanbin Zhang, Chaoliang Shi, Minqi Tu, Guo-Wei Shi
OBJECTIVE: The purpose of the current work was to comparatively assess 1470 nm diode laser enucleation (DiLEP) and plasmakinetic bipolar resection (PKRP) of the prostate for treating benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: From January 2016 to March 2017, 157 individuals with bladder outflow obstruction caused by BPH were randomized to DiLEP and PKRP groups, for prospective analysis. Of these, 152 cases were evaluated before operation and at 3, 6 and 12-month post-surgery...
November 29, 2018: Journal of Endourology
P R Sinnaeve, T Adriaenssens
Percutaneous drainage is the default strategy for evacuating a pericardial effusion. A pericardiocentesis can be necessary or required in a wide variety of clinical settings ranging from urgent tamponade to relieve in iatrogenic hemorrhagic effusions in the electrophysiology or catheterization room, to planned diagnostic procedures in patients with suspected or known malignancy or infections. With the help of several procedural improvements over the past decades, echocardiography and fluoroscopy-guided percutaneous pericardiocentesis has become the standard intervention for evacuating pericardial effusions, as well as an essential tool in the diagnostic work-up of an unexplained pericardial effusion...
November 20, 2018: Trends in Cardiovascular Medicine
Isabel Morales Barroso, Lorena López-Cerero, María Dolores Navarro, Belén Gutiérrez-Gutiérrez, Alvaro Pascual, Jesús Rodríguez-Baño
Background: Escherichia coli sequence type 131 (ST131) is a successful clonal group that has dramatically spread during the last decades and is considered an important driver for the rapid increase of quinolone resistance in E. coli . Methods: Risk factors for rectal colonization by ST131 Escherichia coli (irrespective of ESBL production) were investigated in 64 household members (18 were colonized) and 54 hospital contacts (HC; 10 colonized) of 34 and 30 index patients with community and nosocomial infection due to these organisms, respectively, using multilevel analysis with a p limit of < 0...
2018: Antimicrobial Resistance and Infection Control
Hong Peng, Ding Guang-Pu, Hao Han, Yang Kun-Lin, Zhuang Li-Yan, Cai Lin, Zhang Zhong-Yuan, Fan Shu-Bo, Zhang Lei, Tang Qi, L I Xue-Song, Zhou Li-Qun
OBJECTIVES: To illustrate our technique to construct the Institute of Urology Peking University (IUPU) orthotopic ileal bladder and present our initial experience. METHODS: From August 2017 to April 2018, twelve patients with bladder cancer underwent radical cystectomy (RC), pelvic lymph node dissection (LND) and extracorporeal construction of an IUPU neobladder (IUPUB) by an experienced surgeon. We present the demographic, clinicopathologic, perioperative and follow-up data...
November 20, 2018: Urology
Zhiling Zhu, Ziping Wang, Siheng Li, Xun Yuan
Over 75% of hospital-acquired or nosocomial urinary tract infections are initiated by urinary catheters, which are used during the treatment of 16% of hospitalized patients. Taking the United States as an example, the costs of catheter-associated urinary tract infections (CAUTI) are in excess of $451 million dollars/year. The biofilm formation by pathogenic microbes that protects pathogens from host immune defense and antimicrobial agents is the leading cause for CAUTI. Thus, tremendous efforts have been devoted to antimicrobial coating for urinary catheters in the past few decades, and it has been demonstrated to be one of the most direct and efficient strategies to reduce infections...
November 23, 2018: Journal of Biomedical Materials Research. Part A
Rachael C Baird, Ellen Romich, Emily Holthaus, Matthew D Barber, Cecile A Ferrando
OBJECTIVE: The aim of this study was to determine whether bacterial uropathogens from positive urine cultures and uropathogen antibiotic susceptibility differ between catheterized (C) and noncatheterized (NC) patients after pelvic reconstructive surgery. METHODS: This is a retrospective cohort study of patients with a positive urine culture within 1 year of pelvic reconstructive surgery. Patients were categorized as having an indwelling catheter placed for urinary retention or voiding dysfunction within 48 hours of specimen collection versus no catheter...
November 17, 2018: Female Pelvic Medicine & Reconstructive Surgery
Beverly Sturgill, Harsh Patolia, Alexis Guskiken, Mariana Gomez Dela Espriella, Anthony W Baffoe-Bonnie
Timely removal of the urinary catheter is an important strategy for decreasing catheter-associated urinary tract infections (CAUTIs). Data were aggregated from an electronic root cause analysis tool, which is used to collect and guide discussions on patient factors following a CAUTI event at our facility. This identified the Braden Scale score as a possible important predictor of early-onset CAUTI in high-risk patients and could potentially be leveraged for early action in urinary catheter removal.
November 17, 2018: American Journal of Infection Control
M Tandan, K Burns, H Murphy, S Hennessy, M Cormican, A Vellinga
BackgroundThe 2016 point prevalence survey (PPS) of healthcare-associated infections (HAI) and antimicrobial use (AMU) in Irish long-term care facilities (LTCF) (HALT) showed a 9.8% AMU and 4.4% HAI prevalence, based on aggregated data analysis.AimOur aim was to identify institutional and resident risk factors of AMU and HAI.MethodsHALT 2016 gathered information using institutional and resident questionnaires, for residents who met the surveillance definition of active HAI and/or AMU, limiting analysis to the aggregated institutional level...
November 2018: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
Bartosz A Dybowski, Piotr Zapała, Ewa Bres-Niewada, Łukasz Zapała, Nina Miązek-Zapała, Sławomir Poletajew, Grażyna Młynarczyk, Piotr Radziszewski
BACKGROUND: Men with urinary retention secondary to benign prostatic hyperplasia (BPH) are prone to genitourinary infections. Physicians should be aware of the current antimicrobial susceptibility pattern in this population if empirical treatment is needed. The goal of this study was to evaluate variations in prevalence, composition and antimicrobial susceptibility of bacterial flora in men with indwelling catheters subjected to surgery for BPH in chosen time periods since 1994. Necessary changes in empirical therapy were also assessed...
November 20, 2018: BMC Infectious Diseases
Barry HIll, Michelle Mitchell
Barry HIll, Senior Lecturer in Adult Nursing at Northumbria University ( ), and Michelle Mitchell, Graduate Tutor for Adult Nursing at Northumbria University, discuss the reasons for urinary catheterisation, the different types of catheter and the potential problems patients need to be aware of.
November 22, 2018: British Journal of Nursing: BJN
Lauren M Botta, Gregory P Botta
BACKGROUND: Hyperbaric oxygen therapy is a rare treatment modality for hemorrhagic cystitis (HC) following BK virus reactivation in the immunosuppressed population. Clinicians need to be aware of the etiology, preventive measures, complications, and various management techniques in HC while treating patients undergoing bone marrow transplantation. OBJECTIVES: This study details the pathologic progression of HC in a patient with acute lymphoblastic leukemia harboring BK virus after cytotoxic induction chemotherapy and haploidentical marrow transplantation...
December 1, 2018: Clinical Journal of Oncology Nursing
F G Menezes, L Corrêa, J O Medina-Pestana, W F Aguiar, L F A Camargo
BACKGROUND: Urinary tract infections are frequent complications early after kidney transplantation, and the use of antimicrobial coated catheters in settings other than transplantation has shown promising results for infection prevention. The purpose of this study was to compare the efficacy of Nitrofurazone-coated silicone urinary catheters with non-impregnated silicone urinary catheters in reducing bacteriuria and urinary tract infections in kidney transplant recipients. METHODS: This single-center study, randomized controlled trial at the Hospital do Rim, a tertiary referral center in kidney transplantation, located in São Paulo, Brazil...
November 19, 2018: Transplant Infectious Disease: An Official Journal of the Transplantation Society
Nils E Kløw, Ole J Grøtta, Dag Bay, Gunnar Sandbæk, Truls E Bjerklund Johansen, Thijs Hagen, Eduard Baco
BACKGROUND: Prostatic artery embolization (PAE) has recently been described as a promising alternative treatment for lower urinary tract symptoms (LUTS) due to an enlarged, benign prostate. PURPOSE: To evaluate the safety, morbidity, and functional outcomes after PAE. MATERIAL AND METHODS: Twenty-nine consecutive patients were included. All patients had computed tomography angiography before the procedure. Microcatheters were used for selective embolization of the PAs...
November 17, 2018: Acta Radiologica
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