Titre : Cathéters urinaires

Cathéters urinaires : Questions médicales fréquentes

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"Traitements", "headline": "Traitements sur Cathéters urinaires", "description": "Comment traiter une infection urinaire liée au cathéter ?\nQuel soin pour un cathéter à demeure ?\nComment gérer une obstruction du cathéter ?\nQuand retirer un cathéter ?\nQuel traitement pour une irritation urinaire ?", "url": "https://questionsmedicales.fr/mesh/D062885?page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Cathéters urinaires", "description": "Quelles sont les complications possibles des cathéters ?\nComment gérer une infection liée au cathéter ?\nQuels risques d'une utilisation prolongée ?\nComment prévenir les complications liées au cathéter ?\nQuels signes d'une complication grave ?", "url": "https://questionsmedicales.fr/mesh/D062885?page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Cathéters urinaires", "description": "Quels facteurs augmentent le risque d'infection ?\nComment le sexe influence-t-il le risque d'infection ?\nQuels médicaments augmentent le risque d'infection ?\nQuel rôle joue l'hygiène dans le risque d'infection ?\nComment l'hospitalisation influence-t-elle le risque ?", "url": "https://questionsmedicales.fr/mesh/D062885?page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une obstruction urinaire ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un examen physique et des tests d'imagerie comme l'échographie peuvent aider." } }, { "@type": "Question", "name": "Quels tests pour évaluer une infection urinaire ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Une analyse d'urine et une culture urinaire sont essentielles pour le diagnostic." } }, { "@type": "Question", "name": "Quels signes indiquent un besoin de cathéter ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Difficulté à uriner, rétention urinaire ou besoin de surveillance post-opératoire." } }, { "@type": "Question", "name": "Comment évaluer la fonction vésicale ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des tests urodynamiques mesurent la pression et le flux urinaire." } }, { "@type": "Question", "name": "Quand utiliser un cathéter à demeure ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "En cas de rétention urinaire chronique ou de soins palliatifs prolongés." } }, { "@type": "Question", "name": "Quels symptômes d'une infection liée au cathéter ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleur au bas-ventre, et urine trouble ou malodorante." } }, { "@type": "Question", "name": "Comment reconnaître une irritation urinaire ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Brûlures lors de la miction et besoin fréquent d'uriner peuvent indiquer une irritation." } }, { "@type": "Question", "name": "Quels signes d'une obstruction du cathéter ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Diminution du flux urinaire ou absence d'urine dans le sac de drainage." } }, { "@type": "Question", "name": "Quels symptômes d'une lésion vésicale ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Douleur pelvienne, sang dans les urines, et difficulté à uriner." } }, { "@type": "Question", "name": "Quels symptômes d'une fuite autour du cathéter ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Présence d'urine autour du site d'insertion et inconfort localisé." } }, { "@type": "Question", "name": "Comment prévenir les infections urinaires ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Utiliser des techniques aseptiques lors de l'insertion et changer régulièrement le cathéter." } }, { "@type": "Question", "name": "Quelles mesures pour éviter l'obstruction ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Assurer un drainage adéquat et éviter les plis dans le cathéter." } }, { "@type": "Question", "name": "Comment réduire le risque de lésion vésicale ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Utiliser des cathéters adaptés et surveiller régulièrement l'état du patient." } }, { "@type": "Question", "name": "Quelles pratiques pour un bon soin du cathéter ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Nettoyage quotidien et vérification de la position du cathéter pour éviter les complications." } }, { "@type": "Question", "name": "Comment éduquer les patients sur l'utilisation du cathéter ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Informer sur les signes d'infection et l'importance de l'hygiène." } }, { "@type": "Question", "name": "Comment traiter une infection urinaire liée au cathéter ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Antibiotiques appropriés et, si nécessaire, remplacement du cathéter." } }, { "@type": "Question", "name": "Quel soin pour un cathéter à demeure ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Nettoyage régulier du site d'insertion et surveillance des signes d'infection." } }, { "@type": "Question", "name": "Comment gérer une obstruction du cathéter ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Déterminer la cause et éventuellement remplacer ou irriguer le cathéter." } }, { "@type": "Question", "name": "Quand retirer un cathéter ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Dès que possible, lorsque la fonction vésicale est rétablie ou en cas d'infection." } }, { "@type": "Question", "name": "Quel traitement pour une irritation urinaire ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Hydratation accrue et éventuellement des analgésiques pour soulager la douleur." } }, { "@type": "Question", "name": "Quelles sont les complications possibles des cathéters ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Infections, obstructions, et lésions vésicales sont des complications fréquentes." } }, { "@type": "Question", "name": "Comment gérer une infection liée au cathéter ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Remplacer le cathéter et administrer des antibiotiques selon la culture." } }, { "@type": "Question", "name": "Quels risques d'une utilisation prolongée ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Augmentation du risque d'infections et de lésions tissulaires." } }, { "@type": "Question", "name": "Comment prévenir les complications liées au cathéter ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Surveillance régulière et soins appropriés du site d'insertion sont essentiels." } }, { "@type": "Question", "name": "Quels signes d'une complication grave ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre élevée, douleur intense, ou saignement nécessitent une attention médicale immédiate." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'infection ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Âge avancé, diabète, et antécédents d'infections urinaires sont des facteurs de risque." } }, { "@type": "Question", "name": "Comment le sexe influence-t-il le risque d'infection ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Les femmes ont un risque plus élevé d'infections urinaires en raison de l'anatomie." } }, { "@type": "Question", "name": "Quels médicaments augmentent le risque d'infection ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Les immunosuppresseurs et certains antibiotiques peuvent augmenter le risque." } }, { "@type": "Question", "name": "Quel rôle joue l'hygiène dans le risque d'infection ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Une mauvaise hygiène peut augmenter le risque d'infections urinaires liées au cathéter." } }, { "@type": "Question", "name": "Comment l'hospitalisation influence-t-elle le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les patients hospitalisés sont plus exposés aux infections nosocomiales, y compris urinaires." } } ] } ] }

Sources (10000 au total)

Impact of early postoperative indwelling urinary catheter removal: A systematic review.

Indwelling urinary catheters (IDUCs) are associated with complications and early removal is therefore essential. Currently, it is unknown what the effect of a specific removal time is and what the con... To present an overview of the available evidence to determine the effects of three postoperative IDUC removal times (after a certain number of hours, at a specific time of day and flexible removal tim... PubMed, Medline, Embase, Emcare and Cochrane Central Register of Controlled Trials were searched till 6 June, 2021. Studies were included that described the effect of the removal time in relation to r... Twenty studies were included from which 18 compared removal after a number of hours, 1 reported on a specific removal time and 1 reported on both topics. The results were contradicting regarding the h... There is inconclusive evidence that earlier removal results in less UTIs, despite the incidence of UTIs increasing if the IDUC is removed ≥24 h. Immediate or after 1-2 day(s) removal does not lead to ... Nurses should focus on early IDUC removal while being aware of urinary retention....

Early versus late removal of urinary catheter after kidney transplantation.

The optimal treatment for end-stage kidney disease is kidney transplantation. During the operation, a catheter is introduced into the bladder and remains in place postoperatively to allow the bladder ... This review aimed to compare patients who had their catheter removed < 5 days post-transplant surgery to those patients who had their catheter removed ≥ 5 days following their kidney transplant. Prima... We searched the Cochrane Kidney and Transplant Register of Studies up to 13 April 2023 through contact with the Information Specialist using search terms relevant to this review. Studies in the Regist... All randomised controlled trials (RCTs) and quasi-RCTs comparing timing of catheter removal post-transplantation were eligible for inclusion. All donor types were included, and all recipients were inc... Results from the literature search were screened by two authors to identify if they met our inclusion criteria. We designated removal of a urinary catheter before five days (120 hours) as an 'early re... Two studies (197 patients) were included in our analysis. One study comprised a full-text article, and the other was a conference abstract with very limited information. The risk of bias in the includ... A high-quality, well-designed RCT is required to compare the effectiveness of early catheter removal versus late catheter removal in patients following a kidney transplant. At the present time, there ...

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 nu... Sixty-seven studies (92.5 % cross-sectional) were included. The reported number of included residents ranged from 73 to 110,656. The median catheter prevalence was 7.3 % (interquartile range 4.3-10.1 ... Catheter prevalence in nursing home residents varies between studies and countries. Prevalence differences by sex, age, and catheter type as well as duration of catheterization, catheter change interv... PROSPERO (29 August 2022; CRD42022354358); no funding....

APSIC guide for prevention of catheter associated urinary tract infections (CAUTIs).

The Asia Pacific Society of Infection Control launched the APSIC guide for prevention of catheter associated urinary tract infections in July 2022. It aims to highlight practical recommendations in a ... The guidelines were developed by an appointed workgroup comprising experts in the Asia Pacific region, following reviews of previously published guidelines and recommendations relevant to each section... It recommends that healthcare institutions have a catheter associated urinary tract infection prevention program that includes surveillance and the use of the insertion and maintenance bundles. Implem... Healthcare facilities should aim for excellence in care of patients with urinary catheters. It is recommended that healthcare facilities have a catheter associated urinary tract infection prevention p...

Artificial urinary sphincter cuffs and safe instrument/catheter passage guidelines.

The artificial urinary sphincter (AUS) is the gold standard for males with urinary incontinence. It is generally a safe procedure with a high degree of satisfaction. However, there is a lifelong risk ... All AUS cuff sizes available (3.5 cm up to 6.0 cm), catheter sizes between 12 and 22 Fr, and scope sizes 19 Fr flexible/rigid, 21-26 Fr rigid scopes were examined. We used deflated assembled cuffs on ... For 3.5 cm cuffs, 12 Fr catheters pass easily and safely, 14-16 Fr catheters and 19 Fr flexible/rigid scopes can pass through with some mild risk of trauma. Larger catheter/scope sizes cannot pass thr... Our study can guide urologists in the management of patients with an AUS who need urethral catheters or endoscopy. These recommendations are based on the measurements of our study along with bulbar ur...

Overnight removal of urinary indwelling catheter following vaginal prolapse surgery (OVERACT).

Pelvic organ prolapse is a common condition in women. Adequate timing of urinary catheter removal after vaginal prolapse surgery is essential to reduce post-operative morbidity. We compared midnight r... We performed a retrospective cohort study among 266 women undergoing vaginal prolapse surgery, of whom 132 women had urinary catheter removal at midnight and 134 women morning after surgery. We compar... Retention occurred less after midnight removal of the urinary catheter, compared to removal next morning (6.1 % versus 23.9 %, p < 0.001). Furthermore, the time till catheter removal and discharge fro... Our results suggest that early removal of the indwelling urinary catheter after vaginal prolapse surgery seems save with respect to urinary retention and leads to earlier mobilization and shorter hosp...

The presence of a urinary catheter is an important predictor of in-hospital mortality in internal medicine patients.

Mortality rates are used to assess the quality of hospital care after appropriate adjustment for case-mix. Urinary catheters are frequent in hospitalized adults and might be a marker of patient frailt... The study population included all acutely admitted adult patients in 2020 (exploratory cohort) and January-October 2021 (validation cohort) to internal medicine, cardiology and intensive care departme... The presence of a urinary catheter was associated with other independent variables. In 2020, the odds of in-hospital mortality in patients with a urinary catheter before and after adjustment for the r... The presence of a urinary catheter on admission is an important and independent predictor of in-hospital mortality in acutely hospitalized adults in internal medicine departments....

Water vapor thermal therapy for indwelling urinary catheter removal in frail patients.

To report the efficacy and safety of water vapor thermal therapy to achieve catheter removal in frail patients with refractory acute urinary retention.... Data from consecutive frail patients with indwelling urinary catheter undergoing the Rezūm™ therapy (Boston Scientific Corporation, Marlborough, MA) at a single center between October 2017 and June 20... A total of 24 men met our inclusion criteria. The median age, Charlson comorbidity index, and duration of preoperative catheterization were 77 years (IQR 67-86), 6 (IQR 3-7), and 113 days (IQR 87-159)... In this single-institution, prospective, and observational study, water vapor thermal therapy was found to be effective and safe in restoring successful spontaneous voiding in a cohort of elderly and ...

Mapping of health services to urinary catheter users: challenges for the advanced nursing practice.

To map and to identify the material distributed in the health care network to urinary catheter users in a municipality in the state of São Paulo, Brazil.... Quantitative, descriptive-exploratory study, carried out with supervisors and/or managers of health services and a unit of distribution of materials used by urinary catheter users. Data were collected... Health services to urinary catheter users were mapped in five health regions: health centers, family health units, outpatient clinics, specialized centers, hospitals, and emergency care units. Intermi... The study shows the high number of distributed urinary catheters; primary health care was the service that directed the care from the materials distribution. It is concluded that mapping the provided ...

Racial Differences in Urinary Catheter Use Among Female Nursing Home Residents.

To assess racial differences in prevalence of indwelling urinary catheterization and intermittent catheterization among female NH residents in the United States (US).... We performed a cross-sectional analysis using the 2019 Minimum Data Set 3.0 and developed a multivariable logistic regression model to examine the association between catheter use and race. Moderation... Our study cohort was composed of 597,966 women, who were predominantly of White race with a median age of 80 years. Eight percent (n=47,799) of female residents had indwelling catheters, and 0.5% (n=2... Racial differences in both indwelling and intermittent catheterization prevalence exist in female NH residents. These disparities should be further clarified to reduce bias in NH care....