Titre : Cathéters urinaires

Cathéters urinaires : Questions médicales fréquentes

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"@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Cathéters urinaires", "description": "Comment diagnostiquer une obstruction urinaire ?\nQuels tests pour évaluer une infection urinaire ?\nQuels signes indiquent un besoin de cathéter ?\nComment évaluer la fonction vésicale ?\nQuand utiliser un cathéter à demeure ?", "url": "https://questionsmedicales.fr/mesh/D062885?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Cathéters urinaires", "description": "Quels symptômes d'une infection liée au cathéter ?\nComment reconnaître une irritation urinaire ?\nQuels signes d'une obstruction du cathéter ?\nQuels symptômes d'une lésion vésicale ?\nQuels symptômes d'une fuite autour du cathéter ?", "url": "https://questionsmedicales.fr/mesh/D062885?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Cathéters urinaires", "description": "Comment prévenir les infections urinaires ?\nQuelles mesures pour éviter l'obstruction ?\nComment réduire le risque de lésion vésicale ?\nQuelles pratiques pour un bon soin du cathéter ?\nComment éduquer les patients sur l'utilisation du cathéter ?", "url": "https://questionsmedicales.fr/mesh/D062885?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "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=3#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=3#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=3#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)

Development of a risk nomogram predicting urinary tract infection in patients with indwelling urinary catheter after radical surgery for cervical cancer.

Cervical cancer (CC) patients receiving indwelling catheterization after radical hysterectomy (RH) are vulnerable to urinary tract infection (UTI). However, no model or method is available to predict ... We first collected clinical information of 380 patients receiving ICa-RCCS from January 2020 to December 2021 as a training cohort to develop the risk nomogram. UTI was then evaluated using 19 UTI pre... Predictors in the risk nomogram included indwelling catheterization duration, whether it is secondary indwelling catheterization, history of UTIs, age, and history of chemotherapy before surgery. The ... We developed a novel UTI nomogram incorporating the age, history of chemotherapy before surgery, indwelling catheterization duration, whether it is secondary indwelling catheterization, and history of... B: 3a....

Efficacy and safety of prostate artery embolization for patients with lower urinary tract symptoms and indwelling urinary catheter: A retrospective multicenter study.

The purpose of this multicenter study was to evaluate the clinical success at three months of prostate artery embolization (PAE), assess PAE safety in centers with various experiences and identify fac... This multicenter, retrospective study included patients who underwent PAE for lower urinary tract symptoms (LUTS) including those with indwelling urinary catheter. PAE clinical success was defined as ... A total of 383 men (mean age, 68.4 ± 9.7 [standard deviation] years; range: 46-94) with LUTS, including 99 (25.8%) patients with indwelling urinary catheter, were included in seven centers from Januar... Our results show that PAE is safe and effective in centers with various PAE experiences. Cardiovascular comorbidity is the single independent variable associated with PAE failure....

Materials-based incidence of urinary catheter associated urinary tract infections and the causative micro-organisms: systematic review and meta-analysis.

Both long (> 30 days) and short-term (≤ 30 days) catheterisation has been associated with urinary tract infections (UTIs) due to the invasive nature of device insertion through the urethra. Catheter a... A Systematic Literature Review was conducted in Ovid Medline, Web of Science and PubMed, to identify studies which investigated the incidence of UTI and the causative micro-organisms, in patients with... A total of 890 articles were identified, but only 26 unique articles met the inclusion/exclusion criteria for this review. Amongst the large cohort there were catheters of materials silicone, latex an... There does not appear to be a catheter type, which can significantly reduce the incidence of CAUTI's in patients requiring catheterisation. Ultimately, this warrants further research to identify and d...

Efficacy and safety of preventing catheter-associated urinary tract infection by inhibiting catheter bacterial biofilm formation: a multicenter randomized controlled trial.

Catheter-associated urinary tract infection (CAUTI) remains the most significant challenge among hospital-acquired infections (HAIs), yet still unresolved. The present study aims to evaluate the preve... In this multicenter, randomized, double-blind study, we enrolled adults who suffered from acute urinary retention (AUR) and required catheterization in 6 hospitals in China. Participants were randomly... From April 2012 to April 2020, we enrolled 264 patients and randomly assigned them to the JUC group (n = 132) and the placebo group (n = 132). Clinical symptoms and urine bacterial cultures showed the... Continued indwelling urinary catheters for 5 days resulted in bacterial biofilm formation, and pretreatment of urethral catheters with JUC Spray Dressing can prevent bacterial biofilm formation by for...

Cross-sectional internet survey exploring symptomatic urinary tract infection by type of urinary catheter in persons with spinal cord lesion in Japan.

Cross-sectional study by members of patient advocacy groups.... To evaluate the incidence and frequency of symptomatic urinary tract infection (sUTI) in persons with spinal cord lesion (SCL) using different types of catheters based on an internet survey in Japan.... An internet survey.... We conducted an Internet survey of persons with SCL who were considered to be able to perform intermittent self-catheterization (ISC). We evaluated the incidence and frequency of sUTI over the last ye... Two-hundred and eighty-two persons were analyzed. In the ISC and IDC groups, sUTI occurred in 52.2% and 31.4% of persons (p = 0.021), respectively, in the last year, and the frequencies were 2.8 and 3... sUTI occurred in about 1 in 2 persons with SCL performing ISC, which was significantly higher than in the IDC group, and the frequency of sUTI in persons performing ISC was about 3 times a year. The d...

Medical clowns versus sedation for paediatric urinary catheter insertion-A randomised pilot study.

To investigate the potential benefits of medical clowns (MCs) in reducing anxiety and pain during paediatric urinary catheter insertion.... In this prospective pilot study, 51 children who required urinary catheter insertion were randomised into two groups; the first group (n = 29) underwent the procedure in the presence of a MCs, and the... There were no differences in pain scores or anxiety levels between the two groups. Procedure duration and total hospital stay were significantly shorter in the MC group (p < 0.001). One hundred percen... MCs are as good as sedation in lowering anxiety and pain levels in children undergoing urinary catheter insertion. In addition, MCs reduce the duration of the procedure and elicit a high degree of ove...

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 infec... an integrative review of three full articles, available in the MEDLINE Complete - EBSCO, Scopus and Web of Science databases, from 01/01/2015 to 04/26/2021.... the three protocols reduced infection rates, and from the review/synthesis of their knowledge, a level IV body of evidence emerged to compose the nursing care process aimed at reducing indwelling urin... this process gathers scientific evidence to support the elaboration of nursing protocols and, consequently, the conduction of clinical trials on its effectiveness in reducing urinary tract infection b...

Appropriate timing for the removal of urinary catheters in gastrointestinal surgery with epidural anesthesia: a randomized controlled trial.

The purpose of this randomized controlled trial was to evaluate whether early urinary catheter removal is feasible during epidural anesthesia during gastrointestinal surgery in male patients at high r... Male patients who underwent radical surgery for gastric or colon cancer were enrolled in this randomized controlled trial. Patients were randomized 1:1 into 2 groups: the early group, in which the uri... Seventy-three patients were enrolled between March 2020 and February 2024 and assigned to the Early (n = 37) and Late (n = 36) groups. Four patients withdrew their consent after randomization. The int... Early urinary catheter removal in male patients undergoing gastrointestinal surgery with epidural anesthesia could increase urinary retention within the expected acceptable range.... UMIN000040468, Date of registration: May 21, 2020....

7295 elderly hospitalized patients with catheter-associated urinary tract infection: a case-control study.

Catheter-associated urinary tract infection (CAUTI) ranks second among nosocomial infections in elderly patients after lung infections. Improper treatment can lead to death. This study analysed the ri... Based on the HIS and LIS, a case‒control study was conducted on all hospitalized patients with indwelling urinary catheters ≥ 60 years old from January 1, 2019, to December 31, 2022, and the patients ... CAUTI occurred in 182 of 7295 patients, and the infection rate was 3.4/per 1000 catheter days. Urine pH ≥ 6.5, moderate dependence or severe dependence in the classification of self-care ability, age ... The situation of CAUTI in the elderly is not optimistic, it is easy to have a one-person multi-pathogen infection, and the proportion of fungi infection is not low. Urine pH ≥ 6.5, moderate or severe ...