Professional Documents
Culture Documents
Caude Silicone
2-way catheter 3-way catheter CiC
catheter catheter
Small tube – big problem
There is growing evidence that urinary catheters
are over-used and that many could be avoided
1in 5 people
staying in
hospital will have
an indwelling
catheter
When to use and not to use
Indication Contraindication
Main categories: • Signs of urethral Trauma (perform
1. To obtain drainage genital and rectal examination at first)
2. To allow the instillation of diagnostic or – Blood at meatus
therapeutic agents. – Scrotal hematoma
Another indications:
Urethrography
1. To monitor urinary output
2. Allow healing after lower urinary tract Cystostomy (if urinary retention
surgery/trauma persist)
3. The removal of clots debris
4. Collection of microbiologic clean urine
5. Measure post-void residual urine volume for
diagnostic purposes
Mendez-Probst, Razvi, Denstedt. Campbell-Walsh Urology 2012
Catheter Selection
Number of
Size Material
channel
5-8 Fr Single
Latex
• Depends on: (<5 y.o) lumen
2.
3. Maintaining
Prompting Awareness &
Catheter Proper Care
Removal of Catheters
Proper Technique of insertion
CAUTI prevention
The equipments:
– Sterile gloves
– Sterile drapes
– Cleansing solution
– Cotton swabs
– Forceps
– Sterile water (usually 10cc)
– Foley Catheter
– Syringe
– Lubricant
– Collection bag and tubing
http://intermed.med.uottawa.ca/procedures/ucath/
Female Catheterization Steps
1. Positioning & visualization of urethral meatus.
2. Swab clean the urethral meatus, Lubricate the
catheter tip with sterile jelly.
3. Hold the catheter in the dominant hand,
introduce the catheter tip into the meatus, and
gently push catheter inside the urethra.
4. If you insert catheter into the vagina, start again
with a new sterile catheter.
5. Female urethra is short. Once you see urine
flowing, push the catheter 3 to 5 cm further, then
inflate the balloon.
http://intermed.med.uottawa.ca/procedures/ucath/
Male Catheterization Steps
1. Exposure of glans penis and hold the penile shaft
perpendicular with non-dominant hand
2. Swab clean the urethral meatus and glans, apply
lidocaine jelly inside the urethra
3. Lubricate the catheter tip, gently Insert into
urethra with dominant hand.
4. If resistance is met ask the patient to relax, or use
coude tip catheter in enlarged prostates.
5. Never inflate the balloon until urine has been
visualized and is draining.
6. If the foreskin is retracted in uncircumcised
patients, return it to prevent paraphimosis.
http://intermed.med.uottawa.ca/procedures/ucath/
Prevention is always important…
Management of CAUTI
• Do not treat asymptomatic bacteriuria
• Empiric broad spectrum for severe symptoms and high
suspicion
• Mild symptoms await culture
• Change to narrowest possible spectrum when sensitivities
available
• 5-7 days of antibiotics (14 days for chronically catheterized
patients)
Peterson et al. Urology 2008;71(1): 17-22
Thank You