In the non-acute care setting, clean (i.e., non-sterile) technique for intermittent catheterization is an acceptable and more practical alternative to sterile technique for patients requiring chronic intermittent catheterization.įurther research is needed on optimal cleaning and storage methods for catheters used for clean intermittent catheterization. ![]() sterile water or saline for periurethral cleaning prior to catheter insertion. Routine use of antiseptic lubricants is not necessary.įurther research is needed on the use of antiseptic solutions vs. Use sterile gloves, drape, sponges, an appropriate antiseptic or sterile solution for periurethral cleaning, and a single-use packet of lubricant jelly for insertion. In the acute care hospital setting, insert urinary catheters using aseptic technique and sterile equipment. ![]() Perform hand hygiene immediately before and after insertion or any manipulation of the catheter device or site.Įnsure that only properly trained persons (e.g., hospital personnel, family members, or patients themselves) who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility. Recommendations for Proper urinary catheter insertion techniques by ID number and category. Intermittent catheterization is preferable to indwelling urethral or suprapubic catheters in patients with bladder emptying dysfunction.Ĭonsider intermittent catheterization in children with myelomeningocele and neurogenic bladder to reduce the risk of urinary tract deterioration.įurther research is needed on the benefit of using a urethral stent as an alternative to an indwelling catheter in selected patients with bladder outlet obstruction.įurther research is needed on the risks and benefits of suprapubic catheters as an alternative to indwelling urethral catheters in selected patients requiring short- or long-term catheterization, particularly with respect to complications related to catheter insertion or the catheter site. #Ĭonsider using external catheters as an alternative to indwelling urethral catheters in cooperative male patients without urinary retention or bladder outlet obstruction.Ĭonsider alternatives to chronic indwelling catheters, such as intermittent catheterization, in spinal cord injury patients. Recommendations for Consider using alternatives by ID number and category. Consider using alternatives to indwelling urethral catheterization in selected patients when appropriate. Use urinary catheters in operative patients only as necessary, rather than routinely.įor operative patients who have an indication for an indwelling catheter, remove the catheter as soon as possible postoperatively, preferably within 24 hours, unless there are appropriate indications for continued use. ![]() Minimize urinary catheter use and duration of use in all patients, particularly those at higher risk for CAUTI or mortality from catheterization such as women, the elderly, and patients with impaired immunity.Īvoid use of urinary catheters in patients and nursing home residents for management of incontinence.įurther research is needed on periodic (e.g., nighttime) use of external catheters (e.g., condom catheters) in incontinent patients or residents and the use of catheters to prevent skin breakdown. Insert catheters only for appropriate indications (see Table 2 for guidance), and leave in place only as long as needed. Recommendations for Appropriate urinary catheter use by ID number and category.
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