9 doctors weighed in:

How do I prevent urinary tract infections in a quadriplegic with a suprapubic catheter?

9 doctors weighed in
Dr. Jay Park
Pediatrics
4 doctors agree

In brief: Urinary antiseptic

Taking urinary antiseptic, e.
g., methenamine mandelate (uroquid) along with maintaing strict sterile technique while catheterizing would reduce the incidents of uti.

In brief: Urinary antiseptic

Taking urinary antiseptic, e.
g., methenamine mandelate (uroquid) along with maintaing strict sterile technique while catheterizing would reduce the incidents of uti.
Dr. Jay Park
Dr. Jay Park
Thank
Dr. John Leander Po
Internal Medicine - Infectious Disease
2 doctors agree

In brief: Avoid blockages

If a suprapubic catheter is unavoidable, then: 1.
Avoid blockage of the catheter at all times. 2. Avoid backwash of urine from the bag, into the catheter 3. Maintain the insertion site meticulously clean 4. Replace the catheter within a reasonable time, to avoid biofilm growth of bacteria up the catheter and into the bladder. 5. Only treat symptomatic uti's- not pyuria or asymptomatic bacteruria.

In brief: Avoid blockages

If a suprapubic catheter is unavoidable, then: 1.
Avoid blockage of the catheter at all times. 2. Avoid backwash of urine from the bag, into the catheter 3. Maintain the insertion site meticulously clean 4. Replace the catheter within a reasonable time, to avoid biofilm growth of bacteria up the catheter and into the bladder. 5. Only treat symptomatic uti's- not pyuria or asymptomatic bacteruria.
Dr. John Leander Po
Dr. John Leander Po
Thank
Dr. George Klauber
Pediatrics - Urology

In brief: Remove catheter

You can not prevent utis in presence of an indwelling catheter, even if antibiotic coated.
Subject needs to be on clean intermittent catheterization via urethra or via cutaneous appendico-vesicostomy.Alternative is a transurethral sphincterotomy to reduce bladder outflow resistance + wear an external condon catheter.Either way plans should be made to remove indwelling catheter unless terminally ill.

In brief: Remove catheter

You can not prevent utis in presence of an indwelling catheter, even if antibiotic coated.
Subject needs to be on clean intermittent catheterization via urethra or via cutaneous appendico-vesicostomy.Alternative is a transurethral sphincterotomy to reduce bladder outflow resistance + wear an external condon catheter.Either way plans should be made to remove indwelling catheter unless terminally ill.
Dr. George Klauber
Dr. George Klauber
Thank
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