UTI - catheter associated; Urinary tract infection - catheter associated; Nosocomial UTI; Health care associated UTI; Catheter-associated bacteriuria
Urinary catheters should only be used when clearly needed and not just for convenience. They should be removed when they are no longer needed. See: Urinary catheters
Infections occur less often with using intermittent catheterization infections compared to an indwelling catheter.
Routine care of the indwelling catheter must include daily cleansing of the urethral area and the catheter with soap and water. Clean the area thoroughly after all bowel movements to prevent infection. Experts no longer recommend using antimicrobial ointments around the catheter, as they have not been shown to actually reduce infections.
Increase fluid intake to 3,000 cc of fluid per day, unless you have a medical condition that prohibits this increase. Also, always keep the drainage bag lower than the bladder to prevent a backup of urine into the bladder.
Empty the drainage device at least every 8 hours or when it is full. Take care to keep the outlet valve from becoming infected. Wash your hands before and after handling the drainage device.
Your health care provider may prescribe a daily low-dose antibiotic to control bacterial growth in an indwelling catheter. Cranberry juice or vitamin C may also be recommended to help prevent UTIs.
Hooton TM. Nosocomial urinary tract infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 304.
Moore KN, Fader M, Getliffe K. Long-term bladder management by intermittent catheterisation in adults and children. Cochrane Database Syst Rev. 2007;4:CD006008.
© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885