Affiliation:
1. Health Protection Agency Primary Care Unit, and Consultant Medical Microbiologist, Microbiology Laboratory, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN,
Abstract
Although much guidance indicates that indwelling urinary catheters should only be used for the management of urinary retention and incontinence as a last resort, approximately 10% of care home residents have them, leading to increased risks of catheter associated infections and mortality. Catheterisation rates and subsequent infections can be reduced through more proactive management of incontinence and toileting, and removal of urinary catheters from residents discharged from hospital. Staffing in care homes should match residents' nursing and continence needs to allow this proactive approach. Audit of care home should and hospital discharge catheterisation rates, combined with feedback and staff training will raise awareness of the benefits of reducing catheterisation rates. Use of the Department of Health's Essential Steps to Safe, Clean Urinary Catheter Care (2006a) will also help to reduce catheter associated infections.
Subject
Infectious Diseases,Advanced and Specialised Nursing,Public Health, Environmental and Occupational Health,Health Policy
Reference41 articles.
1. Prevalence of Methicillin-ResistantStaphylococcus aureusColonization Among Older Residents of Care Homes in the United Kingdom
2. Urinary incontinence in the community--analysis of a MORI poll.
3. Davies S. (2003) Creating community: the basis for caring partnerships in nursing homes.In Nolan M, Grant G, Keady J , Lundh U. (eds) Partnerships n family care. Open University Press, Maidenhead, pp 218-37.
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献