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"Indwelling Catheter" OR "Urinary Catheter" OR "Bladder Irrigation"

Zainab Toteh Osakwe, Elaine Larson, Jingjing Shang
BACKGROUND: Urinary tract infection (UTI)- related hospitalizations are a poor patient outcome in the rapidly growing home health care (HHC) arena that serves a predominantly elderly population. We examined the association between activities of daily living (ADL) and risk of UTI-related hospitalization among this population. METHODS: Using a retrospective cohort design, we conducted a secondary data analysis of a 5% random sample of a national HHC dataset, the Outcome and Assessment Information Set for the year 2013...
February 14, 2019: American Journal of Infection Control
Lai Xu, Zhi-Yan Tao, Jun-Yang Lu, Guan-Nan Zhang, Hui-Zhong Qiu, Bin Wu, Guo-Le Lin, Tao Xu, Yi Xiao
BACKGROUND: Urinary catheter placement is essential before laparoscopic anterior resection for rectal cancer. Whether early removal of the catheter increases the incidence of urinary retention and urinary tract infection (UTI) is not clear. This study aims to determine the optimal time for removal of the urinary catheter after laparoscopic anterior resection of the rectum. METHODS/DESIGN: A total of 220 participants meeting the inclusion criteria will be randomly assigned to an experimental group or a control group...
February 15, 2019: Trials
Abhishek Gupta, Lalitha Cheepurupalli, Vigneswaran S, Sudarshan Singh Rathore, Suma Mohan S, Jayapradha Ramakrishnan
Catheters are highly prone to bacterial colonization during catheterization. Catheter-associated urinary tract infections caused by Klebsiella pneumoniae are significantly associated with high morbidity. Klebsiella pneumoniae is the prominent cause of infections in individuals with indwelling urinary catheters. Hence, the present work was aimed to find the efficacy of caprylic acid (CAP), a non-antibiotic natural compound to control Klebsiella pneumonaie biofilm. Upon 24 hours treatment of caprylic acid at 0...
February 15, 2019: Journal of Biomolecular Structure & Dynamics
Alison Khoo, Cheryl L Waldner, Anthony P Carr, M Casey Gaunt
OBJECTIVE: To determine if 3 resuscitative fluid therapy strategies increase N-terminal pro-brain natriuretic peptide (NT proBNP) levels in healthy dogs. DESIGN: Randomized crossover trial. SETTING: Veterinary teaching hospital. ANIMALS: Plasma NT proBNP concentrations were measured in 6 healthy purpose-bred dogs that received 3 resuscitative fluid therapy protocols. MEASUREMENTS AND MAIN RESULTS: Crystalloid, synthetic colloid, or hypertonic saline fluids were administered at resuscitative doses...
February 14, 2019: Journal of Veterinary Emergency and Critical Care
Maha Talaat, Salma Afifi, Erik J Reaves, Hanaa Abu Elsood, Amany El-Gohary, Samir Refaey, Radi Hammad, Mostafa Abdel Fadeel, Amr Kandeel
BACKGROUND: Egypt ranks fifth for the burden of viral hepatitis worldwide. As part of Egypt's renewed national strategy for the elimination of viral hepatitis, surveillance for acute viral hepatitis (AVH) was re-established during 2014-2017 to describe the current epidemiology and associated risk factors, and changes from surveillance conducted during 2001-2004. METHODS: Patients with suspected AVH were enrolled, completed a questionnaire, and provided blood for testing for hepatitis viruses A (HAV), B (HBV), C (HCV), D, and E (HEV) infections by enzyme-linked immunosorbent assay...
February 14, 2019: BMC Infectious Diseases
Judith A Anesi, Ebbing Lautenbach, Irving Nachamkin, Charles Garrigan, Warren B Bilker, Jacqueline Omorogbe, Lois Dankwa, Mary Wheeler, Pam Tolomeo, Jennifer H Han
BACKGROUND: Bacterial resistance to first line antibiotics used to treat community-onset urinary tract infections (UTIs) continues to emerge. We sought to determine the association between extended-spectrum cephalosporin resistance (ESC-R) and recurrence among Enterobacteriaceae (EB) UTIs. METHODS: A retrospective cohort study was performed. All patients presenting to the Emergency Departments (EDs) or outpatient practices in a large health system with EB UTIs between 2010 and 2013 were included...
February 14, 2019: BMC Infectious Diseases
Yi-Hsuan Lee, Chia-Wen Lu, Chi-Ting Huang, Hao-Hsiang Chang, Kuen-Cheh Yang, Chia-Sheng Kuo, Yu-Kang Chang, Chih-Cheng Hsu, Kuo-Chin Huang
The aim of this study was to evaluate the impact of home health care (HHC) for disabled patients.We conducted a nationwide population-based retrospective cohort study. A total of 5838 disabled patients with HHC were identified to match by propensity score with 15,829 disabled patients without HHC receiving tube or catheter care (tracheostomy tube, nasogastric tube, urinary catheter, cystostomy tube, nephrostomy tube) or stage 3 or 4 pressure sore care from the Taiwanese National Health Insurance Research Database between 2005 and 2009...
February 2019: Medicine (Baltimore)
Ran Cui, Min-Hao Yu, Jian-Jun Chen, Jun Qin, Ben Yue, Yang Luo, Yi-Zhou Huang, Hong Zhou, Ming Zhong
BACKGROUND: Robot-assisted surgical techniques have been introduced in recent years as an alternative minimally invasive approach for colorectal surgery. In practice, we found that the monopolar electrosurgical scissors had its unique advantages in preservation of the pelvic autonomic nerves. We performed a retrospective review of short-term results between using monopolar electrosurgical scissors and harmonic scalpel in robotic anterior resection (using the da Vinci® Surgical System) in rectal cancer patients...
February 13, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Linchuan Wang, Kai-Ha Zhou, Wei Chen, Yan Yu, Si-Fang Feng
BACKGROUND: To determine the epidemiology and risk factors for nosocomial infection (NI) in the Respiratory Intensive Care Unit (RICU) of a teaching hospital in Northwest China. METHODS: An observational, prospective surveillance was conducted in the RICU from 2013 to 2015. The overall infection rate, distribution of infection sites, device-associated infections and pathogen in the RICU were investigated. Then, the logistic regression analysis was used to test the risk factors for RICU infection...
February 12, 2019: BMC Infectious Diseases
Ashok Jadon, Swapnil Nage, Chintala Pavana Swarupa, Mayur Motaka
We have reported a case of right upper limb injury of shoulder and elbow who was managed with ultrasound-guided interscalene block during surgery and indwelling catheter for postoperative analgesia. He developed weakness in the contralateral upper limb in the postoperative period due to inadvertent spread of local anaesthetic in the cervical epidural space. No serious complication occurred due to timely intervention. The possible pathways of such unwanted epidural spread and methods to reduce such complications have been discussed...
January 2019: Indian Journal of Anaesthesia
Min Jang, Sooyoung Choi, In Lee, Inhyung Lee
OBJECTIVE: To describe computed tomographic (CT) features of intra-abdominal hypertension (IAH) in 3 dogs with abdominal distension. CASE SUMMARY: Three dogs with anorexia, distended abdomen, or labored breathing were presented for CT imaging. All 3 dogs were premedicated with IV butorphanol (0.2 mg/kg). A Foley urinary catheter was aseptically placed and the transvesical technique was used to obtain intra-abdominal pressure (IAP). The IAP measurements were obtained with the dogs in a standing position after a stabilization period of 5 minutes...
February 11, 2019: Journal of Veterinary Emergency and Critical Care
J Jackson, P Davies, N Leggett, M D Nugawela, L J Scott, V Leach, A Richards, A Blacker, P Abrams, J Sharma, J Donovan, P Whiting
Background: Postoperative urinary retention (PO-UR) is an acute and painful inability to void after surgery that can lead to complications and delayed hospital discharge. Standard treatment with a urinary catheter is associated with a risk of infection and can be distressing, undignified and uncomfortable. This systematic review aimed to identify effective interventions for the prevention and treatment of PO-UR that might be alternatives to urinary catheterization. Methods: Electronic databases were searched from inception to September 2017...
February 2019: BJS open
Hülya Leblebícíglu, Leyla Khorshid, Ziynet Öndogan, Günseli Oztürk
Research related to the design and development of new incontinence containment products for women is scarce. PURPOSE: The purpose of this 2-part study was to 1) develop a new incontinence containment product for fecal incontinence and 2) examine the effect of this new product on the occurrence of incontinence-associated dermatitis (IAD). METHODS: In part 1, a new incontinence containment product was designed, developed, and trialed among 10 healthy female volunteers...
January 2019: Wound management & prevention
Allison Eubanks, Katherine Dengler, Daniel Gruber
Overactive bladder (OAB) is urgency, with or without urgency incontinence. For OAB, an injection of onabotulinumtoxin A (BOTOX®) can be a low-risk outpatient procedure. We present a patient on a novel anticoagulant that experienced excessive bleeding after this procedure. This 80-year-old G2P2002 Caucasian female had a history of urge urinary incontinence. She presented for intravesicular onabotulinumtoxin A injection (150 units) after recent initiation of rivaroxaban (Xarelto®) for her atrial fibrillation...
2019: Case Reports in Obstetrics and Gynecology
Andrew G Woodman, Richard Mah, Danae L Keddie, Ronan M N Noble, Claudia D Holody, Sareh Panahi, Ferrante S Gragasin, Helene Lemieux, Stephane L Bourque
Aims: Perinatal iron deficiency alters developmental trajectories of offspring, predisposing them to cardiovascular dysfunction in later life. The mechanisms underlying this long-term programming of renal function have not been defined. We hypothesized perinatal iron deficiency causes hypertension and alters kidney metabolic function and morphology in a sex-dependent manner in adult offspring. Furthermore, we hypothesized these effects are exacerbated by chronic consumption of a high salt diet...
January 31, 2019: Cardiovascular Research
Tovah I Dorsey, Kelly N Monaghan, Meghan Respess, Mary A Labato, Jonathan M Babyak, Claire R Sharp, Elizabeth A Rozanski, Armelle M deLaforcade
OBJECTIVE To evaluate the effect of urinary bladder lavage on in-hospital recurrence of urethral obstruction (UO) and durations of urinary catheter retention and hospitalization for male cats. DESIGN Randomized controlled clinical trial. ANIMALS 137 male cats with UO. PROCEDURES Following random allocation, cats either did (flush group; n = 69) or did not (no-flush group; 68) undergo urinary bladder lavage with saline (0.9% NaCl) solution after alleviation of the obstruction and placement of a urethral catheter...
February 15, 2019: Journal of the American Veterinary Medical Association
Sigurdur Gudjonsson
No abstract text is available yet for this article.
February 4, 2019: Scandinavian Journal of Urology
Hu Liu, Tiantian Li, Zhaoning Jiang, Wenhui Wang, Dongxu Ming, Yifan Chen, Fenglai Wang
A diet consumed by pigs provides the nutrients for the production of a large number of metabolites that, after first-pass metabolism in the liver, circulate systemically where they may exert diverse physiologic influences on pigs. So far, little is known of how feeding elicits changes in metabolic profiles for growing pigs. This study investigated differences in plasma metabolites in growing pigs at several intervals after feeding using the technique of metabolomics. Ten barrows (22.5 ± 0.5 kg BW) were fed a corn-soybean meal basal diet and were kept in metabolism crates for a period of 11 days...
February 3, 2019: Animal Science Journal, Nihon Chikusan Gakkaihō
Jensine A Russell, Treasa 'Susie' Leming-Lee, Richard Watters
The cardiovascular thoracic step-down unit of an urban academic medical center had 4 catheter-associated urinary tract infections (CAUTIs) in 2 months compared with 5 in the previous year. The nursing literature showed that the implementation of nurse-driven algorithms for early removal of indwelling urinary catheters (IUCs) decreased the catheter days and risk of CAUTIs. Using the Model for Improvement, the nurse leader performed daily IUC rounds to enforce the removal algorithm and visual management tools to identify IUC removal barriers...
March 2019: Nursing Clinics of North America
José Medina-Polo, Javier Gil-Moradillo, Juan Justo-Quintas, Daniel Antonio González-Padilla, Esther García-Rojo, Alejandro González-Díaz, Pablo Abad-López, Mario Hernández-Arroyo, Rocío Santos-Pérez de la Blanca, Helena Peña-Vallejo, Julio Téigell-Tobar, Francisco López-Medrano, Ángel Tejido-Sánchez
PURPOSE: Our purpose is to present the results of our working group, with a view to reduce the incidence and improve the management of healthcare-associated infections (HAIs) in a urology ward. METHODS: The study consists on an observational database designed with the view to analyse the incidence and characteristics of HAIs in Urology. Based on the results obtained, a critical evaluation was carried out and specific measures put in place to reduce HAIs. Finally, the impact and results of the implemented measures were periodically evaluated...
January 30, 2019: World Journal of Urology
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