PMID: 2115057Jul 1, 1990Paper

The use of urethral, condom, and suprapubic catheters in aged nursing home patients

Journal of the American Geriatrics Society
J R Hebel, J W Warren

Abstract

In this study of 4,259 aged patients in 53 randomly selected nursing homes in Maryland, we found that 10% of women and 15% of men used a urine collection device. Among bedfast patients, 47% of women and 58% of men and, among patients with decubitus ulcers, 37% of women and 33% of men were using a urine collection device. The indwelling urethral catheter was the most commonly used device. Indeed, for women, few other options were available: 93% of women used this device. In women, multiple logistic regression analysis indicated that presence of a decubitus ulcer and occupation of a long-term care bed were the attributes most strongly associated with the use of the urethral catheter. Of men with urine collection devices, 43% were using the urethral catheter; poor mobility status was the characteristic most strongly associated with its use. Long-term urethral catheterization has been well studied and is associated with universal bacteriuria and with a number of complications. Options need to be further explored, particularly external urine collection devices for women. Furthermore, because urethral catheterization may be used as a management technique for decubitus ulcers, prevention of the latter may diminish the use of urethral ...Continue Reading

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Citations

Jan 31, 2012·Infectious Disease Clinics of North America·Christopher J Crnich, Paul Drinka
Jun 7, 2011·Clinics in Geriatric Medicine·Gwendolen T BuhrHeidi K White
Sep 13, 2008·American Journal of Infection Control·Mary A M RogersSanjay Saint
May 6, 2008·Journal of the American Geriatrics Society·Mary A M RogersSanjay Saint
Feb 1, 1992·Disease-a-month : DM·J G Ouslander
Jul 11, 2006·International Journal of Antimicrobial Agents·Calvin M Kunin
Dec 1, 1994·Journal of the American Geriatrics Society·J W WarrenM Hall-Craggs
Feb 23, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Thomas M HootonUNKNOWN Infectious Diseases Society of America
Jun 29, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L E Nicolle
Dec 1, 1994·Journal of Clinical Psychology in Medical Settings·L Lewin, L R Gonzales
Aug 3, 2005·Drugs & Aging·Lindsay E Nicolle
Jun 1, 1995·Aging : Clinical and Experimental Research·E L MarcusG Friedman
Oct 1, 1993·The Journal of the American Paraplegia Society·J E BinardK O'Kelly
Jan 1, 1996·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·C B Moseley

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