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Catheter maintenance
Urinary catheters are used for the treatment of patients with incontinence or chronic obstruction. Common side effects associated with indwelling catheters are obstruction, catheter obstruction and Urinary Tract Infections, which lead to frequent catheter changes and thus involve increased risks.1
Bacteria are able to enter the catheter and adhere to the catheter surface and drainage bag.2 They quickly develop colonies as well as biofilm.3
Catheter encrustation occurs when magnesium struvite crystals and calcium phosphate deposits precipitate and agglomerate onto the surface catheter and its biofilm.2,4 Encrustation reaches clinical significance when it obstructs the urine outflow through the catheter.
Uro-Tainer®
Catheter maintenance solutions have been developed to remove small blood clots, tissue and debris to maintain the catheter and reduce frequency of catheter changes.
Different catheter maintenance solutions are available on prescription such as saline, solutions with citric acid, or solutions with ancillary antimicrobial effect like Polihexanide. Catheter maintenance solutions can be used as part of a management plan aiming to prevent the development of catheter-associated complications and hereby reducing the risk of encrustation or trauma by catheter removal.
Regular catheter maintenance can help avoid the risk of bacterial colonization, can help to remove deposits and to prevent debris formation.
Product profile and areas of use:
References
1) Canterbury District Health Board. Catheter care guidelines. 2013.
2) NHS. CNT 012 Trouble shooting and catheter maintenance solutions. 2013.
3) The Wound, Ostomy and Continence Nurses Society. Care and management of patients with urinary catheters: a clinical resource guide 2016; p. 1-56.
4) CWP. Clinical guideline for the use of a catheter maintenance solution. 2012.
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