Preventing UTIs When Using Catheters: A Comprehensive Guide Introduction:

Urinary Tract Infections (UTI) occur when bacteria enter the urinary system. This may result in frequent urination, discolored or strong-smelling urine, a burning sensation, incontinence, fever, and more.

If the bladder is emptied fully and consistently, UTIs may be prevented. However, if the bladder is not drained properly, the technique for ISC is non-compliant, or if there is trabeculation of the bladder, a UTI could result. Trabeculation means the bladder walls have thickened, creating cavities/folds in the bladder that become a collecting ground for bacteria. Trabeculation often occurs if the bladder is not managed or emptied regularly and properly.

UTIs can pose additional medical complications, including increased spasticity, autonomic dysreflexia, sepsis, and more. Managing the infection risks associated with UTI is critical for maintaining bladder and overall health. If the bladder is not properly managed, the kidneys may stop filtering blood. Ensure the bowel program is also properly implemented. Constipation has a direct correlation to bladder function and can put individuals at a higher risk for UTI.

Understanding UTIs and Catheter-Associated Urinary Tract Infections (CAUTIs)

UTI: Urinary Tract Infection: an infection resulting from bacteria entering the urinary system.

CAUTI: Catheter Acquired Urinary Tract Infection: a urinary tract infection caused by a catheter. Research shows that CAUTI is one of the most common healthcare-acquired infections, with 70-80% of those infections being attributed to an indwelling catheter (urethral vs surgical).

Common symptoms:

- Frequent urination

- Burning with urination

- Discolored urine/heavy sediment

- Foul/strong-smelling urine

- Fever

- Generalized feeling of illness

- Incontinence

- Increased spasticity (those with SCI) Autonomic dysreflexia (those with SCI T6 and above

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