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Guidelines for preventing urinary retention and bladder damage during hospital care
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science.
Division of Infectious Diseases, Department of Clinical and Experimental Medicine, Linköping University.
Jönköping University, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
Unit of Urology, County Hospital Ryhov, Jönköping.
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2013 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 3/4, 347-355 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectives.  To develop evidence-based guidelines for adult patients in order to prevent urinary retention and to minimise bladder damage and urinary tract infection.

Background.  Urinary retention causing bladder damage is a well known complication in patients during hospital care. The most common treatment for urinary retention is an indwelling urinary catheter, which causes 80% of hospital-acquired urinary tract infections. Appropriate use of bladder ultrasonography can reduce the rate of bladder damage as well as the need to use an indwelling urinary catheter. It can also lead to a decrease in the rate of urinary tract infections, a lower risk of spread of multiresistant Gram-negative bacteria, and lower hospital costs.

Design.  An expert group was established, and a literature review was performed.

Methods.  On the basis of literature findings and consensus in the expert group, guidelines for clinical situations were constructed.

Results.  The main points of the guidelines are the following: identification of risk factors for urinary retention, managing patients at risk of urinary retention, strategies for patients with urinary retention and patient documentation and information.

Conclusion.  Using literature review and consensus technique based on a multiprofessional group of experts, evidence-based guidelines have been developed. Although consensus was reached, there are parts of the guidelines where the knowledge is weak.

Relevance to clinical practice.  These guidelines are designed to be easy to use in clinical work and could be an important step towards minimising bladder damage and hospital-acquired urinary tract infections and their serious consequences, such as bacteraemia and the spread of multidrug-resistant bacteria in hospitals.

Place, publisher, year, edition, pages
2013. Vol. 22, no 3/4, 347-355 p.
Keyword [en]
bladder ultrasonography, guidelines, hospital-acquired urinary tract infections, patient safety, prevention, risk of urinary retention, urinary retention
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-19792DOI: 10.1111/j.1365-2702.2012.04229.xOAI: oai:DiVA.org:hj-19792DiVA: diva2:566578
Available from: 2012-11-08 Created: 2012-11-08 Last updated: 2013-01-11Bibliographically approved

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