Fewer Urinary Tract Infections with Urethral Introducer Tip Catheters, Hydrophilic Catheters and Touchless Catheters
Reducing the risk of urinary tract contamination during bladder catheterization has many benefits. First, hospital patients are less susceptible to gram-negative organisms in the urine which are resistant to antibiotics. Second, urinary tract infections can result in lost patient therapy time and increased hospital stays. Patients afflicted with a urinary tract infection have increased rehab costs. Finally, and worst of all is increased morbidity. Patients who require catheterization are already under significant stress without developing a urinary tract infection (UTI). Reducing the risk of UTI’s keeps costs down and keeps catheter patients in better health.
Three modern methods of catheterization help reduce the risk to catheter patients for urinary tract infections and other ailments. These three methods are Urethral Introducer Tip Catheterization, Hydrophilic Catheterization, and Touchless Catheterization. Many intermittent catheters utilize one or more of these methods. There are a few intermittent catheters that use all three methods. By employing the best methods currently known to reduce urinary tract infections, caregivers can provide better care for catheter patients and keep these patients healthier and happier.
Urethral Introducer Tip Catheters
Urethral Introducer Tip Catheters are plastic catheters enclosed in a lubricated plastic sleeve with an introducer tip that protects the catheter from contamination during the transition of the first 1.5 cm of the urethra. This first 1.5 cm of the urethra is heavily colonized with bacteria that can easily contaminate an intermittent catheter during insertion. Clinical studies have found that using catheters equipped with an Introducer Tip helps keep catheters from getting contaminated during the cauterization process. Contaminated catheters can introduce harmful bacteria to the bladder and kidneys. Uncontaminated catheters keep patients who are at risk of urinary tract infections (UTI’s) healthier and happier.
Hydrophilic Catheters are designed as pre-lubricated catheters to ease friction on the urethra upon insertion. When activated with water, hydrophilic catheters become extremely slippery. Producing less friction, Hydrophilic Catheters are less intrusive to tissues; thereby exposing the patient's urinary tract to fewer traumas during catheter insertion and removal. Catheter patients experience less pain and are more comfortable with the catheterization procedure.
Touchless Catheter systems are designed to help reduce the risk of urinary tract infections. These closed catheter systems are usually self-contained with gloves, iodine swabs, waterproof underpad, drape, and collection container. Some use sterile syringes.
Studies of spinal cord injured patients using urethral introducer tip catheters found decreased urinary tract infections among patients that used this system. Introducer tip catheters bypass the bacteria colonization area of the urethra.
A study of hydrophilic catheters found that catheterizing patients had a significantly lower number of scrotal inflammatory episodes, a significantly lower number of post/intra/inter bleeding, and a slightly lower number of UTI infections.
However, another study using SpeediCath Hydrophilic Coated Catheters from Coloplast found that the number of patients using the Hydrophilic Coated Catheters were half as likely to contract a UTI compared to an uncoated PVC catheter.
A study involving touchless produced a reduction of 44.5% in UTI’s for catheterized patients. The touchless method was successful in reducing the total number of infections and the duration of the infections. Nursing staff in this study indicated a preference for touchless intermittent to the traditional methods.
Urethral Introducer Tip Catheters, Hydrophilic Catheters, and Touchless Catheters have each been shown to provide patient benefits by reducing UTI’s and increasing greater patient comfort. Popular catheters that employ all three of these modern methods include the Rochester Magic3 Hydrophilic Touchless Catheters and the Rusch MMG Touchless Catheters.
Magic3 Hydrophilic Touchless Catheters by Rochester Medical are packaged with a sterile water packet and a pre-lubricated introducer tip. The Magic3 Hydrophilic Touchless Catheter Closed System with Urethral Introducer Tip provides nearly friction-free insertion and removal, making these catheters gentle to sensitive tissues and easy to insert. This all-silicone Hydrophilic Catheter is DEHP-free, PVC-free, and latex-free to reduce potential hazards for people with allergies. Magic3 Hydrophilic Touchless Catheters have three silicone layers to optimize ease of insertion, handling, and patient comfort. The Touchless Catheter packaging makes it quick and easy to prep while maintaining sterility in any setting. Rochester Medical Magic3 Hydrophilic Touchless Catheters are packaged as a Urethral Tray Kit with pre-connected trays that feature a 16-inch catheter pre-connected to 1000mL drainage bag. Also included in the tray kit are gloves, PVP Towelettes, waterproof underpad, lubricating jelly and a specimen container with a label. Other options for the Magic3 Catheters are also available to meet the needs of individual catheter patients.
Rusch MMG Touchless Catheters is a self-contained, intermittent catheter system, fully protected within its closed sterile field. The Rusch MMG Hydrophilic Touchless Catheter with Urethral Introducer Tip significantly reduces the risk of bladder infections with its pre-lubricated design and introducer tip. The MMG Catheter Kit is highly portable, fitting in your pocket or purse. The Rusch MMG Touchless Catheter uses a soluble water-based lubricant for easy insertion. No separate lubrication procedure is needed with this catheter. The MMG Catheter drainage eyelets are recessed and polished and the tips are tapered assuring smoother glide passage through the urethra. The self-contained urine collection bag eliminates the need for separate containers, thus reducing the risk of spillage and allowing for ease of disposal.
Reducing urinary tract infections is not just a concern for caregivers. Self-catheterizing patients can use these methods at home to reduce the risk of infections. Catheters that employ introducer tips, hydrophilic lubrication, and touchless give patients better odds at combating UTI’s. patients, whether hospitalized or utilizing home care, can benefit from the reduced risk to urinary tract infections. Less kidney infections, fewer bladder infections, and reduced tissue trauma make catheter patients happy!
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Spinu, A., Onose, G., Daia, C., Panţu, C., Anghelescu, A., Onose, L., and Mihăescu, A.: Intermittent in the management of post-spinal cord injury (SCI) neurogenic bladder using new hydrophilic, with lubrication in close circuit devices--our own preliminary results. Journal Medicine and Life, 5: 21-8. 2012.
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