Question

1. What is the main difference between the female and male anatomy when inserting a urinary indwelling catheterization? Why is this important when it comes to the insertion of an indwelling catheter?

2. What is CAUTI? Explain

3. Is the patient with an indwelling catheter at risk for developing a CAUTI? Why?

Answer 1

1.Main differences are the way they are inserted in the body :

• in female, separate labia using non-dominant hand. If male, hold the male reproductive organ(glans) with the non-dominant hand. Maintain hand position until preparing to inflate the balloon.
• In the male, lift the glans of the male reproductive system to a position perpendicular to the patient's body and apply light upward traction (with non-dominant hand)

2.Catheter-associated Urinary Tract Infections (CAUTI)

A urinary tract infection (UTI) is an infection involving any part of the urinary system, including the urethra, bladder, ureters, and kidney. UTIs are the most common type of healthcare-associated infection. Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. Between 15-25% of hospitalized patients receive urinary catheters during their hospital stay. The most important risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter. Therefore, catheters should only be used for appropriate indications and should be removed as soon as they are no longer needed.

3.Yes it's possible. The main complications are tissue trauma and infection. After 48 hours of catheterization, most catheters are colonized with bacteria, thus leading to possible bacteria and its complications. Catheters can also cause renal inflammation, nephron-cysto-lithiasis, and pyelonephritis if left in for prolonged periods.