CAUTI in Intermittent and Indwelling Catheters
Introduction
Intermittent Catheterization is the primary recommended strategy in the treatment of patients with chronic urinary retention. This procedure is much simpler to implement and can be performed d at home. The Catheter is inserted into a surgically created opening referred to as the stoma or embedded in the urethra directly (Paterson, 2014). The other options include the use of indwelling Catheters; this type of catheters drains urine directly from the bladder to an outside world (Gray et al., 2017). Indwelling catheters are primarily used in the urinary retentions that relate to the inability to urinate, incontinence leakage, surgical operations that made the use of these catheters necessary, among other health conditions. Notably, Catheters lead to increased UTI cases among patients (Brown, 2018). The use of different types of catheters, however, has shown a remarkable decrease in the UTI rates.
Thesis: The use of Intermittent Catheterization have shown a decline in the number of CAUTI cases among patients
Article 1 summary
The article by Maharjan, Khadka, Shilpakar, Chapagain, and Dhungana (2018) focuses on the implications of CAUTI on patients. Indwelling and intermittent Catheter have indicated correlations with Urinary tract infections. The research in the article was designed to determine the means of preventing Urinary tract infections with catheters. The study was based on the rise in the number of UTI in patients with catheters (Maharjan et al., 2018). The article ascertains that the use of catheters has led to increased cases of Urinary tract infections and death in some cases. The evidence provides rescue results and analysis of several patients and interviews with nurses and medical practitioners. The study revealed that Intermitted catheters limit the chances of urinary tract infections, especially due to its change after every eight hours.
Article 2 summary
The article by Fasugba, Cheng, Russo, Mitchell, Rosebrock, and Northcote (2018) illustrates the causes and effects of the rise in the number of CAUTI. The paper primarily points out various aspects of Catheter and the relationship with urinary tract infections. According to the article, both intermittent and indwelling catheters have indicated cases of urinary tract infections. However, the intermittent catheters have reduced the cases of CAUTI by a great deal. The identifications and preventions of healthcare issues are central in the Understand of the uses of Catheter and its effects (Fasugba et al., 2018). The articles are research that was set to find the best way to prevent CAUTI. The article also discusses UTI risk factors. The research focuses on the ways of preventing the contractions of CAUTI. The researcher adopted a survey research design that provided the necessary results. The article helped in the understanding of the problem related to catheters, such as CAUTI.
Evidence of hierarchy and the level of evidence
The study by Maharjan, Khadka, Shilpakar, Chapagain, and Dhungana (2018) falls under hierarchy level D. The study derived evidence from peer-reviewed organization levels with clinical studies where the recommendations were derived (Paterson, 2014). The study by Fasugba, Cheng, Russo, Mitchell, Rosebrock, and Northcote (2018) falls under level B in the hierarchy of evidence. This is due to its well-controlled and designed studies. The results of the study were also consistent with the actions and intervention techniques (Paterson, 2014).
Value of the sources
The two articles discussed are very significant in understanding evidence-based. The sources also presented results from the study that highlights the role played by evidence-based practices (Gray et al., 2017). The extensive research done highlights the differences between intermittent catheters and indwelling Catheters. The research also sheds light on the evidence-based discussion that needs to be analyzed for an accurate conclusion.
References
Brown, S. J. (2018). Evidence-based nursing: The research-practice connection (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Fasugba, O., Cheng, A. C., Russo, P. L., Northcote, M., Rosebrock, H., & Mitchell, B. G. (2018). Reducing urinary catheter use: a protocol for a mixed-methods evaluation of an electronic reminder system in hospitalized patients in Australia. BMJ Open, 8(5), e020469. doi: 10.1136/bmjopen-2017-020469
Gray, J. R, Grove, S. K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.
Ryan, C., Hesselgreaves, H., Wu, O., Paul, J., Dixon-Hughes, J., & Moss, J. G. (2018). Protocol for a systematic review and thematic synthesis of patient experiences of central venous access devices in anti-cancer treatment. Systematic reviews, 7(1), 61. doi: 10.1186/s13643-018-0721-x
Maharjan, G., Khadka, P., Shilpakar, G. S., Chapagain, ,. G., & Dhungana, G. R. (2018). Catheter-Associated Urinary Tract Infection and Obstinate Biofilm Producers. Canadian Journal of infectious diseases and Medical microbiology .
Peterson, M.H., Barnason, S., Donnelly, B., Hill, K., Miley, H., Riggs, L., & Whiteman, K. (2014). Choosing the best evidence to guide clinical practice: Application of AACN levels of evidence. Critical Care Nurse, 34(2), 58–68.
Tenke, P., Mezei, T., Bőde, I., & Köves, B. (2017). Catheter-associated urinary tract infections. European urology supplements, 16(4), 138-143. https://doi.org/10.1016/j.eursup.2016.10.001