Article

Intermittent catheterization is considered the standard of care in most
neurologic patients with lower urinary tract disorders. However, in this context,
genitourinary tract infection and urethral trauma represent specific challenges.
Such conditions have been found to significantly deteriorate quality of life and
complicate subsequent treatments. Only optimal prevention associated with
appropriate treatment allows for the long-term continuation of such bladder
management. Here, we discuss the diagnosis and therapeutic and preventive
approaches associated with genitourinary tract infection and urethral trauma in
this specific population. This "state-of-the-art" article results from a
literature review (MEDLINE articles and scientific society guidelines) and the
authors' experience. It was structured in a didactic way to facilitate
comprehension and promote the implementation of advice and recommendations in
daily practice. Genitourinary tract infection and urethral trauma associated with
intermittent catheterization in neurologic patients should be managed with a
global approach, including patient and caregiver education, optimal
catheterization with hydrophilic-coated or pre-lubricated catheters and adequate
use of antibiotic therapy.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS