[article] 
inAnnals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 125-129

Titre :	Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma
Type de document :	texte imprimé
Auteurs :	Xavier Biardeau, Auteur ; Jacques Corcos, Auteur
Année de publication :	2016
Article en page(s) :	p. 125-129
Langues :	Anglais (eng) Français (fre)
Mots-clés :	Infection urinaire  Appareil urogénital [pathologie]  Cathétérisme explorateur  Cathéter  Revue de littérature  Prévention santé  Self-catheterization,Complications,Prevention,Treatment,Genitourinary tract infection,Urethral trauma
Résumé :	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.
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[article] Intermittent catheterization in neurologic patients: Update on genitourinary tract infection and urethral trauma [texte imprimé] / Xavier Biardeau, Auteur ; Jacques Corcos, Auteur . - 2016 . - p. 125-129.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 59, n° 2 (April 2016) . - p. 125-129

Mots-clés :	Infection urinaire  Appareil urogénital [pathologie]  Cathétérisme explorateur  Cathéter  Revue de littérature  Prévention santé  Self-catheterization,Complications,Prevention,Treatment,Genitourinary tract infection,Urethral trauma
Résumé :	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.
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