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      Urinary Management With an External Female Collection Device

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          Abstract

          BACKGROUND:

          Strategies to decrease use of female indwelling urinary catheters and catheter-associated urinary tract infections are challenging due to the limited availability of proper fitting external collection devices. Female urinary incontinence predisposes the skin to potential pain, itching, burning, infection, or pressure injuries.

          CASE STUDIES:

          This article discusses 3 patients' trajectory of care with use of an external female urinary collection device. All of these females were incontinent of urine after the indwelling urinary catheter was removed and managed with an external female urinary collection device.

          CONCLUSIONS:

          The use of an external female urinary collection device is a feasible alternative to an indwelling urinary catheter as well as managing urinary incontinence.

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          Most cited references13

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          Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update.

          Evelyn Lo, Lindsay Nicolle, Susan E. Coffin … (2014)
          Article 0 comments Cited 105 times – based on 0 reviews     Review now
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            Preventing catheter-associated urinary tract infections in the intensive care unit.

            Carol Chenoweth, Sanjay Saint (2013)
            Urinary tract infection remains one of the most common healthcare-associated infections in the intensive care unit and predominantly occurs in patients with indwelling urinary catheters. Duration of catheterization is the most important risk factor for developing catheter-associated urinary tract infection (CAUTI). General strategies for preventing CAUTI include measures such as adherence to hand hygiene. Targeted strategies for preventing CAUTI include limiting the use and duration of urinary catheters, using aseptic technique for catheter insertion, and adhering to proper catheter care. Anti-infective catheters may be considered in some settings. Successful implementation of these measures has decreased urinary catheter use and CAUTI.
            Article 0 comments Cited 33 times – based on 0 reviews     Review now
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              Incontinence-associated dermatitis: a comprehensive review and update.

              Mikel Gray, Dimitri Beeckman, Donna Z Bliss … (2011)
              In 2009, a multinational group of clinicians was charged with reviewing and evaluating the research base pertaining to incontinence-associated dermatitis (IAD) and synthesizing this knowledge into best practice recommendations based on existing evidence. This is the first of 2 articles focusing on IAD; it updates current research and identifies persistent gaps in our knowledge. Our literature review revealed a small but growing body of evidence that provides additional insight into the epidemiology, etiology, and pathophysiology of IAD when compared to the review generated by the first IAD consensus group convened 5 years earlier. We identified research supporting the use of a defined skin care regimen based on principles of gentle perineal cleansing, moisturization, and application of a skin protectant. Clinical experience also supports application of an antifungal powder, ointment, or cream in patients with evidence of cutaneous candidiasis, aggressive containment of urinary or fecal incontinence, and highly selective use of a mild topical anti-inflammatory product in selected cases. The panel concluded that research remains limited and additional studies are urgently needed to enhance our understanding of IAD and to establish evidence-based protocols for its prevention and treatment.
              Article 0 comments Cited 27 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Wound Ostomy Continence Nurs
                Journal ID (iso-abbrev): J Wound Ostomy Continence Nurs
                Journal ID (publisher-id): WOCN
                Title: Journal of Wound, Ostomy, and Continence Nursing
                Publisher: Lippincott Williams & Wilkins
                ISSN (Print): 1071-5754
                ISSN (Electronic): 1528-3976
                Publication date (Print): March 2018
                Publication date (Electronic): 01 February 2018
                Volume: 45
                Issue: 2
                Pages: 187-189
                Affiliations
                Terrie Beeson, MSN, RN, CCRN, ACNS-BC, Indiana University Health University Hospital, Indianapolis.
                Carmen Davis, MSN, RN, CCRN, CNS-BC, Indiana University Health University Hospital, Indianapolis.
                Author notes
                [*] Correspondence: Terrie Beeson, MSN, RN, CCRN, ACNS-BC, Indiana University Health University Hospital, 1030 W. Michigan Street, Indianapolis, IN 46202 ( tbeeson@ 123456iuhealth.org ).
                Article
                Accession ID: wocn4502p187
                DOI: 10.1097/WON.0000000000000417
                PMC ID: 5865498
                PubMed ID: 29394218
                SO-VID: 858f992d-d513-495d-ba7e-e6b5e0d7b38e
                Copyright © © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Wound, Ostomy and Continence Nurses Society
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

                History
                Categories
                Subject: Challenges in Practice
                Custom metadata
                OPEN-ACCESS TRUE

                Keywords: catheter-associated urinary tract infection,female external collection device,incontinence-associated dermatitis,urinary incontinence
                Data availability:
                Keywords: catheter-associated urinary tract infection, female external collection device, incontinence-associated dermatitis, urinary incontinence

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