Case: *A 70-year-old women was brought to the emergency unit after fell in
her garden. The physician diagnosed her case as hip fracture and
ordered insertion of a urinary catheter before operation.

Question:

1-What is the measures you would take as a nurse to prevent urinary
tract infection during catheterization?

i could take as a nurse to prevent urinary

1-Insert a urethral catheter only when indicated, and remove it at the earliest possible time.

2-Maintain good hand hygiene and use gloves before manipulating the catheter. Dispose of gloves and promptly wash hands after contact with the patient and catheter.

3-Maintain a closed drainage system; any opening creates an entry route for bacteria, which can lead to infection.

4-Perform meatal care twice daily using soap and water and working from the front to the back of the perineal area.

5-Avoid unnecessary irrigation, which hasn’t been proven to decrease bacteriuria.

6-Secure the catheter. Although little evidence exists to support any particular method, securing the catheter may prevent meatal and urethral irritation, tension on the catheter, bladder-neck trauma, and urethral tearing. It also improves patient comfort and decreases the risk of inadvertent dislodgement.

7-Check the tubing for kinks to ensure that urine flows unobstructed into the drainage bag.

8-Empty the urine collection bag regularly, using a separate container for each patient. Never let the spigot and nonsterile collecting container come into contact, as this can introduce bacteria.

9-Keep the collection bag below bladder level to prevent backflow of contaminated urine.