I am not a nurse yet, still plugging away in school. I have a question for all the nurses out there. I had surgery in May for Fibroids and endometrios and, of course, had a Foley insterted. I ended up with a pretty severe infection 1.5 wks later and ended up back in the hospital for 2 wks and then an add'l 6 wks with home healthcare. It was a pretty rotten summer!
Anyway, I am taking Microbiology and wanted to find out what "bug" caused by infection, since I am studying that kind of thing. It turns out the "bug" that caused my infection was Enterococcus faecalis, which is a pretty nasty critter. My mom was convinced it was the surgeon's negligence that caused the infection, but after studying E. faecalis, I am convinced that it was the catheter that was the root of the infection. I know it is a pretty common nosocomial infection and that it particularly likes catheters. My question to you is, what asceptic techniques do you employ to make sure that your Foley patients do not develop nosocomial infections during their hospital stay? Of course, I was out when they inserted the Foley, so I have no way of knowing what was done, how it was done, etc. Or, is this just something that happens, and there is nothing really you can do to prevent it? Just curious, because when I become a nurse, I want to make sure that I do everything I can to make sure what happened to me does NOT happen to any of my patients. I certainly wouldn't want anyone to go through what I did. Anyway, your input, as always, would be appreciated.
Dec 7, '07
Quote from chihmom8
Sorry, more clarification, the uterus is where the infection ended up. One of the theories I was given was that the bacteria was introduced via the urinary tract, migrating into the uterus, where there was pooled blood from the surgery, and the bacteria multiplied from there. The Dr.'s were unable to explain where the bacteria came from in the first place, but the Foley seemed, to me at least, the most likely culprit.
Well I guess we will never really know and can only theorize at this point. However, for a number of reasons I would expect the route of introduction was more likely the reproductive tract. You did say this was an entero bacteria. These live in the GI tract and the vagina and rectum are in just too close proximity to favor the foley theory over this route. IMHO.
Not that I rule out the foley entirely.
The reason this bug "likes foleys" is again the proximity. But entering the bladdar to get to the uterus from the rectum is like going though the front door to get to the back of the house when there is a back door and the visitor started out behind the house.
You did not clarify if the bladdar was infected. It seems unlikely that IF it was the foley you would not have a bladdar infection. It is unlikely the bugs would completely pass though the bladdar straight to the uterus and none
of them hang out in the bladdar.
Last edit by Agnus on Dec 7, '07