the day i walked into a ms patients home and saw a clear straight cath now yellowed lying directly behind bathroom sink handles was the day i investigated + learned about clean intermittent catheterization in home car...as this patient had forgotten alot about infection control and cleaning.
my experience is that those patients with urinary retention or neurogenic bladder capable performing clean intermittent self cath using good technique have lower infection rates than sedentary elderly with indwelling foley.
the following articles are classic regarding cic: clean intermittent catheterization and catheter reuse.
study often quoted : american family physician: clean vs. sterile intermittent bladder ...
catheter cleaning for re-use in intermittent catheterization: new light on an old problem.
clean intermittent catheterization is a common method of urinary elimination for people with spinal cord injuries. the methods of catheter cleaning for re-use, however, have not been validated with research studies. this study compared the effectiveness of hydrogen peroxide, vinegar, dishwashing detergent, and tap water alone to clean catheters contaminated with pseudomonas aeruginosa and escherichia coli. the effect of rinsing and drying before cleaning was also examined, as well as the effect of storage in paper or plastic bags after cleaning. results indicated that rinsing and drying catheters immediately after use was the most effective at reducing bacteria to very near zero. elements of a procedure are outlined, as well as plans for further development and testing of a rinse & dry procedure for catheter cleaning and re-use.
catheter cleaning for re-use in intermittent catheterization: new ...
guidelines i've used and similar to my agency recommendations:agencies uti level is way below state and national levels
how to clean urinary catheters at home
intermittent catheterization - how to reduce the risk of infection
[color=#995522]nursing diagnosis: urinary retention
several article citations