dakins sol'n bladder irrigation?

[aging1]

I've found this referred to in old texts, but can't find anything current. I'm not a student, but saw great responses here, and don't know where else to ask this.

We have a patient whose catheter plugs with purulent matter every 1-2 weeks, despite biweekly irrigations. The sides of the connector become narrowed by hard, white deposits, and irrigations produce large amounts of purulent and stringy matter. He's had many rounds of various antibiotics/antifungals, is otherwise asymptomatic. At one point he was diagnosed with a chronic fungal UTI.

I would think 1/4 strength, or even more dilute, would manage the purulence and spare him the discomfort of frequently occluded catheters, but I wonder about absorption via the bladder or damage to the walls (though I'd think they couldn't be much more damaged. . .)

Any thoughts or experience with this? Other irrigants, such as something alkaline (baking soda is a great antifungal)?

Thanks for your thoughts, and for this forum!

[Esme12, ASN, BSN, RN]

while we cannot offer medical advice as per the terms of service and any irrigant instilled would need to be cleared/ordered by the md. i found some interesting information that may help you. i have heard of dakin's solution for this purpose but at a very low concentration about 2% care must be maintained so that there is no cross contamination of the dakin's solution.

http://www.u-g.com/pinfo/wcs-90%20booklet.pdf

http://www.virginia.edu/uvaprint/hsc/pdf/09024.pdf

[color=#1122cc]antibiotics antiseptics

[aging1]

Thanks SO much. I'll pass this on to his MD. It's wonderful to have this level of support available! DM

[Esme12, ASN, BSN, RN]

YOU're welcome!

[nurseprnRN, BSN, RN]

sometimes the old-time remedies are still effective. dakin's is cheap as dirt and if it works, it works.