| | Guideline for Prevention of Catheter-associated Urinary Tract Infections (Site not responding. Last check: 2007-11-06) |
 | | Generally, urinary catheterization is indicated 1) to relieve urinary tract obstruction, 2) to permit urinary drainage in patients with neurogenic bladder dysfunction and urinary retention, 3) to aid in urologic surgery or other surgery on contiguous structures, and 4) to obtain accurate measurements of urinary output in critically ill patients. |
 | | Specifically, urinary catheterization should be discouraged as a means of obtaining urine for culture or certain diagnostic tests such as urinary electrolytes when the patient can voluntarily void or as a substitute for nursing care in the incontinent patient. |
 | | In several outbreaks of nosocomial urinary tract infections, catheterized patients with asymptomatic infections served as unrecognized reservoirs of infecting organisms, and the mechanism of transmission appeared to be carriage on the hands of patient-care personnel (13,14). |
| www.cdc.gov /ncidod/hip/Guide/uritract.htm (2825 words) |