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How Do You Know if Your Catheter Is Infected

UW Medicine Harborview Medical Center

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SCI Pamphlets: Staying Salubrious after a Spinal Cord Injury


Urinary Tract Infections: Indwelling (Foley) Catheter

[Download this pamphlet: "Urinary Tract Infections: Indwelling (Foley) Catheter" - (PDF, 486KB)]

What is a urinary tract infection?

When bacteria get into your bladder or kidneys and cause you lot to have symptoms, you take a urinary tract infection ( UTI). Information technology is important to know the divergence between an infection and bacteriuria (having bacteria in the urine but no symptoms).

What causes urinary tract infections?

Because of your spinal cord injury and the fact that y'all must utilize an indwelling catheter, yous will ever have leaner in your urine. The catheter provides a directly pathway for the bacteria to enter your bladder. The bacteria that live in your bladder can develop into a UTI if your catheter becomes blocked, if your full general resistance to infection decreases, or if you don't drinkable plenty fluids and your urine becomes concentrated.

Symptoms of a urinary tract infection (things yous may feel):

  • Fever
  • Chills
  • Leakage (wetness around the catheter)
  • Increased spasms of legs, belly, or bladder
  • Called-for of the urethra, penis, or pubic expanse
  • Nausea
  • Headache
  • Mild depression back pain or other aches
  • Feeling "lousy" or tired

Signs of a urinary tract infection (things you may notice):

  • Sediment (gritty particles) or fungus in the urine or cloudy urine
  • Bad smelling urine (foul odor)
  • Claret in urine (pink or red urine)

Note: The appearance and odor of your urine may change considering of changes in your nutrition or fluid intake. Changes in the urine without symptoms are not reason enough to seek treatment for a UTI.

Self care

Many people are able to forbid a UTI from developing by taking some self care steps. The near of import step for people who use an indwelling catheter is to drink, drink, and beverage some more. Your fluid intake should be plenty so that your urine has the appearance of h2o or is but slightly yellow in color and clear.

Changing your catheter after increasing your fluids may also help cutting down on the number of bacteria living in your float since catheters can become "colonized" with the bacteria that are flushed out of your urinary tract. Generally, changing your catheter every month should be enough to go along you healthy, simply people who get frequent UTIs or whose catheters tend to become encrusted with built-up mineral deposits may have to alter information technology more ofttimes.

Some people are able to avert or treat UTIs by taking vitamin C (500-two,000 mg per day) or cranberry extract tablets. Other "natural" treatments may be helpful merely you should consult someone who is knowledgeable in this field, such equally a naturopathic physician.

When to telephone call your health care provider:

If y'all develop a fever (temperature greater than 100 degrees) or if your symptoms are interfering with your life, you should telephone call your health care provider. He or she will desire to know your temperature, electric current symptoms, whether you lot have whatsoever allergies to antibiotics, and what antibiotics have worked well in the past. Your health care provider will want yous to get a urine specimen for culture and will discuss with yous whether antibiotics should be started right away or if you lot should look until the results of the culture are bachelor.

How to collect a good specimen for urine culture:

The accurateness of whatever urine test depends on conscientious collection of the specimen.

  1. Open your sterile jar — either one from the hospital or one you have prepared at home. (To sterilize a jar at domicile, choose a small jar with a snug-fitting lid. Wash it carefully in soap and h2o and rinse well. Place the jar and lid in a pan of boiling water and immerse for 10 minutes. Remove jar and hat with metal tongs, invert on a dish drainer, and allow to cool.) Exercise not bear on the inside of the jar.

  2. To collect the all-time specimen, your catheter should be inverse and the urine should be collected immediately from the newly inserted sterile catheter. Collect at least 30 ml (i oz.) of urine. Occasionally it may exist impossible to change the catheter for specimen collection, and urine may have to be obtained from the indwelling catheter. The specimen will be contaminated by the leaner that live on the catheter as well as those that live in the urine, and the number of colonies that grow will tend to be larger. Sometimes the laboratory volition not be able to accurately determine which bacteria are causing your symptoms.

  3. Never collect a urine specimen for culture from a leg bag or night bag.

  4. Refrigerate the specimen and proceed it cool until y'all can become it to your health care provider. It should be delivered inside two hours of collection.

Antibiotic treatment

If your health care provider prescribes an antibody for you lot, enquire your pharmacist whether yous should accept it earlier meals or with food. If y'all take Vitamin C regularly, you should also find out whether it is okay to continue it while you are taking your antibiotic. Be sure to accept all of the medication as prescribed.

Some antibiotics will change the balance between your trunk's "good" bacteria and the "bad" bacteria that has caused your UTI . When this happens, an overgrowth of yeast can occur which may outcome in bug ranging from a pare rash to diarrhea. This can be prevented past taking acidophilus culture, which is available in some brands of yogurt, acidophilus milk, or as a pure culture (bachelor in health food stores). If you lot develop whatsoever symptoms you think may be related to your antibody prescription, notify your wellness intendance provider.

In order to prevent re-colonization of your urine with bacteria from your catheter, you should always change the catheter nearly midway through the course of antibiotics. This is important considering antibiotics can kill leaner in your body and in your urine, just not on the catheter itself. When you have completed your antibiotic prescription it is non necessary to go a repeat culture unless your symptoms have not improved.

University of Washington-operated SCI Clinics:

Harborview Medical Eye
Rehabilitation Medicine Clinic
325 ninth Ave., Seattle WA 98104
Spinal Cord Injury Clinic nurses: 206-744-5862

University of Washington Medical Eye
Rehabilitation Medicine Clinic
1959 NE Pacific, Seattle WA 98195
Spinal String Injury Clinic nurses: 206-598-4295

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Source: https://sci.washington.edu/info/pamphlets/uti_2.asp

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