Untreated Urinary Tract Infections In Nursing Home Patients May Result In Urosepsis
One of the most memorable cases I worked on involved a young man who was in a nursing home following a severe injuries he sustained in a construction accident. Due to the nature of the man's injuries, a catheter was used to drain urine from his bladder. Despite doctors orders to change the catheter every 30 days, months went by without any catheter change. In fact, six months went by without a catheter change. Finally, after six months without a catheter change, a nursing home employee recognized the obvious problems: cloudy / brownish urine and testicles extremely swollen due to...
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Never Event #4: Catheter Associated Urinary Tract Infections
Catheter related urinary tract infections are the most frequently encountered infection amongst people in nursing homes. Generally, the longer a catheter is in place, the more likely an infection will develop. According to the Centers for Disease Control and Prevention (CDC), infection rates range from 1% to 5% after a single brief catheterization to virtually 100% rate of infection for long-term catheter uses. The urinary tract is composed of the kidneys and urethra. As a rule, the 'higher up' the infection, the more serious it is. A lower urinary tract infection affects the urethra and bladder and can usually be...
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