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One of the possible solutions for patients with incontinence or chronic urinary retention is bladder drainage by indwelling urinary catheterization. Nevertheless, indwelling urinary catheters are not free from complications. Known complications are catheter obstructions (i.e. caused by encrustation) which can lead to frequent catheter changes. More catheter changes may increase the risk of catheter associated-urinary tract infection (CAUTI). Bacteria may enter the catheter and adhere to the catheter or the drainage bag. Contaminated catheters can develop colonies and biofilm. Catheter encrustations may occur and reach clinical significance, e.g. by obstructing the urine outflow through the catheter.
Catheter maintenance solutions have been developed to remove small blood clots, tissue and debris to maintain the catheter and reduce frequency of catheter changes.
Different catheter maintenance solutions are available on prescription such as saline, solutions with citric acid, or solutions with ancillary antimicrobial effect like Polihexanide. Catheter maintenance solutions can be used as part of a management plan aiming to prevent the development of catheter-associated complications and hereby reducing the risk of encrustation or trauma by catheter removal.
Regular catheter maintenance can help avoid the risk of bacterial colonization, can help to remove deposits and to prevent debris formation.
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