Medical Device-related Pressure Injury Due to Urinary Catheterization: A Case Report.

IF 0.8 4区 医学 Q4 DERMATOLOGY
Wound management & prevention Pub Date : 2022-12-01
Brenda K Woodmansee, Jennifer A Anderson
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引用次数: 0

Abstract

Background: Urethral erosion secondary to a medical device-related pressure injury (MDRPI) is preventable, understudied, not well understood, and often overlooked.

Purpose: This case report describes a patient who sustained an MDRPI secondary to indwelling urinary catheter placement for urinary retention.

Case study: A 93-year-old man with prostate cancer and pneumonia received an indwelling urinary catheter for retention during a 2-week hospitalization. Upon his transfer to a rehabilitation facility, the patient's daughter informed staff that she had observed a 1-cm urethral erosion on the urinary meatus. Within a week, the penile erosion worsened to encircle the urinary meatus to 1.5 cm, and clinical signs of infection were present. Eventually, the patient was transferred to a hospice facility where he died.

Conclusion: This case study demonstrates the need for increased training of health care professionals in identifying risk factors for MDRPI and managing such injuries to limit their devastating impact on the patient and family members.

导尿导致的医疗器械相关压伤:病例报告。
背景:目的:本病例报告描述了一名因留置导尿管导致尿潴留而继发尿道糜烂的患者:一名患有前列腺癌和肺炎的 93 岁老人在住院两周期间因尿潴留接受了留置导尿。转到康复机构后,患者的女儿告诉工作人员,她观察到尿道肉眼处有 1 厘米的尿道糜烂。一周内,阴茎糜烂加重,包围尿道口达 1.5 厘米,并出现了感染的临床症状。最后,患者被转到一家临终关怀机构,并在那里去世:本病例研究表明,有必要加强对医护人员的培训,以识别 MDRPI 的风险因素并处理此类损伤,从而限制其对患者和家属造成的破坏性影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Wound management & prevention
Wound management & prevention Nursing-Medical and Surgical Nursing
CiteScore
1.70
自引率
8.30%
发文量
41
期刊介绍: Information not localized
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