Outpatient Surgery Magazine

The Great Prepping Debate - December 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 122 of 159

OSE_1212_part2_Layout 1 12/5/12 9:53 AM Page 123 S T A M P I N G O U T S S I S The CDC hasn't endorsed the effectiveness of coated catheters, although it suggests that facilities unable to lower their CAUTI rate through other interventions might consider their use. Additionally, in a study in the Nov. 2, 2012, issue of the journal Lancet, British researchers saw no significant difference in results following their short-term use. "Silver alloy-coated catheters were not effective for reduction of incidence of symptomatic CAUTI," the authors wrote, "The reduction we noted in CAUTI associated with nitrofural-impregnated catheters was less than that regarded as clinically important. Routine use of antimicrobial-impregnated catheters is not supported by this trial." Then there's the question of cost. A pricier coated catheter may be preferable to treating UTI (which Medicare hasn't reimbursed since 2008), says Dr. Manasse. But in the quick and cost-conscious outpatient OR, is it worth it? Cost isn't the only concern about coated catheters, though. "One always has to be concerned about exposing organisms to antibiotics, for fear of fostering resistance to a drug, or creating a multidrug resistant organism," says Dr. Manasse. He suggests the use of condom catheters among male patients, which offer a noninvasive alternative, although not one that can resolve retention. Removal and reinforcement Catheter removal, the guidelines agree, should be done as soon as D E C E M B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 2 3

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