Treating Bladder Infections and Catheter Encrustation in Spinal Cord Injury by Minimizing Biofilm FormationLong V.S.
JC Blair Memorial Hospital, Huntingdon, Pa., USA
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Article / Publication Details
Bladder infections and their sequelae of stone formation, catheter blockage and pyelonephritis are common problems in patients with spinal cord injury and indwelling Foley catheters. The infections contribute to skin breakdown, debilitation and frequent hospitalizations. The use of recent improvements in catheter design, and a recognition of the importance of biofilm formation on indwelling catheters, have made possible a bladder management program which nearly eliminates these problems. This case report presents a patient with chronic bladder infection, encrustation, stone formation, catheter blockage, bladder distention, debilitation and autonomic dysreflexia despite the use of accepted interventions. The catheter was changed to a silicone, silver-coated Foley, a suprapubic insertion site was created, and the catheter was changed weekly. This program resulted in dramatic improvement in all bladder and associated problems and in general health, enabling him to resume the pursuit of his career goals.
© 2009 S. Karger AG, Basel
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