https://doi.org/10.4081/scenario.2023.564
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Dressing and securement device of the indwelling urinary catheter in adult patients: a narrative literature review

Authors

Francesco Gravante
francesco.gravante@aslcaserta.it
https://orcid.org/0000-0002-3548-6018
Infermiere, Azienda Sanitaria Locale di Caserta – Presidio Ospedaliero “San Giuseppe Moscati” di Aversa (CE), Dipartimento di Anestesia e Rianimazione, Terapia intensiva e Rianimazione, Italy.
Agostino Gravante
Infermiere, Azienda Sanitaria Locale di Caserta – Presidio Ospedaliero “San Giuseppe Moscati” di Aversa (CE), Dipartimento di Anestesia e Rianimazione, Camera Operatoria, Italy.
Francesco Petrosino
Infermiere, Direzione Medica di Presidio, Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d’Aragona - OO.RR. Scuola Medica Salernitana, Italy.
Fabio Giancane
Infermiere, Direzione Medica di Presidio, Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d’Aragona - OO.RR. Scuola Medica Salernitana, Italy.
Luciano Gionti
Infermiere, Azienda Sanitaria Locale di Caserta – Presidio Ospedaliero “San Giuseppe Moscati” di Aversa (CE), Dipartimento di Anestesia e Rianimazione, Camera Operatoria, Italy.
Eufrasia Silvestro
Direttore di Struttura Complessa, Azienda Sanitaria Locale di Caserta – Presidio Ospedaliero “San Giuseppe Moscati” di Aversa (CE), Dipartimento di Anestesia e Rianimazione, Terapia intensiva e Camera Operatoria, Italy.
Gianluca Marino
Direttore della Attività formative, pratiche e di tirocinio CdL in Infermieristica - Università degli Studi della Campania “ L. Vanvitelli” sede di Aversa-ASL Caserta, Italy.

Background: securing an indwelling urinary catheter is a preventive practice that is often neglected; this leads to an increase in adverse outcomes from positioning the bladder catheter.

Purpose: to describe the efficacy of indwelling urinary catheter dressing and securement devices in hospitalized adult patients.

Materials and Methods: a narrative literature review on indwelling urinary catheter dressing and securement devices was conducted between April and August 2023. The following databases were searched: PubMed (via MEDLINE), CINAHL (via EBSCO), Scopus and Web of Science (via EBSCO).

Results: the search generated 310 records, of which the review process included 5. The identified outcomes are patient comfort, device dislocation, device traction movement, presence of urinary tract infection, and urethral meatus erosion. Use of StatLock® reported a lower rate of infection [transureteral catheter (7/40, 18.5% vs 12/41, 29%) or a suprapubic catheter (1/20, 5% vs 2/17, 11, 8%)], a reduction in dislocation, erosion of the urethral meatus and traction of the bladder catheter.

Discussion: Using the correct securement device for urinary catheters is a topic that is still little investigated, but encouraging results emerge when using the correct securement device for urinary tract infections.

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How to Cite

Gravante, F., Gravante, A., Petrosino, F., Giancane, F., Gionti, L., Silvestro, E., & Marino, G. (2024). Dressing and securement device of the indwelling urinary catheter in adult patients: a narrative literature review. Scenario® - Il Nursing Nella Sopravvivenza, 40(4). https://doi.org/10.4081/scenario.2023.564
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