Administration of Catheter Maintenance Solutions

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Infection Prevention and Control

Administration of catheter maintenance solutions

Infection Prevention and Control Procedure for the administration of catheter maintenance solutions Purpose To ensure all relevant staff are aware of the principles of administration of catheter maintenance solutions and understand the rationale that informs the principle, to prevent cross infection between service users, staff and visitors and prevent Health Care Associated Infections.

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This procedure is relevant to healthcare or care staff that have received specific training in the administration of catheter maintenance solutions.

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Guidance • Routine use of catheter maintenance solutions should be avoided due to the risk of damage to the epithelial lining of the bladder and risk of infection from disrupting the closed drainage system • Catheter maintenance solutions are sterile fluids which are introduced in to the bladder and can be left there for variable periods of time in order to dissolve encrustations, alter bladder pH or suppress bacterial growth • There is a difference between bladder irrigation and bladder instillation.

Bladder irrigation is carried out within a hospital setting and is a continual flushing of the urinary bladder which normally follows urological surgery; whilst bladder instillation is the instilling of a solution into the bladder and enabling it to either immediately drain or leaving it in the bladder for a period of time • Catheter maintenance solutions must be prescribed and discontinued if not successful • All catheter maintenance solutions should be given aseptically NOTE: Epic 3 Guidance (2013) recommend that bladder maintenance systems are not used to prevent catheter associated infections

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