Guidelines for Intermittent Catheterisation in Children - ESPU-Nurses

7 Bacteriuria Asymptomatic bacteriuria is a UTI without symptoms. Bladder neck stenosis A bladder neck stenosis is defined as an abnormal narrowing of the bladder neck. Dilatation The term dilatation refers to the condition of an anatomical structure being stretched beyond its standard dimensions. Catheterisation techniques Catheterisation techniques are the various ways used to perform catheterisation. Clean technique This is catheterisation with good hand hygiene, where a sterile catheter is used alongside genital cleansing. Note: The abbreviations CIC and CISC are often used interchangeably. CIC is the abbreviation for clean intermittent catheterisation. It is recommended that this term is used when carers carry out catheterisation. CISC is the abbreviation for clean intermittent self-catheterisation and is used when the child performs the catheterisation. No-touch technique Performed with a ready-to-use catheter without touching it. Post-void residual (PVR) Post-void residual is defined as the volume of urine left in the bladder at the end of micturition. Sterile technique It is an entirely sterile technique that is only used in operating theatres. This technique implies that all the materials are sterile. The person who carries out the catheterisation wears sterile clothes, including sterile gloves. It is often confused with the aseptic technique. Urethral intermittent catheterisation Urethral intermittent catheterisation (IC) is defined as drainage or aspiration of the bladder or a urinary reservoir with subsequent removal of the catheter. Urethral stricture/stenosis A urethral stricture or stenosis is a narrowing in the urethra. Urinary retention Acute urine retention is a painful, palpable, or percussive bladder where the patient is unable to pass urine. Chronic urine retention is defined as a non-painful bladder which remains palpable or percussive after the patient has passed urine. Such patients may be incontinent. Urine Incontinence (UI) Urinary incontinence is the involuntary leakage of urine, which can be continuous or intermittent. Subdivisions of incontinence include continuous, intermittent, daytime, and enuresis. Urinary tract infection (UTI) It is defined as a combination of clinical age-related features along with the presence of bacteria in a reliable urine culture. Generally, a UTI is caused by a single organism that is present in a concentration of more than 105 colony-forming units per millilitre (CFU/ml). This level has not yet been formally validated for use in children.

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