![]() ![]() Identifying Healthcare-associated Infections (HAI) for NHSN Surveillance (online).ģ. Centers for Disease Control and Prevention. Healthcare Infection Control Practices Advisory Committee (HICPAC) approved guidelines for the prevention of catheter-associated urinary tract infections, 2009.Ģ. DOĭo perform hand hygiene immediately before and after handling the catheter or drainage system, and use clean gloves while handling the catheter or drainage system.ĭo perform peri-care using only soap and water or a similarly gentle cleaning agent.ĭo keep the catheter and tubing from kinking and becoming obstructed.ĭo keep the catheter system closed when using the urine collection or leg bags.ĭo replace catheters and urine collection bags that become disconnected.ĭo ensure the resident's identifier and implementation date is on her/his urine collection containers.ĭo disinfect the sampling port before obtaining a sample.ĭo educate residents and families about proper catheter care.ĭon't change catheters or urine collection bags at routine, fixed intervals.ĭon't administer routine antimicrobial prophylaxis.ĭon't use antiseptics to cleanse the periurethral area while a catheter is in place.ĭon't vigorously clean the periurethral area.ĭon't irrigate the bladder with antimicrobials.ĭon't instill antiseptic or antimicrobial solutions into urine collection bags.ĭon't routinely screen for asymptomatic bacteriuria (ASB).ĭon't contaminate the catheter outlet valve during urine collection bag emptying.ġ. All rights reserved.When an indwelling urinary catheter is present, follow these guidelines to prevent a catheter-associated urinary tract infection (CAUTI). The device unsuccessful rate was less in the Guideplus, which may suggest the better performance as the guide extension catheter.Ĭhronic total occlusion Guide extension catheter Percutaneous coronary intervention.Ĭopyright © 2018 Elsevier Inc. The Guideplus was more frequently used to support the small profile balloon crossing the CTO or 99% stenosis. The purpose of guide extension catheter was significantly different between the Guideplus and GuideLiner. The device unsuccessful rate was significantly less in the Guideplus (8.7%) than in the GuideLiner (20.4%) (P = 0.022). The Guideplus was frequently used to support the small profile balloon crossing the CTO or 99% stenosis (20.7%), whereas the GuideLiner was not used (0%). The purpose of guide extension catheter was significantly different between the 2 groups (P < 0.001). Ninety-two lesions were classified as the Guideplus group, whereas 103 lesions were classified as the GuideLiner group. We classified the purpose of guide extension catheter into 4 categories: (1) to advance devices into the target lesion, (2) to engage guide catheter into the ostium, (3) to support the small profile balloon crossing the CTO or 99% stenosis that the microcatheter could not cross, and (4) others. We compared the purpose of guide extension catheter and the device unsuccessful rate between the Guideplus and GuideLiner. ![]() The aim of the present study was to compare device performance between the Guideplus and GuideLiner. Recently, the Guideplus (Nipro, Osaka, Japan) has emerged as a new guide extension catheter. The guide extension catheter is frequently used in current percutaneous coronary intervention, and the GuideLiner (Vascular Solutions Inc., Minneapolis, MN) has been the standard guide extension catheter. ![]()
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