foleys catheter or external condom catheter which is better in bed-ridden head injured male...

Foleys Catheter or External Condom Catheter- Which is Better in Bed-Ridden Head

Injured Male Patients?A Comparison Study

Swati Sharma, Deepak Agrawal

Department of Neurosurgery, JPN Apex Trauma Centre, AIIMS, New

Delhi

INTRODUCTIONINTRODUCTION

EXTERNAL CONDOM CATHETERS ARE PREFERRED THAN FOLEY’S CATHETER IN HEAD INJURED PATIENTS

THERE IS CONTROVERSY REGARDING THE INCIDENCE OF PENILE SKIN NECROSIS , POOR PERSONAL HYGIENE AND DEPENDENT EDEMA IN THE PERINEAL REGION OF PATIENTS WITH CONDOM CATHETERS

AIMS AND OBJECTIVES

COMPARISION BETWEEN EXTERNAL CONDOM CATHETER AND FOLEY’S CATHETER IN BED RIDDEN HEAD INJURED PATIENTS

MATERIALS AND METHODS DURATION OF STUDY – ONE MONTH (SEP 2009)

PLACE OF STUDY – TC 3 ICU OF JPNATC, AIIMS

INCLUSION CRITERIA: ALL ADULT (>12 YRS ) PATIENTS WITH HEAD INJURY ADMITTED IN NSICU

MATERIALS AND METHODSPENILE & PERINEAL ULCERATION,

PERINEAL EDEMA & URINARY TRACT INFECTION (UTI) WERE USED AS OUTCOME PARAMETERS

TLC AND URINE C/S WERE USED AS MARKER FOR INFECTION

OBSERVATIONS

NO OF PATIENTS – 20

NO OF PATIENTS WITH EXTERNAL CATHETER – 10

NO OF PATIENTS WITH FOLEY’S CATHETER – 10

OBSERVATIONSOBSERVATIONS (TLC (TLC ≥ 10,000)≥ 10,000)

0

1

2

3

4

5

6

FOLEY'S CONDOM

TRAUMA 2009

TLC≥10,000 No.(%)

FOLEY’S 6(60%)

CONDOM 4(40%)

OBSERVATION POSITIVE URINARY CULTURE

OBSERVATION OBSERVATION PENILE ULCERATION AND DEPENDENT PENILE ULCERATION AND DEPENDENT EDEMAEDEMA

SKIN CONDITION EXTERNAL CATHETER

FOLEY’S CATHETER

PENILE ULCERATION

20% 0

PENILE EDEMA 20% 0

REVIEW OF LITERATUREREVIEW OF LITERATURESanjay saint et al found in his study

that the use of external catheter are less likely to cause bacteriuria, symptomatic UTI, or death than the use of indwelling catheters.

Sanjay Saint, MD, MPH *†‡ , Samuel R. Kaufman, MA †‡ , Mary A. M. Rogers, PhD †‡ , Paul D. Baker, ARNP § , Kathleen Ossenkop, ARNP § , and Benjamin A. Lipsky, MD §∥

From the  *Center for Practice Management and Outcomes Research, Ann Arbor Department of Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, Michigan;  †Department of Internal Medicine

CONCLUSIONCONCLUSIONIt was found that external

catheter is preferable to Foley's catheter in male head injured patients as it does not increase the risk of UTI and urethral injuries .

However care should be taken regarding proper application of external catheter to avoid penile ulceration and penile edema.

J.P.N. Apex Trauma Center , A.I.I.M.S.J.P.N. Apex Trauma Center , A.I.I.M.S.