Placing an indwelling urinary catheter is not without risk for complications, so this should be done only if there are clear indications. Apisarnthanarak et al listed situations when placing an indwelling urinary catheter is inappropriate. The authors are from Thammasart University in Thailand and Washington University in St, Louis.


When inserting an indwelling urinary catheter is inappropriate:

(1) when it is done for the convenience of the healthcare providers rather than to benefit the patient

(2) when the catheter does not serve a useful purpose

(3) to monitor urine output when there is no real need to do so

(4) for a patient with a neurogenic bladder who can perform self-catheterization

(5) for administration of an amphotericin B solution to irrigate the urinary bladder

(6) for urinary incontinence when there are no or minor risk to the patient (no or minimal skin breakdown, no nearby operative site, etc).


When is leaving an indwelling catheter in place is inappropriate:

(1) no longer needed for its original purpose

(2) too busy to remove

(3) forgot to remove

(4) leaving in place when there is a clear indication to remove it


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