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Long-term urinary catheterisation in community-dwelling adults

02 June 2019
Care of the Older Person
02 June 2019
Volume 24 · Issue 6

It has been estimated that in 2017, there were over 90 000 long-term catheter users in the UK (Gage et al, 2017). Catheterisation can be temporary or indefinite, and long-term catheterisation is defined as that which lasts longer than 30 days. The term ’indwelling’ refers to either urethral (’Foley’) or suprapubic catheters (Continence Product Advisor, 2019). Despite concerns regarding complications with long-term urinary catheterisation, for many patients with serious bladder or other conditions, the use of an indwelling catheter is an integral part of being able to manage at home when alternative management methods have failed or are impossible. For some patients, this may be worth the risks, including the high risk of catheter-associated urinary tract infection (CAUTI), as well as bypassing, blockage, dislodgement and, over the long term, skin breakdown (Wilde et al, 2013). CAUTIs are the primary disadvantage of the long-term catheterisation.

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