How do I prevent urinary tract infection in a quadriplegic with a suprapubic catheter?
I am a high level quadriplegic. I have a suprapubic catheter and I constantly get urinary tract infections. I use cranberry pills to help keep the acid levels higher to help stop infections but it does not seem to work. Anybody have a better idea on how to deal with this problem?
Asked by Sung Rover 1 year ago.
Hi Ya, Want a pic. My heart goes out to you. These reaccurances must be very frustrating to you, complicate your life tremendously. and sap your energy and resistance to other stresses. Of course. with the S/P, it is not a matter of IF, but how often. As with most battles, a multi front approach is usually more successfull, so your answer may reside in many possibilities. Bare with me. 1.It is great that you are acidifying your urine. The large fluid load of juices(physiologic irrigation)is also positive but is the large sugar load good for you and cause other problems? Certainly, the water intake is good but sugars may cause problems. I know that many people swear by cranberry extracts BUT could you accomplish the same ends (and more economically)with "mega dosing" of Vitamin C(ascorbic acid)? IE 1000mg 2-4 times a day. This huge sugar load may influence your body flora (bacterial colonization). Then, have your urine tested for pH: See if it is ACTUALLY acidifying your urine !!!!! 2. Back to physiologic irrigation : Of course, a sluggish flow of urine, through you"collecting system", is going to permit a heavier growth and cause "precipitates" to settle in your bladder: These "sediments" and stones act as a continual "Nidus" or home for continued bacterial growth. It is often beneficial to "manually irrigate" your bladder( a sterile procedure) to elliminate them. 3. Re; Irrigation:It is very common treatment to irrigate, periodically( 2-3 X/week)with an antibacterial solution(Renacidin). After "dwelling" this solution, in your bladder, you could followwith a several 100 ml. irrigation of steril water or salt water (normal saline):Kill 2 birds with one stone, as it were. 4.Site care: Very important here, that your tube and site are as clean as possible and that your tube does not move a great deal( is it achored?). Of course, what is on your skin, will ultimately end up in your bladder. Many people routinely apply and antibiotic preparation to the site: This may lead to a highly resistant bug: Alternate your skin treatments IE betadine and dilute white vinegar(1: 30 parts sterile water) Avoid ointments and hydrogen peroxide; You may even elect to place a small "steril drape" material, over your site to both anchor(it's sticky) and keep it as clean as possible (Tegaderm[many products like it]) 4.Prophilaxis: Not uncommon for routine dosing of Sulfa(Bactrim) twice a day: Ongoing.( this requires adequate fluids to prevent crystal formation, in your bladder. 5. Change your tube frequently (every 2-3 days) have your doctor justify this to your insurance to avoid additional cost. 6.Resistance: Keep your self as constitutionaly and nutritionaly as healthy as possible( have little info about you, here). This is always our best defence against infection/disease. 7. Join a "support group" and keep updated on new products and info(medlineplus). 8. Don't give up: Ask your Urologist to consult an "infection control practioner" (Epidemiologist) to evaluate the organsim/organisms that are problematic. Be well, Want a pic; I hope this rambling might be helpfull. P.S I know a great gal in north western WI, that is on Yahoo..Intersted? Look or e-mail me Answered by Dirk Thiara 1 year ago.
Quadriplegic Catheter Answered by Herbert Chasen 1 year ago.
In the past I have been plagued with UTIs although I don't have the other complications you have. At the time, 2003, my urologist recommended a bit more holistic prevention. My problem was I wasn't emptying my bladder completely. You have started with the cranberry pills however, I carry it a little further. If your system can tolerate fruit juices Ocean Spray combinations, especially my favorite Cran-Grape (15% fruit juices), can boost the prevent aspect of holistic/natural medicating. Last year my 4 year-old granddaughter was having trouble with UTIs and she started on my Cran-Grape. Her doctor supported the effort and the juice lessened the severity and frequency of the attacks. He of course gave her medication to clear them up completely. I hope this helps, God Bless! Answered by Daysi Duboise 1 year ago.