Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Foleys Catheter or External Condom Catheter- Which is Better in Bed-Ridden Head Injured Male Patients? A Comparison Study ...
INTRODUCTION <ul><li>EXTERNAL CONDOM CATHETERS ARE PREFERRED THAN FOLEY’S CATHETER IN HEAD INJURED PATIENTS </li></ul><ul>...
AIMS AND OBJECTIVES <ul><li>COMPARISION BETWEEN EXTERNAL CONDOM CATHETER AND FOLEY’S CATHETER IN BED RIDDEN HEAD INJURED P...
MATERIALS AND METHODS <ul><li>DURATION OF STUDY – ONE MONTH (SEP 2009) </li></ul><ul><li>PLACE OF STUDY – TC 3 ICU OF JPNA...
MATERIALS AND METHODS <ul><li>PENILE & PERINEAL ULCERATION, PERINEAL EDEMA & URINARY TRACT INFECTION (UTI) WERE USED AS OU...
OBSERVATIONS <ul><li>NO OF PATIENTS – 20 </li></ul><ul><li>NO OF PATIENTS WITH EXTERNAL CATHETER – 10 </li></ul><ul><li>NO...
OBSERVATIONS  (TLC  ≥ 10,000) TRAUMA 2009 TLC≥10,000 No.(%) FOLEY’S 6(60%) CONDOM 4(40%)
OBSERVATION   POSITIVE URINARY CULTURE
OBSERVATION  PENILE ULCERATION AND DEPENDENT EDEMA SKIN CONDITION EXTERNAL CATHETER FOLEY’S CATHETER PENILE ULCERATION  20...
REVIEW OF LITERATURE <ul><li>Sanjay saint et al found in his study that the use of external catheter are less likely to ca...
CONCLUSION <ul><li>It was found that external catheter is preferable to Foley's catheter in male head injured patients as ...
J.P.N. Apex Trauma Center ,  A.I.I.M.S.
Upcoming SlideShare
Loading in …5
×

Foleys catheter or external condom catheter which is better in bed-ridden head injured male patients-a comparison study

2,722 views

Published on

Published in: Health & Medicine
  • Be the first to comment

Foleys catheter or external condom catheter which is better in bed-ridden head injured male patients-a comparison study

  1. 1. 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
  2. 2. INTRODUCTION <ul><li>EXTERNAL CONDOM CATHETERS ARE PREFERRED THAN FOLEY’S CATHETER IN HEAD INJURED PATIENTS </li></ul><ul><li>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 </li></ul>
  3. 3. AIMS AND OBJECTIVES <ul><li>COMPARISION BETWEEN EXTERNAL CONDOM CATHETER AND FOLEY’S CATHETER IN BED RIDDEN HEAD INJURED PATIENTS </li></ul>
  4. 4. MATERIALS AND METHODS <ul><li>DURATION OF STUDY – ONE MONTH (SEP 2009) </li></ul><ul><li>PLACE OF STUDY – TC 3 ICU OF JPNATC, AIIMS </li></ul><ul><li>INCLUSION CRITERIA: ALL ADULT (>12 YRS ) PATIENTS WITH HEAD INJURY ADMITTED IN NSICU </li></ul>
  5. 5. MATERIALS AND METHODS <ul><li>PENILE & PERINEAL ULCERATION, PERINEAL EDEMA & URINARY TRACT INFECTION (UTI) WERE USED AS OUTCOME PARAMETERS </li></ul><ul><li>TLC AND URINE C/S WERE USED AS MARKER FOR INFECTION </li></ul>
  6. 6. OBSERVATIONS <ul><li>NO OF PATIENTS – 20 </li></ul><ul><li>NO OF PATIENTS WITH EXTERNAL CATHETER – 10 </li></ul><ul><li>NO OF PATIENTS WITH FOLEY’S CATHETER – 10 </li></ul>
  7. 7. OBSERVATIONS (TLC ≥ 10,000) TRAUMA 2009 TLC≥10,000 No.(%) FOLEY’S 6(60%) CONDOM 4(40%)
  8. 8. OBSERVATION POSITIVE URINARY CULTURE
  9. 9. OBSERVATION PENILE ULCERATION AND DEPENDENT EDEMA SKIN CONDITION EXTERNAL CATHETER FOLEY’S CATHETER PENILE ULCERATION 20% 0 PENILE EDEMA 20% 0
  10. 10. REVIEW OF LITERATURE <ul><li>Sanjay 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. </li></ul><ul><li>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 §∥ </li></ul><ul><li>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 </li></ul>
  11. 11. CONCLUSION <ul><li>It 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 . </li></ul><ul><li>However care should be taken regarding proper application of external catheter to avoid penile ulceration and penile edema. </li></ul>
  12. 12. J.P.N. Apex Trauma Center , A.I.I.M.S.

×