導尿管拔除失敗後尿滯留原因探討

Causes of Urine Retention after Removal of Urinary Catheters

近年來組合式照護（care bundle）普及，包含中心靜脈導管、呼吸器、導尿管等組合式照護，都能有效地降低相關的管路感染。然而，我們常注重導尿管使用天數，導尿管使用率、導尿管相關感染率等，但是臨床上對於導尿管拔除失敗造成尿滯留的危險因子，比較少去討論，本文著重於探討導尿管拔除前需注意的危險因子，以減少導尿管拔除失敗的機會，以及拔除導尿管失敗後，如何評估失敗原因和進一步處置。

Care bundles for infection control are popular in recent years, including care bundles for central venous catheters, ventilator-associated pneumonia, and urinary catheters. Although we regularly monitor the duration and frequency of urinary catheterization and the rate of catheter-associated urinary tract infection, the causes of failed trials without catheters (TWOCs) are seldom addressed. This article focuses on the association between risk factors and urinary retention to reduce the failure rate of TWOCs. In addition, further assessment and management of failed TWOCs are discussed.