尿液引流系統之維護與更換迷思

Maintenance of Urinary Drainage System and the Replacement of Myth

尿管密閉式連接尿液引流系統普遍的應用在醫療照護體系；國內外衛生主管機關和相關醫護學會訂有預防導尿管相關泌尿道感染指引提供醫護人員遵循，均一致建議應維護整個引流系統的密閉性。不適當的操作和照護將導致泌尿道感染發生，本文依留置導尿管與尿液引流系統之致病途徑、常見致病菌、尿液引流系統之維護和更換提供臨床照護參考。

Foley catheters with a closed urinary drainage system are widely used in medical care. National health authorities and related health care societies provide guidelines for the prevention of catheter-related urinary tract infections in health care workers. They all agree that the maintenance of the closed drainage system is an important factor. Improper operation and care of the system can result in urinary tract infections. This article provides clinical care reference for microorganisms’ pathways, common pathogens, and the maintenance and replacement of the urinary drainage system.