OBJECTIVE: This case report describes a patient who sustained an MDRPI secondary to indwelling urinary catheter placement for urinary retention.
METHODS: A 93-year-old man with prostate cancer and pneumonia received an indwelling urinary catheter for retention during a 2-week hospitalization. Upon his transfer to a rehabilitation facility, the patient\'s daughter informed staff that she had observed a 1-cm urethral erosion on the urinary meatus. Within a week, the penile erosion worsened to encircle the urinary meatus to 1.5 cm, and clinical signs of infection were present. Eventually, the patient was transferred to a hospice facility where he died.
CONCLUSIONS: This case study demonstrates the need for increased training of health care professionals in identifying risk factors for MDRPI and managing such injuries to limit their devastating impact on the patient and family members.
目的:本病例报告描述了一例因留置导尿管导致尿潴留而继发MDRPI的患者。
方法:一名93岁的前列腺癌合并肺炎患者在住院2周期间接受留置导尿管留置。他被转移到康复机构后,患者的女儿告知工作人员,她观察到尿道上有1厘米的尿道糜烂。一周之内,阴茎侵蚀恶化,包围尿道至1.5厘米,出现感染的临床症状。最终,病人被转移到临终关怀医院,在那里他死了。
结论:本案例研究表明,需要加强对卫生保健专业人员的培训,以识别MDRPI的危险因素并管理此类损伤,以限制其对患者和家庭成员的破坏性影响。