Phil Robins Case

I write on behalf of my patient, Phil Robins, who is a sixty-five-year-old male facing acute urinary retention. Phil Robins shows several medical symptoms, including an inability to urinate, severe pain and discomfort in the lower abdomen, and bloating of the lower abdomen. My patient has been previously diagnosed with benign prostatic hyperplasia which has been obstructing his urinary tract. Because of this, he frequently has to use a catheter to empty his bladder.

My main concern for Mr. Robins is the prevention of infections commonly associated with catheter use. According to Temiz et al, urinary tract infections are the most frequently encountered infections in intensive care units (2012, 344). UTIs are of special concern in ICUs because most patients in ICUs receive an indwelling urinary catheter to manage urine retention. The presence of the indwelling catheter has been identified as the most important risk factor in the development of UTIs (Temiz et al, 2012, 344). Some catheters are meant to be used only once. Many others can be re-used if cleaned appropriately. I am requesting access to a weekly supply of new and stile catheters in order to prevent any infections.

The study population included 832 patients hospitalized in five different ICUs (Keten et al, 2014, 277). A hundred and one patients who developed 126 attacks of catheter associated urinary tract infections (CAUTI) were accounted for in the study sample. Out of the 101 patients, 85 experienced at least one attack of CAUTI, 7 experienced two attacks of CAUTI, and 6 experienced three or more attacks of CAUTI. Out of the 101 patients who developed a CAUTI, 49 (48.5%) were female and 52 (51.5%) were male. About 54.5% of the patients were aged 65 years or older (Keten et al, 2014,