WHO recommendation on duration of bladder catheterization after surgical repair of simple obstetric urinary fistula / World Health Organization.

Format:

Book

Author/Creator:

World Health Organization, author, issuing body.

Language:

English

Subjects (All):

Obstetrics--Surgery.

Obstetrics.

Physical Description:

1 online resource (25 pages)

Place of Publication:

Geneva : World Health Organization, 2018.

Summary:

Following standardized operating procedures in accordance with the process described in the WHO handbook for guideline development, WHO has issued a new recommendation on the length of bladder catheterization following surgical repair of a simple obstetric urinary fistula. Currently the length of catheterization is not standard and ranges from 5 to 42 days. The new guidance recommends a 7-10 day period of bladder catheterization to allow complete healing. Longer periods of catheterization can be inconvenient for the woman, her family and care providers as it is associated with more discomfort and inconvenience. It also increases the risk of infection and erosion related to catheterization; requires more intensive nursing care and costs more per patient. The primary audience for this guideline is health-care professionals, particularly fistula surgeons and nurses providing postoperative care to women after surgery for obstetric urinary fistula. The guideline will also be useful to national and local policy-makers, and staff of nongovernmental and other organizations involved in fistula care services.

Contents:

Acknowledgements

Acronyms and abbreviations

Executive summary

Introduction

Target audience

Guideline development methods

Recommendation

Remarks

1. Introduction

1.1. Background

1.2. Rationale and objectives

1.3. Target audience

1.4. Scope of the guideline

2. Methods

2.1. Contributors to the guideline

2.2. Identification of the priority question and critical outcomes

2.3. Evidence identification and retrieval

2.4. Quality assessment and grading of the evidence

2.5. Formulation of the recommendation

2.6. Declaration of interests by external contributors

2.7. Decision-making during the WHO Technical Consultation

2.8. Document preparation

2.9. Peer review

3. Results: recommendation and evidence

3.1. Recommendation

3.2. Summary of evidence

4. Research implications

5. Dissemination and implementation of the guideline

5.1. Guideline dissemination and evaluation

5.2. Guideline implementation

6. Applicability issues

6.1. Anticipated impact on the organization of care and resources

6.2. Monitoring and evaluating the impact of the guideline

7. Updating the guideline

8. References

Annex 1. Guideline contributors: external experts and WHO staff

Annex 2. Critical and important outcomes for decision-making

Annex 3. Search strategy

Annex 4. Summary and management of declared interests from Guideline Development Group (GDG) members

Annex 5. Evidence-to-decision table.

Notes:

Description based on publisher supplied metadata and other sources.

Includes bibliographical references.