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    Cleaning bacteriostatic bags?

    How should I clean bacteriostatic coated bags? I know the standard ways to clean urinary bags, but I don't know if those ways damage the bacteriostatic coating in the tubing and bag. The tubing on mine is slightly frosted in appearance when new, as opposed to clear like regular bags. I've noticed it gets more and more opaque through the week after each cleaning. I don't want to be damaging the coating!
    Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

    I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

    #2
    Which leg bags do you use?

    Is the leg bag bacteriostatic coated? Is the tubing that connects the bag to the catheter bacteriostatic coated? Or, is the catheter bacteriostatic coated?

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      #3
      Sorry they're night drainage bags, I should have been more specific. They're Bard "Infection Control Urinary Drainage Bag". Both the tubing and the bag are bacteriostatic coated.
      Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

      I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

      Comment


        #4
        These are pretty new, so I don't think anyone has yet done any research about the best cleaning methods. The manufacturer is going to tell you that you should maintain a closed system and not clean the bag at all; but instead replace it periodically. Of course they are going to also sell more bags that way.

        In the past, several studies were done putting various disinfectant solutions inside bags in use; none that I am aware of actually showed any significant effect upon UTI rate vs. plain bags. Have you asked BARD for studies showing that these bags (which I would also guess are pretty expensive) really reduce UTI in chronic indwelling catheter users?

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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          #5
          No, I haven't asked bard. I'm not sure the cost as they're covered by insurance. I switched to them because I was getting uti I could trace to equipment failure. I have suprapubic access and don't need a bag during the day, I drain my bladder as needed. I only use the bag at night due to nocturia. I produce more urine when laying down vs sitting up. And now I also rub my IV fluids and things overnight as well which works nicely with the bags.

          I've asked bard repeatedly and haven't gotten ANY reply, not even telling me to maintain a closed system. They've been quite horrible, before I switched I was also getting a lot of bags that leaked. And even after the switch I've had a couple of this different bag that leak.i ran in circles trying to get them replaced, and the best I got was finally being told I'd be contacted about receiving samples... And then liberator medical who I guess owns bard now called me and said they don't give samples of bags, only catheters.
          Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

          I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

          Comment


            #6
            Does your insurance require that you use Bard leg or night drain bags? There are other manufacturers out there that may be more reliable. I have been using Urocare products for more years than I can count. Can only remember one time I had a leak issue with a leg bag. Urocare has vinyl and latex bags. The also have a night drain bottle that hold 2000cc of urine. The bottle is poly rigid plastic and connects to the catheter with tubing (supplied with the bottle). The bottle has a anti reflux flutter valve. I put my bottle in a plastic shoe box and sit it on the floor next to the bed. https://www.urocare.com/EN/HomeEN.php


            https://www.urocare.com/EN/Products/4100EN.php
            Attached Files
            Last edited by gjnl; 24 Sep 2017, 2:18 PM.

            Comment


              #7
              My insurance dictates who I can purchase from and then specific items, but I'm not limited to bard. I buy from Edgepark and didn't see any other brands with bacteriostatic coatings when I looked, if you know of any leg me know. Bags work better for me than a bottle since I can hang them off my bed frame and have privacy covers I made that match my sheet sets.

              I've got a uti right now, and I believe it's due to the bag cleaning issue... I'm so torn with what to use.
              Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

              I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

              Comment


                #8
                I am not sure what to tell you about cleaning them. If what you are doing is not working, I would recommend that you try simple soap and water or vinegar and water. No guarantees that this will work but it might be worth a try.
                ckf
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                  #9
                  I haven't tried soap and water yet. Vinegar changes the color of the tubing, so I was afraid it was damaging the bacteriostatic coating. The tubing comes just slightly off clear, and using vinegar by the end of the week the tubing is completely opaque.

                  Cost of supplies is also an issue, cleaning with alcohol gets up there. Vinegar goes on my food stamps so that's super simple.
                  Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

                  I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

                  Comment


                    #10
                    I would ask the company if the color of the tubing is an indication of the coating. It probably is. If that is true, than vinegar may not be the answer. You may want to dilute it more and see if that helps.
                    ckf
                    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                    Comment


                      #11
                      I got a response from Bard in response to my question, "What is the recommended cleaning protocol and procedure for the bacteriostatic urine drainage bags? Soap and water? Vinegar? Alcohol? Other?"

                      There answer:
                      Attached Files

                      Comment


                        #12
                        They are single use products, as advertised. Unfortunately, for many that is not an option. I am not sure what else to tell you other than you might want to switch products.....
                        ckf
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                        Comment


                          #13
                          They've gone around in circles with me, never giving direct answers.

                          I've gone to bacteriostatic bags to try and decrease infections as my infections can always be tied to some sort of equipment issue. I don't want to just go back to regular bags... These are supposed to be an improvement.

                          And Yea, I don't know ANY insurance that covers 30 2000ml drainage bags a month!
                          Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

                          I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

                          Comment


                            #14
                            Originally posted by ~Lin View Post
                            They've gone around in circles with me, never giving direct answers.

                            I've gone to bacteriostatic bags to try and decrease infections as my infections can always be tied to some sort of equipment issue. I don't want to just go back to regular bags... These are supposed to be an improvement.

                            And Yea, I don't know ANY insurance that covers 30 2000ml drainage bags a month!
                            I really don't know why you have latched onto the notion that all or your "infections can always be tied to some sort of equipment issue." Has a physician given this as an opinion?

                            At this point in time, it doesn't seem as though the bacteriostatic drainage bags are working for you and Bard has given you and me the same circuitous answers about how to clean these bags...you don't. It may be time for you to move on and try to find other drainage bags that you can clean with bleach or alcohol that many of us use, especially after you find yourself clear of the current urinary tract infection you are experiencing.

                            The usual procedure when you think you have a urinary tract infection is to get a urinalysis (UA) and a culture and sensitivity (C&S) Have the infection treated for 12 to 14 days with the most effective antibiotic, then a couple of days after you finish the course of antibiotics, get another UA and C&S to make sure the infection is gone.

                            Sorry that the bacteriostatic drainage bags haven't worked as you would have hoped, but I think it is time to move on and find a system/bags that you know you can clean without worrying about what cleaning may be doing to a non cleanable bacteriostatic drainage bag.



                            Comment


                              #15
                              There's no reason to change bags, if my cleaning was damaging the bacteriostatic coating the worst case is that it voids the bacteriostatic advantage and makes me right back at a regular bag again.

                              Yes, my urologist and I have discussed equipment failure being able to be linked to all of my utis. Sometimes it's issues where the bag comes disconnected at night and I have to reconnect it. When this happens I use alcohol, but who knows what bugs may have gotten into my bag or my end prior to reconnecting. I use a feeding tube button in my suprapubic stoma and change out the extension once a week along with a new night drainage bag. Some of the different types of extensions I've had difficulty staying connected to my bags. Sometimes I have to use pieces in between which are called Lopez valves.

                              My urologist gave me gentamicin bladder irrigation since I have 100% accuracy in determining if I have a uti or not. I was using hydrocleanse to prevent, test for uti, and clear up uti when caught early enough. Initially the gentamicin was for when the hydrocleanse isn't enough, and also during cath changes so I could discontinue the 3 days of oral cipro. I have severe dehydration problems secondary to GI issues and rely on IV fluids daily. Dehydration causes uti symptoms for me, that's where hydrocleanse comes in as a test. If I instill it into my bladder and it soothes the symptoms it's dehydration, if it makes them worse it's a uti and Id use it frequently until it stopped increasing symptoms (with pyridium and others to deal in the beginning) But I can't afford hydrocleanse anymore, so I'm trying to make my bottle last as long as possible for my uti test, and am using a lot more of the gentamicin than I wanted to.
                              Board Member of Assistance Dog Advocacy Project working in Education. Feel free to ask me any service dog questions!

                              I am not paralyzed. I have a genetic connective tissue disorder with neuro complications and a movement disorder.

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