Which action should be avoided as part of a plan to prevent urinary tract infections in a child with myelomeningocele?

Which action should be avoided as part of a plan to prevent urinary tract infections in a child with myelomeningocele?

• A. Provide meticulous skin care
• B. Use Crede's maneuver to empty the bladder
• C. Encourage frequent emptying of the bladder
• D. Tight-fitting diapers around the meatus

Answer: (D)

Preventing UTIs in a child with myelomeningocele centers on reducing urine retention and protecting the skin around the urethral area from moisture and irritation. Keeping the perineal region clean and dry and encouraging regular bladder emptying help minimize bacterial growth near the urethra. Tight-fitting diapers around the meatus should be avoided because snug diapers trap moisture and heat against the opening, promote skin breakdown, and create a hospitable environment for bacteria to multiply, increasing the risk of infection. Meticulous skin care supports this goal by preventing irritant–related breakdown, while encouraging frequent bladder emptying reduces residual urine. Crede's maneuver to assist bladder emptying can be part of a plan if ordered, but it must be done with proper technique and supervision to prevent injury or infection.

Preventing UTIs in a child with myelomeningocele centers on reducing urine retention and protecting the skin around the urethral area from moisture and irritation. Keeping the perineal region clean and dry and encouraging regular bladder emptying help minimize bacterial growth near the urethra. Tight-fitting diapers around the meatus should be avoided because snug diapers trap moisture and heat against the opening, promote skin breakdown, and create a hospitable environment for bacteria to multiply, increasing the risk of infection. Meticulous skin care supports this goal by preventing irritant–related breakdown, while encouraging frequent bladder emptying reduces residual urine. Crede's maneuver to assist bladder emptying can be part of a plan if ordered, but it must be done with proper technique and supervision to prevent injury or infection.