Reply To: Treosulfan and foley catheters

  • Jill Shergold

    April 19, 2019 at 6:01 pm

    We commonly give Treosulfan and just use hyper hydration with minimal peri breakdown. Certainly no more than other conditioning regimens.
    Queensland Children’s Hospital

    Sent from my iPhone

    ——Original Message——

    ​Our BMT physicians routinely order a foley catheter for  patients (babies) receiving treosulfan as part of the conditioning chemotherapy for prevention of hemorrhagic cystitis and perianal breakdown.  I could find to no  drug references or information that recommends/supports this.  Our nurses feel that the foley catheter isn’t needed; many patients have had urine bypassing the foley.  We do frequent diaper changes and skin care with our patients and feel that the risks of a foley catheter outweigh any advantages/benefits. In an effort to collect evidence to determine whether this is best practice or not.  If not, I would like to have information to support the discontinuation of routine foley insertion in this population.
    Thanks in advance for any information you have to share!

    Tobi Reisig, CPON,RN
    Calgary, AB