Possible improvement of Urinary Tract Infection (UTI) by Gatch up positioning in Long-term Acute Care (LTAC)

Adequate medical practice has been emphasized for the increasing elderly population. The authors have long provided Long-Term Acute Care (LTAC). Concerning clinical problems related to urinary tract infection (UTI), we propose the Gatch-up 45-degree positioning as a preventive measure for UTI. The case involves a 68-year-old female who underwent the Gatch-up procedure for 1 hour, twice a day, over a period of 1 month. Post-void residual (PVR) urine volume was measured and compared between the previous month and the intervention period. The average PVR significantly decreased from 245 mL to 80 mL (p < 0.05), representing a 67.3% reduction. This suggests further indications and potential future development for this procedure.