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Intermittent catheterisation for long‐term bladder management (abridged cochrane review)
Author(s) -
Prieto Jacqui A.,
Murphy Catherine,
Moore Katherine N.,
Fader Mandy J.
Publication year - 2015
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.22792
Subject(s) - medicine , cinahl , medline , randomized controlled trial , catheter , meta analysis , urinary catheterization , intensive care medicine , clinical trial , bacteriuria , systematic review , surgery , urinary system , nursing , psychological intervention , political science , law
Aims To review the evidence on strategies to reduce UTI, other complications or improve satisfaction in intermittent catheter (IC) users by comparing: (1) one catheter design, material or technique versus another; (2) sterile technique versus clean; or (3) single‐use (sterile) or multiple‐use (clean) catheters. Methods We searched Cochrane Incontinence Group Specialised Trials Register, MEDLINE, EMBASE, CINAHL, ERIC, reference lists, and conference proceedings to November 2013. We contacted other investigators for unpublished data or clarification. Trial screening, assessment and data abstraction were all in accordance with the Cochrane handbook. Results Thirty one trials (13 RCTs and 18 randomized crossover trials), addressed the inclusion criteria comparing method or design and UTI/bacteriuria, other complications or participant assessed outcomes. Studies varied widely in follow‐up, UTI definition and attrition; in some, data could not be combined. Where there were data, confidence intervals were wide and hence clinically important differences could neither be reliably identified nor ruled out. Conclusions Current research evidence is weak and design issues are significant. It has not yet been established whether incidence of UTI, other complications such as haematuria, or user satisfaction are affected by sterile or clean technique, coated or uncoated catheters, single or multiple‐use catheters or by any other strategy. For people using IC, choice of catheter will depend on personal preference, cost, portability, and ease of use. Individuals should discuss the catheter options with their healthcare practitioner. Cost‐effectiveness analysis and use of the standard definition of UTI are essential in any proposed clinical trial. Neurourol. Urodynam. 34:???–???, 2015 . © 2015 Wiley Periodicals, Inc.