Intermittent catheterisation for long-term bladder management (abridged Cochrane Review)
Intermittent catheterisation for long-term bladder management (abridged Cochrane Review)
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 We contacted other investigators for unpublished data or clarification.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
intermittent catheterisation, lower urinary tract symptoms, quality of life, urinary tract infection
1-6
Prieto, Jacqui A.
47dd42cd-35d5-4ece-8fc6-fdb8fe1f01cc
Murphy, Catherine
b7f2dd56-3a8a-412a-9f6a-bf468ce7f749
Moore, Katherine N.
0f0c315d-93bd-4231-8ad1-aa11ac9dbf10
Fader, Mandy J.
c318f942-2ddb-462a-9183-8b678faf7277
5 June 2015
Prieto, Jacqui A.
47dd42cd-35d5-4ece-8fc6-fdb8fe1f01cc
Murphy, Catherine
b7f2dd56-3a8a-412a-9f6a-bf468ce7f749
Moore, Katherine N.
0f0c315d-93bd-4231-8ad1-aa11ac9dbf10
Fader, Mandy J.
c318f942-2ddb-462a-9183-8b678faf7277
Prieto, Jacqui A., Murphy, Catherine, Moore, Katherine N. and Fader, Mandy J.
(2015)
Intermittent catheterisation for long-term bladder management (abridged Cochrane Review).
Neurourology and Urodynamics, .
(doi:10.1002/nau.22792).
Abstract
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
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Published date: 5 June 2015
Keywords:
intermittent catheterisation, lower urinary tract symptoms, quality of life, urinary tract infection
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 379226
URI: http://eprints.soton.ac.uk/id/eprint/379226
ISSN: 0733-2467
PURE UUID: 3bde9f88-475f-4416-a6a2-2732f487fd81
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Date deposited: 24 Jul 2015 11:12
Last modified: 15 Mar 2024 03:51
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Author:
Katherine N. Moore
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