Hibitane Bladder Irrigation in the Prevention of Catheter-associated Urinary Infection

Kirk, D.; Dunn, M.; Bullock, D.W.; Mitchell, J. P.; Hobbs, S. J. F.

doi:10.1111/j.1464-410x.1979.tb03594.x

Cited by 29 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although oral ingestion of chlorhexidine is usually well tolerated because negligible systemic absorption occurs, adverse effects can occur when large doses are ingested [35][36][37][42][43][44] fed formula prepared with chlorhexidine 0.05% (mistaken for sterile water), four developed oedema of the tongue and oral ulcers and one had acute pulmonary oedema 42 . An 80-year-old woman who accidentally ingested 10 g of chlorhexidine (200 ml of 5% solution) died after developing an acute respiratory distress syndrome 43 .…”

Section: Oral Ingestionmentioning

confidence: 99%

Chlorhexidine - Pharmacology and Clinical Applications

Lim

Kam

2008

Anaesth Intensive Care

222

162

View full text Add to dashboard Cite

chlorhexidine is a widely used skin antisepsis preparation and is an ingredient in toothpaste and mouthwash. It is an especially effective antiseptic when combined with alcohol. Its antimicrobial effects persist because it is binds strongly to proteins in the skin and mucosa, making it an effective antiseptic ingredient for handwashing, skin preparation for surgery and the placement of intravascular access. Catheters impregnated with chlorhexidine and antimicrobial agents can reduce the incidence of catheter-related bloodstream infections. Contact dermatitis related to chlorhexidine is not common in health care workers. The incidence of contact dermatitis to chlorhexidine in atopic patients is approximately 2.5 to 5.4%. Acute hypersensitivity reactions to chlorhexidine are often not recognised and therefore may be underreported. This review discusses the pharmacology, microbiology, clinical applications and adverse effects of chlorhexidine.

show abstract

Section: Oral Ingestionmentioning

confidence: 99%

Chlorhexidine - Pharmacology and Clinical Applications

Lim

Kam

2008

Anaesth Intensive Care

222

162

View full text Add to dashboard Cite

show abstract

“…Although this method demonstrated some value in preventing UTI when an open drainage system was used, little overall benefit has been seen in studies with closed systems. [45][46][47][48][49] Infection control prin- ciples would dictate that unidirectional flow from the bladder to the drainage bag is best. Furthermore, in view of the potential for local toxic effects and the complexity of this method, antibacterial irrigation currently cannot be recommended.…”

Section: Bladder Irrigationmentioning

confidence: 99%

Preventing Catheter-Related Bacteriuria

1999

View full text Add to dashboard Cite

Up to 25% of hospitalized patients undergo urinary catheterization, and about 5% develop bacteriuria each day of catheterization. Catheter-related bacteriuria is associated with increased morbidity and mortality. We performed an evidence-based synthesis of the literature on preventing catheter-associated urinary tract infections (UTIs) to develop recommendations for clinicians. Catheterization should be avoided when not required and when needed, should be terminated as soon as possible. Use of suprapubic and condom catheters may be associated with a lower risk of UTI than use of urethral catheters. Aseptic catheter insertion and a properly maintained closed drainage system are crucial to reducing the risk of bacteriuria. Instillation of antimicrobial agents into the bladder or urinary drainage bag and rigorous meatal cleansing seem to be of little benefit. Use of urinary catheters coated with silver alloy may reduce the risk of UTI. Systemic antimicrobial drug therapy seems to prevent UTIs, but primarily for patients catheterized for 3 to 14 days. Antibiotic drug prophylaxis is especially valuable in patients undergoing transurethral resection of the prostate or renal transplantation. Using these methods, urinary catheter-associated UTI can often be prevented for weeks, but not longer terms.

show abstract

“…Garibaldi et al 82 Not an RCT SICT 83 Not an RCT Wewalka et al 84 Did not measure urinary infection Catheter flushing/solutions to bag Adesanya et al 85 Included patients with suprapubic catheters Davies et al 86 Long-term catheterisation Dille et al 87 Long-term catheterisation Dudley & Barriere 88 Not an RCT Giannoni et al 89 Not an RCT Holliman et al 90 Not an RCT Kirk et al 91 Publication data prior to review criteria Muncie et al 92 Long-term catheterisation Ruwaldt 93 Not an RCT and long-term catheterisation Sharpe et al 94 Not an RCT and outcomes not clearly stated Meatal care and nursing practice Crow et al 95 Not an RCT General…”

Section: Appendix I Inclusion Criteria Checklistmentioning

confidence: 98%

Management of short‐term indwelling urethral catheters to prevent urinary tract infections

et al. 2004

View full text Add to dashboard Cite

Executive summaryBackground This systematic review updates a previous review published in 2000. The objective of this review was to present the best available evidence relating to the prevention of catheter-associated urinary tract infections (UTI).Selection criteria This review considered randomised controlled trials (RCTs) of adult patients with short-term urethral catheters. In the absence of RCTs, other research designs such as non-randomised controlled trials and before and after studies were considered for inclusion. Interventions of interest were those related to the prevention of catheter-related UTI and included: sterile versus non-sterile insertion technique, special coatings to catheters versus standard non-coated catheters, the use of flush solutions, the use of solutions added to urinary drainage bag, maintenance of a closed urinary drainage circuit, the use of antireflux valves, antibiotic creams applied to the external meatus-catheter interface, meatal care regimens, education programs, and changed care delivery practices. This review was limited to short-term urethral catheters, and so studies evaluating long-term or suprapubic catheters were excluded. The primary outcome of interest was the difference in the rates of UTI between experimental intervention and the control. Search strategy The search included both published and unpublished studies with aninitial limited search of MEDLINE and CINAHL databases undertaken to identify key words contained in the title or abstract, and index terms used to describe relevant interventions. A second extensive search used all identified key words and index terms. The third step included a search of the reference lists and bibliographies of relevant articles. The databases searched included: CINAHL, MEDLINE, Current Contents, Cochrane Library, Expanded Academic Index, and Embase. The Dissertation Abstracts International database was searched for unpublished studies.Assessment of methodological quality Methodological quality was assessed using a standardised checklist. Critical appraisal and data extraction were conducted by 272 C Lockwood et al. two independent reviewers; discrepancies were addressed through discussion with a third reviewer as required. ResultsThere was no significant difference in infection rate using either sterile surgical or non-sterile insertion technique. The use of water for cleansing prior to catheter insertion was recommended. There was no additional benefit from specific meatal care other than standard daily personal hygiene and removal of debris. Infection rates were similar for both latex and silicone catheters. Comparisons between silver and Teflon coating clearly favoured the silver alloy coating. The use of a complex closed drainage system in the intensive care environment did not confer any additional benefit. Studies comparing types of junction seals and use of junction seals either prior to or following catheterisation found no clear benefit from using either preconnected sealed systems or sealed systems with the addition ...

show abstract

Hibitane Bladder Irrigation in the Prevention of Catheter-associated Urinary Infection

Cited by 29 publications

References 9 publications

Chlorhexidine - Pharmacology and Clinical Applications

Chlorhexidine - Pharmacology and Clinical Applications

Preventing Catheter-Related Bacteriuria

Management of short‐term indwelling urethral catheters to prevent urinary tract infections

Contact Info

Product

Resources

About