Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial

Ridder, D.J.M.K. de; Everaert, Karel; Fernández, L. García; Valero, José; Durán, Albert Borau i; Abrisqueta, María Luisa Jáuregui; Ventura, Manfredi; Sotillo, Alma

doi:10.1016/j.eururo.2005.07.018

Cited by 144 publications

(151 citation statements)

References 12 publications

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“…A reduction in UTI was also obtained when a hydrophilic coated catheter, rather than a plastic one, was used in patients carrying out self-catheterization (23) . The use of a hydrophilic coated catheter rather than a PVC one presented a lower rate of UTI, but the association was not significant (24) . The use of a hydrogel catheter combined with silver salts in comparison with a common catheter in patients needing catheterization for more than three days did not reduce the incidence of UTI (25) .…”

Section: Type Of Catheter Materialsmentioning

confidence: 84%

“…Catheters coated with silver alloy, when compared with those of silicone and latex, reduce bacteriuria and UTI, even when the length of time the catheter remains in situ is prolonged (22) . The rate of UTI was significantly lower in the group of patients who used catheters with hydrophilic coatings in comparison with those of PVC (23)(24) . There is insufficient evidence to conclude that the use of hydrogel catheters and silver salts can reduce UTI ( 25) .…”

Section: Studies Were Not Found In This Irmentioning

confidence: 94%

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Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization

Ercole

Macieira

Wenceslau

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to seek the best evidence available in the literature concerning the knowledge produced and related to the techniques of intermittent and indwelling urinary catheterization, so as to place the nursing care given to patients submitted to urinary catheterization on a scientific foundation and to prevent urinary tract infections. Method: the literature search was undertaken in the Pubmed and Cochrane databases for the development of the integrative review. The sample was of 34 articles. These were analyzed by two independent researchers using an instrument adapted for ascertaining the level of evidence and the grade of recommendation, in addition to the use of the Jadad scale. Results: the evidence available related to the nursing care for patients submitted to urinary catheterization is: the infection rate in the urinary tract does not alter whether the perineum is cleaned with sterile water or not, or with the use of povidone-iodine solution or chlorhexidine; or using clean or sterile technique. The use of an intermittent catheter with clean technique results in low rates of complications or infections compared to the use of an indwelling catheter. The removal of the catheter in up to 24 hours after surgery and the use of an antimicrobial-impregnated or hydrophilic-coated catheter reduce urinary tract infection.Conclusions: there are controversies in relation to periurethral cleansing technique, the type of material the catheter is made of, and some procedures for the maintenance and removal of the catheter. This review's results represent an updating of the nurse's conducts and decisionmaking for the prevention of urinary tract infections in urinary catheterization.

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Section: Type Of Catheter Materialsmentioning

confidence: 84%

Section: Studies Were Not Found In This Irmentioning

confidence: 94%

Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization

Ercole

Macieira

Wenceslau

et al. 2013

Rev. Latino-Am. Enfermagem

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show abstract

“…There are no available clinical trials with appropriate setting about the effect of silver alloy coated catheters on bacteriuria or biofilm formation in case of long-term catheterisation. De Ridder et al found that fewer patients using hydrophilic-coated catheter (64%) for CIC experienced UTIs compared to the uncoated catheter group (82%) [77]. However, in a randomised controlled study the authors did not find significant difference between hydrophilic-coated and uncoated indwelling urethral catheters in place for 6 weeks with respect to symptomatic urinary tract infection and microbiological analysis of urine culture [78].…”

Section: Prevention Of Biofilm Formation In the Urinary Tractmentioning

confidence: 99%

Biofilm and Urogenital Infections

Tenke¹,

Köves²,

Nagy³

et al. 2011

Clinical Management of Complicated Urinary Tract Infection

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“…6 To address this issue, coated catheters that provide improved lubrication and may reduce the frequency of urinary tract infections have been developed. 7 Such improvements are important because the method of catheterisation can significantly affect an individual's quality of life. 8 Several different types of coating have been developed, including gel-coated polyvinyl chloride (pre-lubricated with gel by the manufacturer) and hydrophilic-coated catheters.…”

Section: Introductionmentioning

confidence: 99%

Safety of a new compact catheter for men with neurogenic bladder dysfunction: a randomised, crossover and open-labelled study

Chartier-Kästler

Lauge²,

Ruffion

et al. 2011

Spinal Cord

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Study design: Self-catheterising males aged X18 years with spinal cord lesion and normal/impaired urethral sensation were enrolled in this comparative, randomised, crossover and open-labelled multicentre trial. Objectives: When possible, intermittent catheterisation is the preferred method of bladder emptying for neurogenic bladder dysfunction. Hydrophilic-coated catheters have improved safety and ease of use, and a new compact catheter for men has been developed to improve discretion. Methods: Participants self-catheterised at least four times daily for 14 days with a standard or compact catheter. The primary outcome measure was discomfort, using a visual analogue scale. Non-inferiority was defined as a difference in mean discomfort score of o0.9 cm. Other assessments included ease of use, discretion and the degree of pain, stinging or resistance. Results: A total of 36 individuals participated and 30 were included in the intention-to-treat analysis. The mean difference between catheters for participant discomfort was À0.347 cm (95% confidence intervals: À1.493, 0.800). There were significant differences (Pp0.0001) in favour of the compact catheter for disposal and discretion, and inserting, storing, carrying and controlling the catheter. Fewer participants experienced resistance with the compact catheter. Participants were less likely to touch the coated part of the compact catheter. One adverse event was reported for each catheter. Conclusions: The coated compact catheter is at least as acceptable to the user as the standard catheter, with no inferiority observed in the level of discomfort. Secondary endpoints suggest that there are advantages of using the compact catheter, particularly with regard to discretion and ease of use.

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Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial

Cited by 144 publications

References 12 publications

Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization

Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization

Biofilm and Urogenital Infections

Safety of a new compact catheter for men with neurogenic bladder dysfunction: a randomised, crossover and open-labelled study

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