Long-term bladder management by intermittent catheterisation in adults and children

Moore, Katherine; Fader, Mandy; Getliffe, Kathryn

doi:10.1002/14651858.cd006008.pub2

Cited by 109 publications

(81 citation statements)

References 26 publications

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“…50,56,60,64,68,71,[83][84][85]87,88,106,201,[224][225][226][227][228] What our study has added is the systematic review and overview of the treatments relevant to the NHS, where evidence on the relative effectiveness has been derived using more advanced methods of meta-analysis than have been used previously. These methods have allowed us to provide clearer evidence about which treatments work and how well they work than was hitherto available.…”

Section: Strengths Assumptions Limitations and Uncertaintiesmentioning

confidence: 99%

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

163

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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Section: Strengths Assumptions Limitations and Uncertaintiesmentioning

confidence: 99%

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

163

View full text Add to dashboard Cite

show abstract

“…The current literature and the most recent Cochrane systematic review 7 indicate that there is inadequate evidence to state with certainty that sterile single-use IC or sterile hydrophilic-coated catheters are better at reducing UTI than multi-use PVC catheters. According to the Cochrane Review, 7 there are no definitive studies showing the incidence of UTI is improved with any catheter technique, type or strategy.…”

Section: What Is the Relationship Between Type And Methods Of Cathetermentioning

confidence: 99%

“…According to the Cochrane Review, 7 there are no definitive studies showing the incidence of UTI is improved with any catheter technique, type or strategy. 8 However, the EAU Guidelines 9 state that sterile IC significantly reduces the risk of UTI and/or bacteriuria compared with clean IC.…”

Section: What Is the Relationship Between Type And Methods Of Cathetermentioning

confidence: 99%

Best practices for the treatment and prevention of urinary tract infection in the spinal cord injured population

Hill¹,

Baverstock²,

Carlson

et al. 2013

CUAJ

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The purpose of this review of clinical guidelines and best practices literature is to suggest prevention options and a treatment approach for intermittent catheter users that will minimize urinary tract infections (UTI). Recommendations are based both on evidence in the literature and an understanding of what is currently attainable within the Alberta context. This is done through collaboration between both major tertiary care centres (Edmonton and Calgary) and between various professionals who regularly encounter these patients, including nurses, physiatrists and urologists. Bladder management in the context of a spinal cord injuryA pervasive issue in most neurologic diseases (Parkinson's disease, multiple sclerosis, diabetes, stroke and spinal cord injury [SCI]) is bladder dysfunction (neurogenic bladder) or neurogenic lower urinary tract dysfunction (NLUTD). These dysfunctions result in symptoms of urgency, increased daytime and nighttime frequency, urinary retention, incontinence and urinary tract infection (UTI). Treatment involves non-invasive continence management through toileting, fluid management, containment products, medications and intermittent catheterization. UTIs have substantial negative physical and psychological effects and are a major burden on the health care system. Frequent UTI in the SCI population is defined clinically as 3 or more infections per year where both symptoms of infection and a positive urine culture are present. Despite the variety of treatment approaches to emptying the neurogenic bladder, UTI remains a complex and challenging clinical problem.Intermittent catheterization (IC) is recognized as the gold standard for treating voiding disorders associated with the neurogenic bladder.

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“…There is no evidence supporting the idea that the use of catheters coated with any sort of antiseptic or antimicrobial solution is more beneficial than the use of common catheters in reducing UTI in patients who need urinary catheterizing for prolonged periods (27) . There is not enough evidence to determine which is the best type of urinary catheter, in terms of prevention of UTI (28)(29) .…”

Section: Type Of Catheter Materialsmentioning

confidence: 99%

“…There is insufficient evidence to conclude that the use of hydrogel catheters and silver salts can reduce UTI ( 25) . There is no evidence to justify the advantage of catheters coated with substances over common catheters in relation to UTI (27)(28)(29) . Studies must be undertaken to evaluate the cost-benefit ratio for the use of these catheters for any type of patient.…”

Section: Studies Were Not Found In This Irmentioning

confidence: 99%

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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Long-term bladder management by intermittent catheterisation in adults and children

Cited by 109 publications

References 26 publications

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Best practices for the treatment and prevention of urinary tract infection in the spinal cord injured population

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

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