Urinary catheter policies for long-term bladder drainage

Abstract

No eligible trials were identified that compared alternative routes of catheter insertion. The data from seven trials comparing differing antibiotic policies were sparse, particularly when intermittent catheterisation was considered separately from in-dwelling catheterisation. Possible benefits of antibiotic prophylaxis must be balanced against possible adverse effects, such as development of antibiotic resistant bacteria; these cannot be reliably estimated from currently available trials.

European and Asian guidelines on management and prevention of catheter-associated urinary tract infections

“…Therefore it is not recommended (B). For patients using permanent urethral catheterisation, no data are available [80].…”

Antibiotic cycling prevents urinary tract infections in spinal cord injury patients and limits the emergence of multidrug resistant organism

“…Two meta-analyses combined results of 23 studies on the use of antibiotic prophylaxis for theprevention of UTIs in SCI patients and all are based on continual administration of a singleantibiotic [5,6]. The authors concluded that the potential benefits of antibiotic prophylaxis mustbe balanced with adverse effects, such as the development of antibiotic-resistant bacteria, approximately two-fold increase ofMDRO, which was not the result of our study.…”

“…Continual prophylactictreatment in patients with a urinary catheter is strongly discouraged because it maylead to the emergence of resistant bacterial strains [5,6].…”

Management of Urinary Symptoms Associated with Fibroids

“…in pregnancy), clean intermittent self-catheterisation or indwelling catheterisation might be considered as a last resort. The decision for catheterisation should be tailored to patient needs and expectations [46].…”