Use of clean intermittent self‐catheterization in France: A survey of patient and GP perspectives

Chiappe, S. Gonzalez; Lasserre, A.; Kastler, E. Chartier; Falchi, Alessandra; Blaizeau, Fanette; Blanchon, Thierry; Hanslik, Thomas; Denys, Pierre

doi:10.1002/nau.22752

Cited by 11 publications

(13 citation statements)

References 18 publications

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“…Among the most relevant results of this study were that the profile of people requiring IBC varied greatly in sociodemographic and clinical characteristics, with neurological damage as the reason for prescription in one in three patients. This variability in the prescriptions and characteristics of patients requiring IBC can also be seen in other works [20,21].…”

Section: Discussionsupporting

confidence: 71%

Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

Blanc¹,

Rodríguez‐Almagro

Lorenzo-García

et al. 2021

JCM

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Intermittent bladder catheterization (IBC) involves regular urine draining using a catheter, which is removed immediately after urinary elimination. It allows for the patient’s urological health to be managed and their renal function to be preserved, and it promotes autonomy. Compliance with the prescribed number of daily catheterizations, which must be conducted by the patient, and infection prevention measures are crucial. To identify the patients requiring IBC, and to determine their adherence (whether they followed the prescribed guidelines and their difficulty in carrying out the procedure, as well as to assess how the IBC influences their quality of life and state of mind after receiving self-care training from a specialized nurse), we carried out a prospective, multicenter observational study in 24 Spanish hospitals with one month of monitoring and a sample of 99 patients. The sources of information were the patients’ clinical records, the King’s Health Questionnaire, the Mini-Mental State Examination (MMSE), and the hospital anxiety and depression scale (HADS). Descriptive and bivariate statistics were used to analyses the paired data. After recruitment (n = 99), 79 patients completed the questionnaire at a mean age of 35.2 years (SD = 20.5 years). In total, 53.5% (53) of the sample consisted of men and 32.3% (32) had neurological damage as the reason for prescription; 67% (67.7) performed self-catheterization and 86.7% adhered to the IBC. After one month of monitoring, a statistically significant improvement in quality of life was observed in all criteria, with the exception of personal relationships (p < 0.005), as well as an improvement in anxiety and depression levels (p < 0.001). Patients who require IBC show good adherence to the IBC with a significant percentage of self-catheterization. After one month of IBC, a significant improvement in the patients’ quality of life and mood was observed. These results could be attributed to adequate patient training and adequate personalization of the IBC materials by the specialized nurses.

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Section: Discussionsupporting

confidence: 71%

Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

Blanc¹,

Rodríguez‐Almagro

Lorenzo-García

et al. 2021

JCM

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“…Assuming a use of four catheters per person per day, 9 these data imply a prevalence of 74 people who use catheters per 100 000 people, which is similar to the prevalence observed in France (62 users per 100 000 people). 10 Although precise data are unavailable, the prevalence of repeated UTIs that is associated with CISC use is likely to be similar in other countries with sufficient health-care resources.…”

Section: Introductionmentioning

confidence: 99%

Continuous low-dose antibiotic prophylaxis for adults with repeated urinary tract infections (AnTIC): a randomised, open-label trial

Fisher

Oluboyede

Chadwick

et al. 2018

The Lancet Infectious Diseases

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SummaryBackgroundRepeated symptomatic urinary tract infections (UTIs) affect 25% of people who use clean intermittent self-catheterisation (CISC) to empty their bladder. We aimed to determine the benefits, harms, and cost-effectiveness of continuous low-dose antibiotic prophylaxis for prevention of recurrent UTIs in adult users of CISC.MethodsIn this randomised, open-label, superiority trial, we enrolled participants from 51 UK National Health Service organisations. These participants were community-dwelling (as opposed to hospital inpatient) users of CISC with recurrent UTIs. We randomly allocated participants (1:1) to receive either antibiotic prophylaxis once daily (prophylaxis group) or no prophylaxis (control group) for 12 months by use of an internet-based system with permuted blocks of variable length. Trial and laboratory staff who assessed outcomes were masked to allocation but participants were aware of their treatment group. The primary outcome was the incidence of symptomatic, antibiotic-treated UTIs over 12 months. Participants who completed at least 6 months of follow-up were assumed to provide a reliable estimate of UTI incidence and were included in the analysis of the primary outcome. Change in antimicrobial resistance of urinary and faecal bacteria was monitored as a secondary outcome. The AnTIC trial is registered at ISRCTN, number 67145101; and EudraCT, number 2013-002556-32.FindingsBetween Nov 25, 2013, and Jan 29, 2016, we screened 1743 adult users of CISC for eligibility, of whom 404 (23%) participants were enrolled between Nov 26, 2013, and Jan 31, 2016. Of these 404 participants, 203 (50%) were allocated to receive prophylaxis and 201 (50%) to receive no prophylaxis. 1339 participants were excluded before randomisation. The primary analysis included 181 (89%) adults allocated to the prophylaxis group and 180 (90%) adults in the no prophylaxis (control) group. 22 participants in the prophylaxis group and 21 participants in the control group were not included in the primary analysis because they were missing follow-up data before 6 months. The incidence of symptomatic antibiotic-treated UTIs over 12 months was 1·3 cases per person-year (95% CI 1·1–1·6) in the prophylaxis group and 2·6 (2·3–2·9) in the control group, giving an incidence rate ratio of 0·52 (0·44–0·61; p<0·0001), indicating a 48% reduction in UTI frequency after treatment with prophylaxis. Use of prophylaxis was well tolerated: we recorded 22 minor adverse events in the prophylaxis group related to antibiotic prophylaxis during the study, predominantly gastrointestinal disturbance (six participants), skin rash (six participants), and candidal infection (four participants). However, resistance against the antibiotics used for UTI treatment was more frequent in urinary isolates from the prophylaxis group than in those from the control group at 9–12 months of trial participation (nitrofurantoin 12 [24%] of 51 participants from the prophylaxis group vs six [9%] of 64 participants from the control group with at least one isolate; p...

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“…The year with the highest number of published articles was 2011 with three studies (16)(17)(18) , followed by 2002 and 2015 (19)(20)(21)(22) , both with two studies each. It should be noted that the earliest study that addresses the theme dates back to 1990 (23) , and the most recent is from 2016 (24) .…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the language, nine articles (16)(17)19,(21)(22)(24)(25)(26)(27) were published in English, and four in Portuguese (18,20,23,28) . In relation to the databases, five were identified in the MEDLINE/ PubMed (21,(24)(25)(26)(27) , five in the LILACS (17)(18)20,23,28) , two in the CINAHL (16,19) and one in the SCOPUS (22) . It should be noted that the four studies identified in Portuguese were carried out in Brazil.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Fatores associados ao conhecimento de pacientes e cuidadores acerca do cateterismo vesical intermitente limpo: revisão integrativa

Benício

Rocha

Dourado

et al. 2018

Rev. esc. enferm. USP

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Use of clean intermittent self‐catheterization in France: A survey of patient and GP perspectives

Cited by 11 publications

References 18 publications

Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

Continuous low-dose antibiotic prophylaxis for adults with repeated urinary tract infections (AnTIC): a randomised, open-label trial

Fatores associados ao conhecimento de pacientes e cuidadores acerca do cateterismo vesical intermitente limpo: revisão integrativa

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