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Intermittent cathet...
Intermittent catheterization with single- or multiple-reuse catheters : clinical study on safety and impact on quality of life
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- Newman, Diane K (författare)
- University of Pennsylvania, USA
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- New, Peter W (författare)
- Monash University, Australia; Caulfield Hospital, Australia
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- Heriseanu, Roxana (författare)
- Royal Rehab, Australia
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- Petronis, Sarunas (författare)
- RISE,Kemi, biomaterial och textil
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- Håkansson, Joakim (författare)
- RISE,Kemi, biomaterial och textil
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- Håkansson, Maria Å (författare)
- Wellspect, Sweden
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- Lee, Bonsan Bonne (författare)
- Prince of Wales Hospital, Australia
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(creator_code:org_t)
- 2020-03-14
- 2020
- Engelska.
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Ingår i: International Urology and Nephrology. - : Springer Science and Business Media LLC. - 0301-1623 .- 1573-2584. ; 19:1, s. 1-153
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- PURPOSE: Intermittent catheterization (IC) is a proven effective long-term bladder management strategy for individuals who have lower urinary tract dysfunction. This study provides clinical evidence about multiple-reuse versus single-use catheterization techniques and if catheter choice can have an impact on health-related quality of life (HRQoL).METHOD: A prospective, multi-center, clinical trial studied patients who currently practiced catheter reuse, and who agreed to prospectively evaluate single-use hydrophilic-coated (HC) (i.e. LoFric) catheters for 4 weeks. A validated Intermittent Self-Catheterization Questionnaire (ISC-Q) was used to obtain HRQoL. Reused catheters were collected and studied with regard to microbial and debris contamination.RESULTS: The study included 39 patients who had practiced IC for a mean of 10 years, 6 times daily. At inclusion, all patients reused catheters for a mean of 21 days (SD = 48) per catheter. 36 patients completed the prospective test period and the mean ISC-Q score increased from 58.0 (SD = 22.6) to 67.2 (SD = 17.7) when patients switched to the single-use HC catheters (p = 0.0101). At the end of the study, 83% (95% CI [67-94%]) preferred to continue using single-use HC catheters. All collected reused catheters (100%) were contaminated by debris and 74% (95% CI [58-87%]) were contaminated by microorganisms, some with biofilm.CONCLUSION: Single-use HC catheters improved HRQoL and were preferred over catheter reuse among people practicing IC. Catheter multiple-reuse may pose a potential safety concern due to colonization by microorganisms as well as having reduced acceptance compared to single use.TRIAL REGISTRY NUMBER: ClinicalTrials.gov NCT02129738.
Nyckelord
- Catheter-associated urinary tract infection (CAUTI)
- Clean intermittent catheterization
- Lower urinary tract dysfunction (LUTD)
- Neurogenic lower urinary tract dysfunction (NLUTD)
- Urinary catheter
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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