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Intermittent cathet...
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Newman, Diane KUniversity of Pennsylvania, USA
(författare)
Intermittent catheterization with single- or multiple-reuse catheters : clinical study on safety and impact on quality of life
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
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2020-03-14
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Springer Science and Business Media LLC,2020
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:ri-44561
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https://urn.kb.se/resolve?urn=urn:nbn:se:ri:diva-44561URI
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https://doi.org/10.1007/s11255-020-02435-9DOI
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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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.
Ämnesord och genrebeteckningar
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Catheter-associated urinary tract infection (CAUTI)
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Clean intermittent catheterization
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Lower urinary tract dysfunction (LUTD)
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Neurogenic lower urinary tract dysfunction (NLUTD)
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Urinary catheter
Biuppslag (personer, institutioner, konferenser, titlar ...)
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New, Peter WMonash University, Australia; Caulfield Hospital, Australia
(författare)
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Heriseanu, RoxanaRoyal Rehab, Australia
(författare)
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Petronis, SarunasRISE,Kemi, biomaterial och textil(Swepub:ri)sarunaspe@ri.se
(författare)
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Håkansson, JoakimRISE,Kemi, biomaterial och textil(Swepub:ri)JoakimHa@ri.se
(författare)
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Håkansson, Maria ÅWellspect, Sweden
(författare)
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Lee, Bonsan BonnePrince of Wales Hospital, Australia
(författare)
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University of Pennsylvania, USAMonash University, Australia; Caulfield Hospital, Australia
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:International Urology and Nephrology: Springer Science and Business Media LLC19:1, s. 1-1530301-16231573-2584
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