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Sökning: L773:1573 2584 > (2020-2024) > Intermittent cathet...

  • 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 ...

  • 2020-03-14
  • Springer Science and Business Media LLC,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:ri-44561
  • https://urn.kb.se/resolve?urn=urn:nbn:se:ri:diva-44561URI
  • https://doi.org/10.1007/s11255-020-02435-9DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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

  • Catheter-associated urinary tract infection (CAUTI)
  • Clean intermittent catheterization
  • Lower urinary tract dysfunction (LUTD)
  • Neurogenic lower urinary tract dysfunction (NLUTD)
  • Urinary catheter

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • New, Peter WMonash University, Australia; Caulfield Hospital, Australia (författare)
  • Heriseanu, RoxanaRoyal Rehab, Australia (författare)
  • Petronis, SarunasRISE,Kemi, biomaterial och textil(Swepub:ri)sarunaspe@ri.se (författare)
  • Håkansson, JoakimRISE,Kemi, biomaterial och textil(Swepub:ri)JoakimHa@ri.se (författare)
  • Håkansson, Maria ÅWellspect, Sweden (författare)
  • Lee, Bonsan BonnePrince of Wales Hospital, Australia (författare)
  • University of Pennsylvania, USAMonash University, Australia; Caulfield Hospital, Australia (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:International Urology and Nephrology: Springer Science and Business Media LLC19:1, s. 1-1530301-16231573-2584

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