A randomized controlled trial comparing short versus long‐term catheterization after uncomplicated vaginal prolapse surgery

Kamilya, Gourisankar; Seal, Subrata Lall; Mukherji, Joydev; Bhattacharyya, S.K.; Hazra, Avijit

doi:10.1111/j.1447-0756.2009.01096.x

Cited by 44 publications

(42 citation statements)

References 15 publications

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“…The one self‐care trial (Hansen & Olsen, 2015) found that compared to using bedpans and urine bottles, postoperative ambulant toileting in the recovery room reduced the frequency of catheterisation but had a mixed effect on variables such as mobilisation, pain relief and nausea. The catheter care studies included three investigating immediate or early postoperative vs. delayed catheter removal (Alessandri, Mistrangelo, Lijoi, Ferrero, & Ragni, 2006; Dunn, Shlay, & Forshner, 2003; Kamilya, Seal, Mukherji, Bhattacharyya, & Hazra, 2010). Results were conflicting, with two demonstrating no between‐group differences in infection rates but one positive for early removal.…”

Section: Resultsmentioning

confidence: 99%

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Richards

Hilli

Pentecost

et al. 2018

Journal of Clinical Nursing

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Aims and objectivesTo determine the effects of nursing interventions for people's nutrition, elimination, mobility and hygiene needs.BackgroundPatient experience of health care is sensitive to nursing quality. A refocus on fundamental nursing care is undermined by lack of evidence of effectiveness for interventions in core areas such as elimination, nutrition, mobility and hygiene.DesignSystematic review.MethodsWe searched for and included experimental studies on interventions by professionally qualified and unregistered nurses that addressed participants' nutrition, elimination, mobility and hygiene needs. We extracted data on scope, quality and results of studies followed by descriptive narrative synthesis of included study outcomes using a novel form of harvest plots.ResultsWe included 149 studies, 35 nutrition, 56 elimination, 16 mobility, 39 hygiene and three addressing two or more areas simultaneously (67 randomised controlled trials, 32 non‐randomised controlled trials and 50 uncontrolled trials). Studies into interventions on participant self‐management of nutrition (n = 25), oral health (n = 26), catheter care (n = 23) and self‐management of elimination (n = 21) were the most prevalent. Most studies focussed their outcomes on observational or physiological measures, with very few collecting patient‐reported outcomes, such as quality of life, experience or self‐reported symptoms. All but 13 studies were of low quality and at significant risk of bias. The majority of studies did not define primary outcomes, included multiple measures of identical concepts, used inappropriate analyses and did not conform to standard reporting quality criteria.ConclusionsThe current evidence for fundamental nursing care interventions is sparse, of poor quality and unfit to provide evidence‐based guidance to practising nurses.Relevance to clinical practiceResearchers in nursing internationally should now undertake a programme of work to produce evidence for clinical practice in the fundamentals of care that is reliable, replicable and robust.

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Section: Resultsmentioning

confidence: 99%

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Richards

Hilli

Pentecost

et al. 2018

Journal of Clinical Nursing

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“…Conclusión: en busca de la mejor evidencia disponible, por las intervenciones de enfermería eficientes para la prevención de infecciones del tracto urinario, se entiende que la toma de la decisión de la enfermera en el uso de dispositivos debe llevarse a cabo sobre la base de una evaluación detallada e individualizada para cada paciente. Remoção precoce de cateter é mais vantajoso, com menor incidência de infecção urinária e menor tempo de internação, embora associado à re-cateterismo (1B) 16 Avalição criteriosa do tempo de permanência do cateter para evitar substituições consecutivas e infecções (3A) 10 Há evidencias de infecção urinária?…”

Section: Resuménunclassified

Evidências na prática do cateterismo urinário: Revisão Integrativa

Almeida¹,

Torres²,

Lindoso³

et al. 2016

Rev. Infec. e Saude

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Almeida MM, Silva FWT, Lindoso AM, et al. ABSTRACT Objective: to discuss from the national and international scientific production the best evidence related to urinary catheterization technique in preventing urinary tract infection. Method: integrative descriptive review, in order to answer the main question: what are the best evidence available in the literature related to urinary catheterization technique? Selected bases were LILACS, SciELO and Cochrane. Results: 242 articles were found in the Cochrane Library, 81 articles on LILACS and 49 in SciELO base, adding to 372 articles. Of these, 10 articles were analyzed that met the previously established inclusion criteria. Conclusion: in search of the best available evidence, for the efficient nursing interventions for the prevention of urinary tract infections, it is understood that taking the nurse's decision on the use of devices should be carried out based on detailed and individualized assessment for every patient. RESUMOObjetivo:discutir a partir da produção científica nacional e internacional as melhores evidências relacionadas à técnica de cateterismo urinário na prevenção da infecção do trato urinário Método: revisão descritiva integrativa, com vistas a responder a questão norteadora: quais as melhores evidências disponíveis na literatura relacionadas à técnica de cateterismo urinário? As bases selecionadas foram a LILACS, SCIELO e Cochrane. Resultados: foram encontrados 242 artigos na biblioteca Cochrane, 81 artigos na base LILACS e 49 na base SCIELO, somando-se 372 artigos. Destes, analisou-se 10 artigos que atenderam aos critérios de inclusão previamente estabelecidos. Conclusão: na busca da melhor evidência disponível, quanto às intervenções de enfermagem eficazes para a prevenção de infecções urinárias, entende-se que a tomada de decisão do enfermeiro sobre o uso de dispositivos deve ser realizada baseada em avaliação criteriosa e individualizada para cada paciente. Descritores: cateterismo urinário; infecções urinárias; enfermagem baseada em evidências. RESUMÉNObjetivo: discutir a partir de la producción científica nacional e internacional la mejor evidencia relacionada con la técnica de cateterización urinaria en la prevención de la infección del tracto urinario. Método: revisión descriptiva integradora, con el fin de responder a la pregunta principal: ¿qué son la mejor evidencia disponible en la literatura relacionada con técnica de cateterismo urinario? Bases seleccionadas fueron LILACS, SciELO y Cochrane. Resultados: 242 artículos fueron encontradas en la Biblioteca Cochrane, 81 artículos basados en LILACS y 49 en la base SciELO, añadiendo a 372 artículos. De éstos, se analizó 10 artículos que cumplieron los criterios de inclusión previamente establecidos. Conclusión: en busca de la mejor evidencia disponible, por las intervenciones de enfermería eficientes para la prevención de infecciones del tracto urinario, se entiende que la toma de la decisión de la enfermera en el uso de dispositivos debe llevarse a cabo sobre la base de una evaluación de...

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“…The articles comprising this subject area are about the length of time the catheter remains in situ and its removal, use of a fixation device and the procedure of clamping of the closed system and its relation to reduction of UTI ( In surgical patients, the removal of the indwelling catheter in the first day post-surgery, compared to removal on the fourth or fifth day postoperative was associated with a lower incidence of UTI, although there was an increased risk of re-catheterization (30)(31)(32)(33)(34)(35)(36) .…”

Section: Maintenance and Removal Of The Cathetermentioning

confidence: 99%

“…It is recommended that catheter remain in place after surgery for up to 24 hours, to reduce rates of symptomatic UTI (30)(31)(32)(33)(35)(36)(37) . It is suggested that the early removal of the catheter, on the other hand, during the night in comparison to the morning, decreases the patient's stay in hospital, saving resources (37) .…”

Section: Studies Were Not Found In This Irmentioning

confidence: 99%

Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization

Ercole

Macieira

Wenceslau

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to seek the best evidence available in the literature concerning the knowledge produced and related to the techniques of intermittent and indwelling urinary catheterization, so as to place the nursing care given to patients submitted to urinary catheterization on a scientific foundation and to prevent urinary tract infections. Method: the literature search was undertaken in the Pubmed and Cochrane databases for the development of the integrative review. The sample was of 34 articles. These were analyzed by two independent researchers using an instrument adapted for ascertaining the level of evidence and the grade of recommendation, in addition to the use of the Jadad scale. Results: the evidence available related to the nursing care for patients submitted to urinary catheterization is: the infection rate in the urinary tract does not alter whether the perineum is cleaned with sterile water or not, or with the use of povidone-iodine solution or chlorhexidine; or using clean or sterile technique. The use of an intermittent catheter with clean technique results in low rates of complications or infections compared to the use of an indwelling catheter. The removal of the catheter in up to 24 hours after surgery and the use of an antimicrobial-impregnated or hydrophilic-coated catheter reduce urinary tract infection.Conclusions: there are controversies in relation to periurethral cleansing technique, the type of material the catheter is made of, and some procedures for the maintenance and removal of the catheter. This review's results represent an updating of the nurse's conducts and decisionmaking for the prevention of urinary tract infections in urinary catheterization.

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A randomized controlled trial comparing short versus long‐term catheterization after uncomplicated vaginal prolapse surgery

Abstract: The early removal of catheter seems more advantageous, with lower incidence of urinary tract infection and a shorter hospital stay although associated with an increased risk of recatheterisation.

Cited by 44 publications

References 15 publications

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene

Evidências na prática do cateterismo urinário: Revisão Integrativa

Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization

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