Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders

Jamison, Jim; Maguire, S.; McCann, John

doi:10.1002/14651858.cd004375.pub2

Cited by 48 publications

(41 citation statements)

References 7 publications

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“…In a 38-month prospective observational study involving 128 patients with acute spinal cord injuries, the incidence rates per 100 person-days for CA-bacteriuria and CA-UTI, respectively, were 5 and 2.72 cases for men with indwelling urethral catheters (128 patients), 2.95 and 0.41 cases for men with clean intermittent catheterization (124 patients), 2.41 and 0.36 cases for men with condom catheters (41 patients), and 0.96 and 0.34 cases for women with suprapubic catheterization (10 patients), respectively [25]. Although there are no randomized, controlled trials that have compared long-term catheterization methods (intermittent urethral catheterization, indwelling urethral or suprapubic catheterization, and external catheter for men) in managing voiding problems in patients with [159] or without neurogenic bladders, clean intermittent catheterization has become the standard of care for appropriate women and men with spinal cord injuries [16]. In addition, clean intermittent catheterization is a more commonly used alternative in men with bladder atonia and elderly patients who need assistance with voiding [21,77,160].…”

Section: Evidence Summarymentioning

confidence: 99%

Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America

Hooton¹,

Bradley

Cardenas

et al. 2010

Clinical Infectious Diseases

1,740

1,584

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Guidelines for the diagnosis, prevention, and management of persons with catheter-associated urinary tract infection (CA-UTI), both symptomatic and asymptomatic, were prepared by an Expert Panel of the Infectious Diseases Society of America. The evidence-based guidelines encompass diagnostic criteria, strategies to reduce the risk of CA-UTIs, strategies that have not been found to reduce the incidence of urinary infections, and management strategies for patients with catheter-associated asymptomatic bacteriuria or symptomatic urinary tract infection. These guidelines are intended for use by physicians in all medical specialties who perform direct patient care, with an emphasis on the care of patients in hospitals and long-term care facilities.

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Section: Evidence Summarymentioning

confidence: 99%

Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America

Hooton¹,

Bradley

Cardenas

et al. 2010

Clinical Infectious Diseases

1,740

1,584

View full text Add to dashboard Cite

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“…Two Cochrane systematic reviews confirmed a lack of randomized controlled data [37,38]. Recent studies, however, provided some promising results.…”

Section: Catheter Typementioning

confidence: 99%

Urinary Tract Infections in Patients with Spinal Cord Injuries

D’Hondt

Everaert

2011

Curr Infect Dis Rep

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Spinal cord injuries (SCI) result in different lower urinary tract dysfunctions. Because of both the disease and the bladder drainage method, urinary tract infections (UTIs) are one of the most frequent conditions seen in SCI patients. Diagnosis is not always easy due to lack of symptoms. Asymptomatic bacteriuria needs no treatment. If symptoms occur, antibiotherapy is indicated. Duration depends mainly on severity of illness and upper urinary tract or prostatic involvement. Choice of antibiotherapy should be based on local resistance profiles, but fluoroquinolones seems to be an adequate empirical treatment. Prevention of UTI is important, as lots of complications can be foreseen. Catheter care, permanent low bladder pressure and clean intermittent catheterization (CIC) with hydrophilic catheters are interventions that can prevent UTI. Probiotics might be useful, but data are limited.

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“…Infobox 1; [18]). Das liegt sicher weniger an der fehlenden Evidenz der Unterschiede zwischen verschiedenen therapeutischen Optionen als am Fehlen evidenzbasierter Daten [45].…”

Section: Dauerkatheterismusunclassified

Die Bedeutung des Katheterismus in der Neurourologie

Böthig

Burgdörfer

2012

Urologe

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Together with comprehension and therapy of neurogenic failure of the storage function of the urinary bladder, intermittent catheterization as a pressure-free voiding method without residual urine, represents a major principle of therapy in lower urinary tract dysfunction. Aseptic intermittent catheterization is recommended in Germany and Europe and seems to be acceptable even in long-term application with low complication rates. It is a precondition that patients are seen for clinical and urodynamic reevaluation at risk-adapted time intervals. The major focus is on early recognition and avoidance of threatening complications. The most important preventive measures are the motivation and compliance of the well-educated patient and the use of careful catheterization techniques with individually optimized catheters.Although aseptic intermittent catheterization has been used effectively for many years there is still a lack of randomized controlled studies for some important questions of details and an optimal catheter has still to be defined. Furthermore, valid conclusions based on well-conducted studies on the self-estimated quality of life of patients with intermittent catheterization, especially those with catheterization by attendant, are urgently needed. Intermittent catheterization is never a ready-made solution but always an individually tailored treatment for patients with lower urinary tract dysfunction.

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Catheter policies for management of long term voiding problems in adults with neurogenic bladder disorders

Abstract: Despite a comprehensive search no evidence from randomised or quasi-randomised controlled trials was found. It was not possible to draw any conclusions regarding the use of different types of catheter in managing the neurogenic bladder.

Cited by 48 publications

References 7 publications

Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America

Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America

Urinary Tract Infections in Patients with Spinal Cord Injuries

Die Bedeutung des Katheterismus in der Neurourologie

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