Early intermittent self-catheterisation after spinal cord injury

Wyndaele, J J; Taeye, N De

doi:10.1038/sc.1990.9

Cited by 23 publications

(18 citation statements)

References 8 publications

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“…22,39 Cross infection is less if IC during hospitalization is done by a catheter team 40 or by the patients themselves. 41 As residual urine plays a role in infection, attention must be made to empty the bladder completely. 22 Treatment of UTI is necessary if the infection is symptomatic.…”

Section: Resultsmentioning

confidence: 99%

Complications of intermittent catheterization: their prevention and treatment

2002

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Study design: Literature review to evaluate the complications seen in patients on intermittent catheterization (IC) and intermittent self-catheterization (ISC). Objectives: To ®nd the prevalence of most complications seen in patients on IC. To study the prevention and the treatment of these complications. Setting: An international literature review. Methods: Most relevant articles on the subject are reviewed. Conclusion: Urinary tract infection is the most frequent complication in patients performing IC. Catheterization frequency and the avoidance of bladder over®lling are amongst the most important prevention measures. Asymptomatic bacteriuria does not need to be treated with antibiotics. Long-term antibacterial prevention does seem to bear a risk of development of bacterial resistance. Previous treatment with indwelling catheters is a risk factor for chronic infection and urinary sepsis. Prostatitis is more frequently present than often thought. Epididymitis and urethritis are rare. Trauma from catheterization occurs regularly, but lasting eects are more limited. However, the prevalence of urethral strictures and false passages increases with longer use of IC. The use of hydrophilic catheters might be able to lower the urethral complication rate but additional proof through comparative studies is needed. The most important prevention measures are good education of all involved in IC, good patient compliance, the use of a proper material and the application of a good catheterization technique.

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Section: Resultsmentioning

confidence: 99%

Complications of intermittent catheterization: their prevention and treatment

2002

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“…Each of these has its own hazards; but clean self intermittent catheterisation has emerged as the method of choice in recent years. [7][8][9] The commonest reservation against CIC ex pressed by many patients and unfortunately also by some physicians concerns the poss ible risk of introducing infection. In our study, we found that positive urine cultures patients that antibacterial prophylaxis signi ficantly reduced the probability of "laborat ory', but not of 'clinical' infection.…”

Section: Discussionmentioning

confidence: 99%

Clean intermittent catheterisation for the neuropathic bladder

1993

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Clean intermittent catheterisation (CIe) has been used as the effective method of bladder drainage in paraplegics for over a decade in our centre. In 27 acute spinal cord injury (SCI) patients managed by CIC from day one, symptomatic urinary infection occurred in 5 with a follow up period of 10 days to 3 months. No prophylactic/suppressive antibiotics were used. In 21 patients on long term CIC (1-12 years) symptomatic infections occurred during a 6 month follow up at a rate of 0.07 episodes per patient per month. Urine cultures proved positive in 26%. The types of bacteria and their sensitivity towards antibiotics were different in both groups.

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“…An early start of self–catheterization, if feasible, allows more freedom and independence of the disabled patient [8]. The main aim of bladder rehabilitation for many SCI patients is not necessarily to be ‘catheter free’, which was popularized in the 1960s and 1970s [9, 10], but to preserve renal function by low pressure storage and being dry and continent if possible.…”

Section: Discussionmentioning

confidence: 99%