Evaluating the incidence of bacteriuria in female patients before and after implementation of external urinary collection devices

Noval, Mandee; Leekha, Surbhi; Armahizer, Michael; Celotto, Abigale; Bhatt, Meghna; Seung, Hyunuk; Claeys, Kimberly C

doi:10.1017/ash.2022.30

Cited by 2 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patient and Nurse Satisfaction 8 22,24,26,28,30,35,38,68 Satisfaction was high. Studies indicated good patient and caregiver satisfaction with home, outpatient community, and hospice care use of PureWick.…”

Section: More Data Neededmentioning

confidence: 98%

Clinical outcomes of female external urine wicking devices as alternatives to indwelling catheters: a systematic review and meta-analysis

Pryor,

Wang,

Young

et al. 2024

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

Background: Female patients using indwelling urinary catheters (IUCs) are disproportionately at risk for developing catheter-associated urinary tract infections (CAUTIs) compared to males. Female external urine wicking devices (FEUWDs) have emerged as potential alternatives to IUCs for incontinence management. Objectives: To assess the clinical risks and benefits of FEUWDs as alternatives to IUCs. Methods: Ovid MEDLINE, Embase, Scopus, Web of Science Core Collection, CINAHL Complete, and ClinicalTrials.gov were searched from inception to July 10, 2023. Included studies used FEUWDs as an intervention and reported measures of urinary tract infections and secondary outcomes related to incontinence management. Results: Of 2,580 returned records, 50 were systematically reviewed. Meta-analyses assessed rates of indwelling CAUTIs and IUC utilization. Following FEUWD implementation, IUC utilization rates decreased 14% (RR = 0.86, 95% CI = [0.76, 0.97]) and indwelling CAUTI rates nonsignificantly decreased up to 32% (IRR = 0.68, 95% CI = [0.39, 1.17]). Limited only to studies that described protocols for implementation, the incidence rate of indwelling CAUTIs decreased significantly up to 54% (IRR = 0.46, 95% CI = [0.32, 0.66]). Secondary outcomes were reported less routinely. Conclusions: Overall, FEUWDs nonsignificantly reduced indwelling CAUTI rates, though reductions were significant among studies describing FEUWD implementation protocols. We recommend developing standard definitions for consistent reporting of non-indwelling CAUTI complications such as FEUWD-associated UTIs, skin injuries, and mobility-related complications.

show abstract