Implementation of an external female urinary catheter as an alternative to an indwelling urinary catheter

Efficacy, effectiveness, usability and acceptability of devices for female urinary incontinence: A scoping review

“…Twenty‐one articles were selected among which 2 systematic reviews (Lipp et al, 2014; Mugita et al, 2021), 1 randomised controlled trial (Sugama et al, 2012), 1 quasi experimental study (Teerawattananon et al, 2015), 1 prospective interventional cohort study (Moore et al, 2021), 1 prospective descriptive study (Motta & Milne, 2017), 2 cross‐sectional descriptive studies (Grzybowska & Wydra, 2017; Gümüşsoy et al, 2019), 2 retrospective studies (Warren et al, 2021; Zavodnick et al, 2020), 1 product evaluation trial (Long et al, 2015), 1 pilot study (Jeong et al, 2016), 1 open‐label uncontrolled trial (Farage et al, 2011), 1 cost analysis study (Fader et al, 2010), 1 quality improvement project (Eckert et al, 2020), 1 qualitative study (Ostaszkiewicz et al, 2018; Raepsaet et al, 2021), 1 case study (Beeson & Davis, 2018), 4 conference paper (Dublynn & Episcopia, 2019; Fritsch et al, 2019; Maydick‐Youngberg et al, 2020; Mueller, 2019; Peters et al, 2021).…”

Effectiveness of an External Urinary Device for Female Anatomy and Trends in Catheter-Associated Urinary Tract Infections

“…For example, a study at a large academic medical center observed a reduction in the indwelling catheter utilization ratio among ICU patient from 0.464 to 0.401 corresponding to the introduction of an EUD. 22 In another study that included all hospitalized patients (not just ICU patients), catheter utilization per 1000 patient-days decreased in women from 71.49 to 56.15. 21 The current study adds to this literature regarding the success of EUDFA in reducing indwelling catheter use and CAUTIs.…”

“…Other studies have also reported significant reductions in catheter-days associated with the use of external female urinary devices. For example, a study at a large academic medical center observed a reduction in the indwelling catheter utilization ratio among ICU patient from 0.464 to 0.401 corresponding to the introduction of an EUD 22. In another study that included all hospitalized patients (not just ICU patients), catheter utilization per 1000 patient-days decreased in women from 71.49 to 56.15 21.…”

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

“…Although CAUTI reduction was likely multifactorial, the role of ECDs reducing IUC use is supported by similar findings noted in previous studies in both female and male patients. 6,7 We had further hypothesized that through reduction in bacteriuria, the implementation of ECD use would lead to a decline in antimicrobial use for UTIs; however, this was not observed. Inappropriate antimicrobial use in male patients with ECDs has previously been described, with upward of 32% of patients with ECD-associated asymptomatic bacteriuria receiving unnecessary antimicrobials.…”

“…5 Use of ECDs in female ICU patients has been associated with decline in IUC use and a reduction in the CAUTI rate. 6,7 Studies of the impact of female ECDs on the incidence of bacteriuria, which often leads to unnecessary antimicrobial use, are scarce. 8 We hypothesized that increased ECD use, and decreased IUC use, in female ICU patients would lead to a decline in bacteriuria, decreasing both CAUTI diagnoses and antimicrobial use for urinary indications.…”