Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Intermittent catheterization with single- or multiple-reuse catheters: clinical study on safety and impact on quality of life.
University of Pennsylvania, USA.
Monash University, Australia; Caulfield Hospital, Australia.
Royal Rehab, Australia.
RISE Research Institutes of Sweden, Materials and Production, Chemistry, Biomaterials and Textiles.ORCID iD: 0000-0003-4592-5851
Show others and affiliations
2020 (English)In: International Urology and Nephrology, ISSN 0301-1623, E-ISSN 1573-2584Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: Intermittent catheterization (IC) is a proven effective long-term bladder management strategy for individuals who have lower urinary tract dysfunction. This study provides clinical evidence about multiple-reuse versus single-use catheterization techniques and if catheter choice can have an impact on health-related quality of life (HRQoL).

METHOD: A prospective, multi-center, clinical trial studied patients who currently practiced catheter reuse, and who agreed to prospectively evaluate single-use hydrophilic-coated (HC) (i.e. LoFric) catheters for 4 weeks. A validated Intermittent Self-Catheterization Questionnaire (ISC-Q) was used to obtain HRQoL. Reused catheters were collected and studied with regard to microbial and debris contamination.

RESULTS: The study included 39 patients who had practiced IC for a mean of 10 years, 6 times daily. At inclusion, all patients reused catheters for a mean of 21 days (SD = 48) per catheter. 36 patients completed the prospective test period and the mean ISC-Q score increased from 58.0 (SD = 22.6) to 67.2 (SD = 17.7) when patients switched to the single-use HC catheters (p = 0.0101). At the end of the study, 83% (95% CI [67-94%]) preferred to continue using single-use HC catheters. All collected reused catheters (100%) were contaminated by debris and 74% (95% CI [58-87%]) were contaminated by microorganisms, some with biofilm.

CONCLUSION: Single-use HC catheters improved HRQoL and were preferred over catheter reuse among people practicing IC. Catheter multiple-reuse may pose a potential safety concern due to colonization by microorganisms as well as having reduced acceptance compared to single use.

TRIAL REGISTRY NUMBER: ClinicalTrials.gov NCT02129738.

Place, publisher, year, edition, pages
2020.
Keywords [en]
Catheter-associated urinary tract infection (CAUTI), Clean intermittent catheterization, Lower urinary tract dysfunction (LUTD), Neurogenic lower urinary tract dysfunction (NLUTD), Urinary catheter
National Category
Natural Sciences
Identifiers
URN: urn:nbn:se:ri:diva-44561DOI: 10.1007/s11255-020-02435-9PubMedID: 32172456OAI: oai:DiVA.org:ri-44561DiVA, id: diva2:1416604
Available from: 2020-03-24 Created: 2020-03-24 Last updated: 2020-03-24Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

Petronis, SarunasHåkansson, Joakim

Search in DiVA

By author/editor
Petronis, SarunasHåkansson, Joakim
By organisation
Chemistry, Biomaterials and Textiles
In the same journal
International Urology and Nephrology
Natural Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 1 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
v. 2.35.9