Short-Term Indwelling Catheters (a Systematic Review): Evidence for a Primarily Nursing Decision

2.50
Hdl Handle:
http://hdl.handle.net/10755/154599
Type:
Presentation
Title:
Short-Term Indwelling Catheters (a Systematic Review): Evidence for a Primarily Nursing Decision
Abstract:
Short-Term Indwelling Catheters (a Systematic Review): Evidence for a Primarily Nursing Decision
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Brosnahan, Jane Elizabeth, RCpN, BN, MCNA, MA
P.I. Institution Name:Auckland District Health Board
Title:Nurse Consultant
Urinary tract infection is the most common infection acquired by patients in hospital. The major associated cause is the presence of indwelling urinary catheters. A variety of specialised urethral catheters have been specifically designed to reduce the risk of infection. These include antiseptic impregnated catheters and antibiotic impregnated catheters. Catheter choice or selection is primarily a nursing decision and nurses also take a leading role in decision-making in regarding catheters purchased for hospitals. A systematic review (including metanalyses) was completed with the Cochrane Incontinence Review Group. 18 studies met the inclusion criteria: antiseptic impregnated catheters versus standard catheters, which included silver oxide (n=3 trials) and silver alloy (n=8 trials), antibiotic impregnated catheters versus standard catheters (n=1 trial) and comparisons of different types of standard catheters (n=6 trials). Silver oxide catheters were not found to prevent bacteriuria in short-term catheterised hospitalised adults (RR 0.87, 95% CI 0.68 to 1.13). Silver alloy catheters were found to significantly reduce the incidence of asymptomatic bacteriuria (RR 0.36, 95%CI 0.25 to 0.52.) in hospitalised adults catheterised for less than one week. At greater than one week catheterisation the risk of asymptomatic bacteriuria was still reduced with the use of silver alloy catheters (RR 0.67, 95%CI 0.50 to 0.90). The risk of symptomatic urinary tract infection was found to be also reduced with the use of silver alloy catheters (RR 0.60, 95%CI 0.50 to 0.73). Silver alloy indwelling catheters appear to reduce the risk of catheter acquired urinary tract infection in hospitalised adults catheterised short-term. Cost benefit analyses indicate that compensation for increased cost of silver alloy catheters would come from the reduction in the cost of catheter acquired urinary tract infection. This review provides not only nurses and nurse managers, but also other health professionals with evidence of effectiveness to influence catheter choice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleShort-Term Indwelling Catheters (a Systematic Review): Evidence for a Primarily Nursing Decisionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154599-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Short-Term Indwelling Catheters (a Systematic Review): Evidence for a Primarily Nursing Decision</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Brosnahan, Jane Elizabeth, RCpN, BN, MCNA, MA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Auckland District Health Board</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Consultant</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">janeb@sxhealth.co.nz</td></tr><tr><td colspan="2" class="item-abstract">Urinary tract infection is the most common infection acquired by patients in hospital. The major associated cause is the presence of indwelling urinary catheters. A variety of specialised urethral catheters have been specifically designed to reduce the risk of infection. These include antiseptic impregnated catheters and antibiotic impregnated catheters. Catheter choice or selection is primarily a nursing decision and nurses also take a leading role in decision-making in regarding catheters purchased for hospitals. A systematic review (including metanalyses) was completed with the Cochrane Incontinence Review Group. 18 studies met the inclusion criteria: antiseptic impregnated catheters versus standard catheters, which included silver oxide (n=3 trials) and silver alloy (n=8 trials), antibiotic impregnated catheters versus standard catheters (n=1 trial) and comparisons of different types of standard catheters (n=6 trials). Silver oxide catheters were not found to prevent bacteriuria in short-term catheterised hospitalised adults (RR 0.87, 95% CI 0.68 to 1.13). Silver alloy catheters were found to significantly reduce the incidence of asymptomatic bacteriuria (RR 0.36, 95%CI 0.25 to 0.52.) in hospitalised adults catheterised for less than one week. At greater than one week catheterisation the risk of asymptomatic bacteriuria was still reduced with the use of silver alloy catheters (RR 0.67, 95%CI 0.50 to 0.90). The risk of symptomatic urinary tract infection was found to be also reduced with the use of silver alloy catheters (RR 0.60, 95%CI 0.50 to 0.73). Silver alloy indwelling catheters appear to reduce the risk of catheter acquired urinary tract infection in hospitalised adults catheterised short-term. Cost benefit analyses indicate that compensation for increased cost of silver alloy catheters would come from the reduction in the cost of catheter acquired urinary tract infection. This review provides not only nurses and nurse managers, but also other health professionals with evidence of effectiveness to influence catheter choice.</td></tr></table>en_GB
dc.date.available2011-10-26T13:07:39Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T13:07:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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