Title
Clean intermittent catheterization and urinary tract infection : review and guide for future researchClean intermittent catheterization and urinary tract infection : review and guide for future research
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Translational Neurosciences (TNW)
Publication type
article
Publication
Oxford,
Subject
Human medicine
Source (journal)
BJU international / British Association of Urological Surgeons. - Oxford, 1999, currens
Volume/pages
110(2012):11C, p. E910-E917
ISSN
1464-4096
ISI
000315029700022
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
OBJECTIVE To review the factors related to urinary tract infection (UTI), the most prevalent complication in patients who perform clean intermittent catheterization (CIC). METHODS We conducted a literature search then a group discussion to gather relevant information on aspects of UTI to guide future research and to help provide clearer recommendations for the prevention of UTI in patients performing CIC. RESULTS UTI is a major complication of CIC, the incidence of which varies widely in the literature owing to differences in methodology and definitions. Phenotyping the risk factors for UTI helps to assess prognosis by considering what can happen if treatment is not initiated. The role of biofilms in CIC deserves more attention. Diagnosis is made using the urine sample obtained by catheterization. Because of neurological or other deficiencies in patients performing CIC, symptoms are less reliable. Thorough evaluation for the source of signs and symptoms should be made before attributing them to UTI. There have been many different proposals for the prevention of UTI in patients performing CIC, but most need more research. The role of the type of catheter is unclear but further exploration of special catheter types might be worthwhile. Treatment in those who perform CIC for a long time is best reserved for symptomatic infections. CONCLUSIONS Several mechanisms are relevant in UTI related to CIC. As UTI is prevalent, more research into its prevention is needed.
E-info
https://repository.uantwerpen.be/docman/iruaauth/f44882/a183798.pdf
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