The frequency of urinary tract infections and the value of antiseptics in community-dwelling people who undertake intermittent urinary catheterization : A systematic review

Journal article

Mitchell, Brett G., Prael, Grace, Curryer, Cassie, Russo, Philip L., Fasugba, Oyebola, Lowthian, Judy, Cheng, Allen C., Archibold, Jemma, Robertson, Mark and Kiernan, Martin. (2021). The frequency of urinary tract infections and the value of antiseptics in community-dwelling people who undertake intermittent urinary catheterization : A systematic review. American Journal of Infection Control. 49(8), pp. 1058-1065. https://doi.org/10.1016/j.ajic.2021.01.009
AuthorsMitchell, Brett G., Prael, Grace, Curryer, Cassie, Russo, Philip L., Fasugba, Oyebola, Lowthian, Judy, Cheng, Allen C., Archibold, Jemma, Robertson, Mark and Kiernan, Martin
Abstract

Background
This systematic review had 2 aims. First to identify the incidence of urinary tract infection (UTI) and bacteriuria in people undertaking intermittent catheterization (IC), second to determine the effectiveness of antiseptic cleaning of the meatal area prior to IC in reducing the incidence of UTI and bacteriuria.

Methods
A systematic review was conducted. Medline and the Cumulative Index to Nursing and Allied Health Literature electronic databases were systematically searched between January 1, 1990 and January 31, 2020, to identify studies that reported either the incidence of UTI or bacteriuria or the impact of using antiseptics for meatal cleaning prior to IC on incidence of these same outcomes.

Results
Twenty-five articles were identified for the first aim, 2 articles for the second. The proportion of participants experiencing ≥1 UTIs per year ranged from 15.4% to 86.6%. Synthesis of these studies suggest a combined incidence of 44.2% (95%CI 40.2%-48.5%) of participants having ≥1 UTIs per year. One of the 2 studies exploring the benefit of antiseptics in reducing UTI suggest some potential benefit of using chlorhexidine in reducing UTIs. Both studies have significant limitations, making interpretation difficult.

Conclusions
A large proportion of people undertaking IC in the community have UTIs each year. Evidence on the role of antiseptics in the prevention of UTI for people who undertake IC remains unclear.

Keywordsinfection control; incidence; cross-infection; nursing; catheter-associated urinary tract infection
Year2021
JournalAmerican Journal of Infection Control
Journal citation49 (8), pp. 1058-1065
PublisherMosby Inc.
ISSN0196-6553
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ajic.2021.01.009
PubMed ID33485920
Scopus EID2-s2.0-85100708643
Research or scholarlyResearch
Page range1058-1065
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online21 Jan 2021
Publication process dates
Deposited15 Nov 2021
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