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The frequency of urinary tract infections and the value of antiseptics in community-dwelling people who undertake intermittent urinary catheterization : A systematic review
Mitchell, Brett G. Prael, Grace Curryer, Cassie Russo, Philip L. Fasugba, Oyebola Lowthian, Judy Cheng, Allen C. Archibold, Jemma Robertson, Mark Kiernan, Martin
Mitchell, Brett G.
Prael, Grace
Curryer, Cassie
Russo, Philip L.
Fasugba, Oyebola
Lowthian, Judy
Cheng, Allen C.
Archibold, Jemma
Robertson, Mark
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.
Keywords
infection control, incidence, cross-infection, nursing, catheter-associated urinary tract infection
Date
2021
Type
Journal article
Journal
American Journal of Infection Control
Book
Volume
49
Issue
8
Page Range
1058-1065
Article Number
ACU Department
Nursing Research Institute
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled