Urethral Catheters
Up to 25% of hospitalized patients undergo urinary catheterization, and about 5% develop bacteriuria each day of catheterization. (1)
SINGLE USE VS. REPEAT STRAIGHT CATHETERIZATION
A 2014 cochrane review found there was no difference in UTI by using single use catheters. (3) A 2019 RCT found there was no difference in single use vs. repeat use catheters. (2).
CHANGING FREQUENCY
Authors of this 2016 review found no evidence to base recommendations for chronic foley maintenance changes. (4)
INDWELLING URETHRAL VS. CIC VS. SUPRAPUBIC TUBE
A systematic analysis in 2017 found transurethral catheterization is not associated with an increased urinary tract infection risk compared to suprapubic tubes and intermittent catheterization if catheterization duration is 5 days or less. However, a suprapubic tube or intermittent catheterization is associated with a lower rate of urinary tract infection if longer term catheterization is expected in the postoperative period. (5)
SINGLE USE VS. REPEAT STRAIGHT CATHETERIZATION
A 2014 cochrane review found there was no difference in UTI by using single use catheters. (3) A 2019 RCT found there was no difference in single use vs. repeat use catheters. (2).
CHANGING FREQUENCY
Authors of this 2016 review found no evidence to base recommendations for chronic foley maintenance changes. (4)
INDWELLING URETHRAL VS. CIC VS. SUPRAPUBIC TUBE
A systematic analysis in 2017 found transurethral catheterization is not associated with an increased urinary tract infection risk compared to suprapubic tubes and intermittent catheterization if catheterization duration is 5 days or less. However, a suprapubic tube or intermittent catheterization is associated with a lower rate of urinary tract infection if longer term catheterization is expected in the postoperative period. (5)
- Saint, Sanjay, and Benjamin A. Lipsky. "Preventing catheter-related bacteriuria: should we? Can we? How?." Archives of Internal Medicine 159.8 (1999): 800-808.
- Madero-Morales, Pedro A., et al. “Randomized Clinical Trial Using Sterile Single Use and Reused Polyvinylchloride Catheters for Intermittent Catheterization with a Clean Technique in Spina Bifida Cases: Short-Term Urinary Tract Infection Outcomes.” The Journal of Urology, vol. 202, no. 1, 2019, pp. 153–158.
- Prieto, Jacqui, et al. “Intermittent Catheterisation for Long‐term Bladder Management.” Cochrane Database of Systematic Reviews, vol. 9, no. 9, 2017.
- Cooper, Fergus P. M., et al. “Policies for Replacing Long‐term Indwelling Urinary Catheters in Adults.” Cochrane Database of Systematic Reviews, vol. 7, no. 7, 2016, pp. 1–43.
- Han, Christopher S., et al. "Comparison of urinary tract infection rates associated with transurethral catheterization, suprapubic tube and clean intermittent catheterization in the postoperative setting: a network meta-analysis." The Journal of urology 198.6 (2017): 1353-1358.