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A Systematic Review and Meta-Analysis on the Effects of Urinary Tract Infections in the Water or Antiseptic for Periurethral Cleaning Before Urinary Catheterization

도뇨관 삽입 전 소독제 또는 물의 사용이 요로감염 발생에 미치는 효과에 대한 체계적 문헌고찰과 메타분석

  • Kim, Jin-Sook (Department of nursing, Korea university anam hospital) ;
  • Kim, Mi-Jung (Department of nursing, Korea university anam hospital) ;
  • Kim, Kuk-Hwa (Department of nursing, Korea university anam hospital) ;
  • Lim, Da-Hae (Department of nursing, Korea university anam hospital)
  • 김진숙 (고려대학교 안암병원 간호부) ;
  • 김미정 (고려대학교 안암병원 간호부) ;
  • 김국화 (고려대학교 안암병원 간호부) ;
  • 임다해 (고려대학교 안암병원 간호부)
  • Received : 2017.10.15
  • Accepted : 2017.12.18
  • Published : 2017.12.31

Abstract

Purpose:The purpose of this study was to evaluate the effects of periurethral cleaning with water or antiseptics in preventing catheter-associated urinary tract infections through systemic review Methods:The randomized clinical trials published between 2000 and 2016 were searched using domestic and international databases, and five randomized studies were selected for this study. The quality of study was assessed by assessment tool from the cochrane's Risk of Bias and meta-analysis was performed using the Cochrane Review Manager software Version 5.3 (RevMan) Results: The two groups of antiinfectants used in this study include povidone-iodine and chlorhexidine, water and chlorhexidine vs water and chlorhexidine. there was no significant difference in urinary tract infection rate between the two groups. Conclusion: Based on the findings, periurethral cleaning with water is safer and cost-efficient than using antiseptics. and it can make reduce a patient's discomfort.

Keywords

References

  1. Sin JS. Urinary tract infection in elderly patients with indwelling catheter by the solution used in meatal care [master's thesis]. Seoul, Korea: Catholic University; 2008.
  2. Healthcare Infection Control Practices Advisory Committee; Centers for Disease Control and Prevention. Guidelines for preventing health-care-associated pneumonia, 2003 recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. Respiratory Care. 2004;49:926-939.
  3. Kim MJ, Park HS, Choi SH, Song KA, Kim HS, Nam JJ, et al. Fundamentals of nursing. Seoul, Korea: Hyunmoonsa; 2005.
  4. Park YM. Comparison of urinary tract infection in meatal care methods for patients with indwelling catheter. Pusan, Korea: Catholic University; 2005.
  5. Korean Society for Nosocomial Infection Control. Guidelines for infection control. 2nd ed. Seoul, Korea: Medical Publishing Co; 2001.
  6. Cheung K, Leung P, Wong YC, To OK, Yeung YF, Chan MW, et al. Water versus antiseptic periurethral cleansing before catheterization among home care patients: A randomized controlled trial. American Journal of Infection Control. 2008;36(5):375-380. https://doi.org/10.1016/j.ajic.2007.03.004
  7. Panknin HT, Althaus P. Guideline for preventing infection associated with the insertion and maintenance of short-term indewelling urethral catehters in acute care. The Journal of Hospital Infection. 2001;49(2):146-147. https://doi.org/10.1053/jhin.2001.1054
  8. Al-Farsi S, Oliva M, Davidson R, Richardson SE, Ratnapalan S. Periurethral cleaning prior to urinary catheterization in children: Sterile water versus 10% povidone-iodine, Clinical Pediatrics. 2009;48(6):656-660. https://doi.org/10.1177/0009922809332587
  9. Webster J, Hood RH, Burridge CA, Doidge ML, Phillips KM, George N. Water or antiseptic for periurethral cleaning before urinary catheterization: A randomized controlled trial, American Journal of Infection Control. 2001;29(6):389-394. https://doi.org/10.1067/mic.2001.117447
  10. Nasiriani K, Kalani Z, Farnia F, Motavasslian M, Nasiriani F, Engberg S. Comparison of the effect of water vs. povidone-iodine solution for periurethral cleaning in women requiring an indwelling catheter prior to gynecologic surgery, Urologic Nursing. 2009;29(2):118-121.
  11. Duzkaya DS, Uysal G, Bozkurt G, Yakut T, Citak A. Povidone-iodine, 0.05% chlorhexidine gluconate, or water for periurethral cleaning before indwelling urinary catheterization in a pediatric intensive care: A randomized controlled trial. Journal of Wound, Ostomy, and Continence Nursing. 2017;44(1):84-88. https://doi.org/10.1097/WON.0000000000000280
  12. Carapeti EA, Andrews SM, Bentley PG. Randomized study of sterile versus non-sterile urethral catheterization. Annals of the Royal College of Surgeons of England. 1996;78(1): 59-60.
  13. Schiotz HA. Antiseptic catheter gel and urinary tract infection after short term postoperative catheterization in women. Archives of Gynecology and Obstetrics. 1996;258(2):97-100. https://doi.org/10.1007/BF00626030
  14. Lee MJ. A comparison of meatal cares in preventing of urinary tract infection [master's thesis]. Jeonju, Korea: Chonbuk National University; 2002.
  15. Burke JP, Jacobson JA, Garibaldi RA, Conti MT, Alling DW. Evaluation of daily meatal care with poly-antibiotic ointment in prevention of urinary catheter-associated bacteriuria. The Journal of Urology. 1983;129(2):331-334. https://doi.org/10.1016/S0022-5347(17)52083-2
  16. Choi JS, Yeon JH. Effects of perineal care in preventing catheter associated urinary tract infections (CAUTI) in intensive care units (ICU). Journal of Korean Academy of Fundamentals of Nursing. 2012;19(2):223-232. https://doi.org/10.7739/jkafn.2012.19.2.223
  17. Rosenthal VD, Maki DG, Mehta Y, Leblebicioglu H, Memish ZA, Al-Mousa HH, et al. International nosocomial infection control consortium(INICC) report, data summary of 43 contries for 2007-2012. Device-associated module. American Journal of Infection Control. 2014;42(9):942-956. https://doi.org/10.1016/j.ajic.2014.05.029
  18. Nam HK. A survey of the nursing care to protect patients with indwelling catheters from urinary tract infection. Kyungwon College. 1998;20:639-660.
  19. Center for Disease Control and Prevention. [Internet]. Atlanta, USA: Guideline for prevention of catheter-associated urinary tract infections. 2009 [cited 2012 May 10]. Available from: http://www.cdc.govwww.cdc.gov/hicpac/pdf/CAUTI/CAUTIguidedline2009final.pdf.