Systematic review of the clinical outcome of intermittent urinary catheter selection and use in patients with chronic urinary retention
10.3760/cma.j.cn115682-20200701-04163
- VernacularTitle:慢性尿潴留患者间歇性导尿尿管选择和使用临床结局的系统评价
- Author:
Xia ZHOU
1
;
Li ZHANG
;
Xueli JI
;
Jie ZHANG
Author Information
1. 江苏省人民医院急诊医学科，南京 210029
- Keywords:
Urinary retention;
Meta-analysis;
Urinary catheter;
Intermittent urinary catheterization
- From:
Chinese Journal of Modern Nursing
2021;27(7):902-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the selection and use of intermittent urinary catheter in patients with chronic urinary retention, and provide effective evidence for the proper use of catheters in clinical practice in the future.Methods:Randomized controlled trials about the selection and use of intermittent urinary catheter in patients with chronic urinary retention published from January 1, 1990 and April 30, 2002 were retrieved from Embase, PubMed, Health Technology Assessment Database, CINAHL, Web of Science, Cochrane Library, SinoMed, CNKI, VIP, and Wanfang databases. The literature was selected according to the inclusion and exclusion criteria, the data was extracted and the trial quality was evaluated. RevMan 5.3 was used for Meta-analysis.Results:A total of 13 articles could be included in Meta-analysis. Meta-analysis showed that the incidence of urinary tract infection in the pre-coated urinary catheter group was lower compared with the single-use uncoated catheter group [ RR=0.60, 95% CI (0.48, 0.75) , P<0.01], but there was no statistically significant difference in the incidence of urethral injury [ RR=1.19, 95% CI (0.88, 1.61) , P=0.25]; there was no statistically significant difference in urethral injury [ RR=0.98, 95% CI (0.70, 1.39) , P=0.93] and urinary tract infection [ RR=1.00, 95% CI (0.21, 4.79) , P=1.00] between patients with single/repeated use of intermittent catheters. The descriptive analysis results indicated that the overall satisfaction of the pre-coated catheter group was higher than that of the single-use uncoated catheter group, but there was no statistically significant difference in overall satisfaction between patients with single/repeated use of intermittent catheters ( P>0.05) . Conclusions:In the implementation of intermittent urinary catheterization in patients with chronic urinary retention, the use of pre-coated intermittent urinary catheters may reduce the incidence of urinary tract infection and improve patient satisfaction, but there is still insufficient evidence to support its role in ameliorating urethral injury. In addition, the safety of repeated use of intermittent urinary catheters remains uncertain, and a large number of multi-center large sample studies are still needed to further verify such results in the future.
