ABSTRACT
BACKGROUND: Catheter-associated urinary tract infection (CAUTI) can significantly affect patients' quality of life and increase healthcare costs. AIMS: This study aimed to capture patients' and nurses' experience of catheter maintenance using a polyhexanide-based solution (PS) in everyday practice. METHODS: Retrospective analysis of data was collected for a product evaluation. PS was used twice a week for five weeks. FINDINGS: The study included 42 patients, 30 (71%) men and 12 women (29%). After five weeks of rinsing catheters with PS, nine patients reported no or decreased frequency of CAUTI, eight a better quality of life, eight reduced blockage, seven a decrease in odour and five fewer catheter changes. Three patients reported no benefit from PS use. Nurses reported that fewer visits were needed and consumption of disposables was lower. CONCLUSIONS: User experiences suggest that, as a novel means of catheter maintenance, PS has the potential to reduce catheter-associated complications such as CAUTI, improve quality of life and reduce healthcare costs.
Subject(s)
Catheter-Related Infections , Urinary Tract Infections , Biguanides , Catheter-Related Infections/prevention & control , Catheters, Indwelling/adverse effects , Female , Humans , Male , Quality of Life , Retrospective Studies , Urinary Catheterization/adverse effects , Urinary Catheters/adverse effects , Urinary Tract Infections/etiology , Urinary Tract Infections/prevention & controlABSTRACT
INTRODUCTION: A new compact male intermittent catheter was compared with a regular intermittent male catheter in terms of safety and acceptability. METHODS: In this randomized, single-blind, cross-over study, healthy male volunteers were catheterized twice with a compact catheter and twice with a regular catheter. RESULTS: 28 participants were enrolled. Mean ± SD discomfort (visual analogue scale; primary objective) was 2.25 ± 1.5 and 2.52 ± 1.8 for the compact and regular catheters, respectively (difference -0.27; 95% confidence interval -0.73 to 0.19); there was no significant difference in hematuria (p = 0.54) or discomfort/stinging/pain at first micturition (p = 0.56). During insertion, handling was easier (p = 0.0001) and touching the coating was necessary less often (2.2 vs. 81.3% of catheterizations; p < 0.0001) with the compact catheter; it was preferred by nurses for 20 of 23 participants. No adverse events were reported. CONCLUSIONS: Short-term safety of the new compact catheter was at least as good as that of the regular male intermittent catheter and handling was improved.
