Strategies for the removal of short-term indwelling urethral catheters in adults (Review)

Awaiss Ellahi, F Stewart, Emily A Kidd, R. Griffiths, R. Fernandez , Muhammad Imran Omar* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Background

Urinary catheterisation is a common procedure, with approximately 15% to 25% of all people admitted to hospitalreceiving short-term (14 days orless) indwelling urethral catheterisation at some point during their care.However,the use of urinary catheters is associated with an increased risk of developing urinary tractinfection.Catheter-associated urinary tractinfection (CAUTI)is one ofthe most common hospitalacquired infections. Itis estimated that around 20% of hospital-acquired bacteraemias arise from the urinary tract and are associated with mortality of around 10%. This is an update of a Cochrane Review first published in 2005 and last published in 2007.
Objectives
To assess the eects of strategies for removing short-term (14 days or less) indwelling catheters in adults.

Search methods
We searched the Cochrane Incontinence Specialised Register, which contains trials identified from CENTRAL, MEDLINE, MEDLINE InProcess, MEDLINE Epub Ahead of Print, CINAHL, ClinicalTrials.gov, WHO ICTRP, and handsearching of journals and conference proceedings (searched 17 March 2020), and reference lists of relevant articles.

Selection criteria

We includedallrandomisedcontrolledtrials (RCTs) andquasi-RCTs that evaluatedthe eectiveness ofpracticesundertakenforthe removal
of short-term indwelling urethral catheters in adults for any reason in any setting.

Data collection and analysis
Two review authors performed abstract and full-text screening of allrelevant articles. Atleasttwo review authors independently performed risk of bias assessment, data abstraction and GRADE assessment.
Original languageEnglish
Article numberCD004011
Number of pages309
JournalCochrane Database of Systematic Reviews
Volume2021
Issue number6
Early online date29 Jun 2021
DOIs
Publication statusPublished - 29 Jun 2021

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