Effect of a Single-Use Sterile Catheter for Each Void on the Frequency of Bacteriuria in Children With Neurogenic Bladder on Intermittent Catheterization for Bladder Emptying
- 1 October 2001
- journal article
- clinical trial
- Published by American Academy of Pediatrics (AAP)
- Vol. 108 (4), e71
- https://doi.org/10.1542/peds.108.4.e71
Abstract
Objective. The frequency of bacteriuria is high in children with neurogenic bladder on intermittent catheterization for bladder emptying. In an effort to decrease bacteriuria, we examined whether the method of catheter care was responsible for the high rate of bacteriuria. For this, the frequency of bacteriuria was examined in the same patient on single-use sterile catheters and on reused clean catheters. Methods. A prospective, randomized, crossover trial was conducted with 10 patients who were randomized to 4 months of a new, sterile catheter for intermittent catheterization and 4 months of reuse of a clean catheter for intermittent catheterization. Each week, a urine sample was collected and symptoms of infection and medication use were recorded. Results. A total of 158 urine samples were collected during 164 patient-weeks on the new catheter method for each void; 115 (73%) were positive for a pathogen. Of the 161 samples collected during 169 patient-weeks on the standard, reuse method for voiding, 123 (76%) were positive (115 [73%] of 158 vs 123 [76%] of 161). Escherichia coli was the most common pathogen detected during both method periods. Conclusion. A new, sterile catheter for each void did not decrease the high frequency of bacteriuria in patients with neurogenic bladder on intermittent catheterization.Keywords
This publication has 16 references indexed in Scilit:
- Correlation of Periurethral Bacterial Flora with Bacteriuria and Urinary Tract Infection in Children with Neurogenic Bladder Receiving Intermittent CatheterizationClinical Infectious Diseases, 1999
- Nitrofurantoin prophylaxis for bacteriuria and urinary tract infection in children with neurogenic bladder on intermittent catheterizationThe Journal of Pediatrics, 1998
- Bacteriuria in children with neurogenic bladder treated with intermittent catheterization: Natural historyThe Journal of Pediatrics, 1995
- Long-Term Intermittent Catheterization: The Experience of Teenagers and Young Adults with MyelomeningoceleJournal of Urology, 1994
- Follow-up of clean intermittent catheterization for children with neurogenic bladdersUrology, 1992
- A comparison of the effect of chlorhexidine antisepsis, soap and antibiotics on bacteriuria, perineal colonization and environmental contamination in spinally injured patientsJournal of Hospital Infection, 1990
- Management of the Neurogenic Bladder in 413 ChildrenJournal of Urology, 1984
- A New Catheter for the Female PatientAustralian and New Zealand Journal of Obstetrics and Gynaecology, 1982
- The Significance of Bacilluria in Children on Long-Term Intermittent CatheterizationJournal of Urology, 1981
- Non-Sterile Intermittent Catheterization With Antibiotic Prophylaxis in the Acute Spinal Cord InjuredJournal of Urology, 1980