Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/22336
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dc.contributor.authorKinnear, Ned J-
dc.contributor.authorBarnett, Dylan-
dc.contributor.authorO'Callaghan, Michael-
dc.contributor.authorHorsell, Kym-
dc.contributor.authorGani, Johan-
dc.contributor.authorHennessey, Derek B-
dc.date2019-12-17-
dc.date.accessioned2020-01-07T00:33:33Z-
dc.date.available2020-01-07T00:33:33Z-
dc.date.issued2019-12-17-
dc.identifier.citationNeurourology and urodynamics 2019; online first: 17 December-
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/22336-
dc.description.abstractTo systematically compare the impact of catheter-based bladder drainage methods on the rate of urinary tract infections (UTIs) amongst patients with neurogenic bladder. A search of Cochrane Library, Embase, Medline, and Grey literature to February 2019 was performed using methods prepublished on PROSPERO. Reporting followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. Eligible studies were published in English and compared UTI incidence between neurogenic bladder patients utilizing bladder drainage methods of the indwelling urethral catheter (IUC), suprapubic catheter (SPC) or intermittent self-catheterization (ISC). The odds ratio of UTI was the sole outcome of interest. Eight nonrandomized observational cohort studies were identified, totaling 2321 patients who utilized either IUC, SPC, or ISC. Studies enrolled patients with neurogenic bladder due to spinal cord injury (seven studies) or from any cause (one study). UTI rates were compared between patients utilizing IUC vs SPC (four studies), IUC vs ISC (six studies), and SPC vs ISC (four studies). Compared with IUC, five of six studies suggested ISC use was associated with lower rates of UTI. Studies comparing IUC vs SPC and SPC vs ISC gave mixed results. Meta-analysis was not appropriate due to study methodology heterogeneity. Low-level evidence suggests amongst patients with neurogenic bladder requiring catheter-based drainage, the use of ISC is associated with lower rates of UTI than IUC. Comparisons of IUC vs SPC and SPC vs ISC gave mixed results. Future randomized trials are required to confirm these findings.-
dc.language.isoeng-
dc.subjectbladder drainage-
dc.subjectbladder management-
dc.subjectcatheter-
dc.subjectneurogenic bladder-
dc.subjectspinal cord injury-
dc.subjecturinary tract infection-
dc.titleThe impact of catheter-based bladder drainage method on urinary tract infection risk in spinal cord injury and neurogenic bladder: A systematic review.-
dc.typeJournal Article-
dc.typeReview-
dc.identifier.journaltitleNeurourology and urodynamics-
dc.identifier.affiliationDepartment of Urology, Royal Adelaide Hospital, Adelaide, Australiaen
dc.identifier.affiliationSouth Australian Prostate Cancer Clinical Outcomes Collaborative, Flinders Medical Centre, Adelaide, Australiaen
dc.identifier.affiliationSchool of Medicine, University of Adelaide, Adelaide, Australiaen
dc.identifier.affiliationFlinders Centre for Innovation in Cancer, Adelaide, Australiaen
dc.identifier.affiliationDepartment of Urology, Flinders Medical Centre, Australiaen
dc.identifier.affiliationDepartment of Surgery, University of Melbourne, Australiaen
dc.identifier.affiliationDepartment of Urology, Austin Health, Melbourne, Australiaen
dc.identifier.affiliationDepartment of Urology, Mercy University Hospital, Cork, Ireland..en
dc.identifier.doi10.1002/nau.24253-
dc.identifier.orcid0000-0002-7833-2537-
dc.identifier.orcid0000-0001-5038-5859-
dc.identifier.orcid0000-0002-7372-0100-
dc.identifier.pubmedid31845396-
Appears in Collections:Journal articles

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