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Randomised controlled trial
Small study finds that hydrophilic catheters decrease use of antibiotics to treat UTI in people with spinal cord injury who use self-intermittent catheterisation compared with non-coated catheters
  1. Katherine N Moore1,
  2. Mandy Fader2
  1. 1Faculty of Nursing and Faculty of Medicine, University of Alberta, Alberta, Canada
  2. 2School of Health Sciences, University of Southampton, Southampton, UK
  1. Correspondence to Katherine N Moore
    Faculty of Nursing and Faculty of Medicine, University of Alberta, Alberta T6G 2G3 Canada; katherine.moore{at}ualberta.ca

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Although intermittent catheterisation is considered best practice for patients with neurogenic bladders and incomplete emptying, one major challenge for successful users is control of symptomatic urinary tract infections (UTIs). In addition to such consequences as days missed from school or work, visits to the laboratory, antibiotic use, risk of resistance and costs to the healthcare system, there is the possibility of upper tract damage resulting in renal impairment. Thus, products or methods that may reduce the incidence of UTIs need to be considered. Regional factors mean that some patients use sterile single-use disposable catheters and others reuse their catheters after washing them with soap and water. It would seem reasonable to assume that good technique and sterility of catheterisation are important in reducing UTIs. However, evidence is lacking to support sterile single-use over clean reused catheters.1 2

Attention has been paid recently to the potential for single-use hydrophilic catheters to reduce UTIs. Laboratory research suggests that compared with a …

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