Cochrane · systematic review · CD004012
Washout policies in long‐term indwelling urinary catheterisation in adults
Shepherd, AJ, Mackay, WG, Hagen, S · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
5
No studies
9
Included studies
NR
No studies 9 · 64.3%Ungraded 0 · 0%Very low 3 · 21.4%Low 2 · 14.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Any washout compared to no washout for participants with long‐term indwelling urinary catheterisation
Population: Long‐term indwelling urinary catheterisation in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Symptomatic UTI (Number of participants with symptomatic UTI, citric acid or saline washout versus no washout) Any washout vs no washout | no estimate extracted | 1 study · 53 participants | Low Downgraded: risk of bias, imprecision |
Symtomatic UTI Mean number of episodes of high temperature (saline washout versus no washout) Any washout vs no washout | no estimate extracted | 1 study · 23 participants | Very low Downgraded: risk of bias, imprecision |
Symptomatic UTI Mean number of episodes of high temperature due to possible urinary origin (saline washout versus no washout) Any washout vs no washout | no estimate extracted | 1 study · 23 participants | Very low Downgraded: risk of bias, imprecision |
Number of catheters used (Number of participants needing catheter replacement, saline washout versus no washout) Any washout vs no washout | RR 0.67 [0.34, 1.31] | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Length of time each catheter was in situ Any washout vs no washout | no estimate extracted | NR | No studies |
Catheter removal rates due to blockage/infection Any washout vs no washout | no estimate extracted | NR | No studies |
Rates of asymptomatic bacteriuria Any washout vs no washout | no estimate extracted | NR | No studies |
One washout solution versus another for participants with long‐term indwelling urinary catheterisation
Population: Long‐term indwelling urinary catheterisation in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Symptomatic UTI Number of participants with symptomatic UTI (citric acid versus saline) One washout solution vs another | no estimate extracted | 1 study · 33 participants | Low Downgraded: risk of bias, imprecision |
Symtomatic UTI Mean number of episodes of high temperature One washout solution vs another | no estimate extracted | NR | No studies |
Symptomatic UTI Mean number of episodes of high temperature due to possible urinary origin One washout solution vs another | no estimate extracted | NR | No studies |
Number of catheters used Number of participants needing catheter replacement One washout solution vs another | no estimate extracted | NR | No studies |
Length of time each catheter was in situ One washout solution vs another | no estimate extracted | NR | No studies |
Catheter removal rates due to blockage/infection One washout solution vs another | no estimate extracted | NR | No studies |
Rates of asymptomatic bacteriuria One washout solution vs another | no estimate extracted | NR | No studies |