Cochrane · systematic review · CD004997
Types of indwelling urinary catheters for long‐term bladder drainage in adults
Jahn, P, Beutner, K, Langer, G · Cochrane Database of Systematic Reviews · 2012 · 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
31
current version
GRADE rated
31
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 10 · 32.3%Moderate 21 · 67.7%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
Silver alloyed catheter compared to silicone catheter for long‐term bladder drainage in adults
Population: patients with long‐term bladder drainage in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
urinary tract infections Bacterial biofilm on the surfaces of catheters. UTI was defined as uropathogenic colonisation of urinary catheter. Silver alloyed catheter vs silicone catheter | RR 1 [0.83, 1.2] | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
leakage of urine Questionnaire (?) Silver alloyed catheter vs silicone catheter | RR 0.57 [0.24, 1.35] | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
urethral pain/discomfort Questionnaire (?) Silver alloyed catheter vs silicone catheter | RR 0.25 [0.03, 1.86] | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
residual urine sensation Questionnaire (?) Silver alloyed catheter vs silicone catheter | RR 0.4 [0.1, 1.6] | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
pain when removing the catheter Questionnnaire (?) Silver alloyed catheter vs silicone catheter | RR 1 [0.17, 5.77] | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
with turbid urine Questionnaire Silver alloyed catheter vs silicone catheter | RR 0.25 [0.03, 1.86] | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
Latex catheter compared to PVC catheter for long‐term bladder drainage in adults
Population: patients with long‐term bladder drainage in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
urinary tract infections procedure not specified Latex catheter vs PVC catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
retaining catheter for less than 6 weeks procedure not specified Latex catheter vs PVC catheter | RR 11 [0.72, 167.68] | 1 study · 14 participants | Moderate Downgraded: imprecision |
pain, bleeding or purulent discharge procedure not specified Latex catheter vs PVC catheter | RR 5 [0.28, 88.53] | 1 study · 14 participants | Moderate Downgraded: imprecision |
urethral stricture procedure not specified Latex catheter vs PVC catheter | RR 0.33 [0.02, 7.02] | 1 study · 14 participants | Moderate Downgraded: imprecision |
Concrement on the catheter (wet weight) gram. Scale from: ‐1 to 1. Latex catheter vs PVC catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
Concrement on the catheter (dry weight) gram. Scale from: ‐ 1 to 1. Latex catheter vs PVC catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
Number with marked local irritation procedure not specified Latex catheter vs PVC catheter | RR 0.2 [0.01, 3.54] | 1 study · 14 participants | Moderate Downgraded: imprecision |
Latex catheter compared to silicone catheter for long‐term bladder drainage in adults
Population: patients with long‐term bladder drainage in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
urinary tract infections procedure not specified Latex catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
retaining catheter for less than 6 weeks procedure not specified Latex catheter vs silicone catheter | RR 1.25 [0.56, 2.77] | 1 study · 14 participants | Moderate Downgraded: imprecision |
pain, bleeding or purulent discharge procedure not specified Latex catheter vs silicone catheter | RR 2 [0.23, 17.34] | 1 study · 14 participants | Moderate Downgraded: imprecision |
urethral stricture procedure not specified Latex catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
Concrement on the catheter (wet weight) gram. Scale from: ‐1 to 1. Latex catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
Concrement on the catheter (dry weight) gram. Scale from: ‐1 to 1. Latex catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
marked local irritation procedure not specified Latex catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
PVC catheter compared to silicone catheter for long‐term bladder drainage in adults
Population: patients with long‐term bladder drainage in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
urinary tract infections procedure not specified PVC catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
retaining catheter for less than 6 weeks procedure not specified PVC catheter vs silicone catheter | RR 0 [0.01, 1.74] | 1 study · 14 participants | Moderate Downgraded: imprecision |
pain, bleeding or purulent discharge PVC catheter vs silicone catheter | RR 0.33 [0.02, 7.02] | 1 study · 14 participants | Moderate Downgraded: imprecision |
urethral stricture procedure not specified PVC catheter vs silicone catheter | RR 3 [0.14, 63.15] | 1 study · 14 participants | Moderate Downgraded: imprecision |
Concrement on the catheter (wet weight) gram. Scale from: ‐1 to 1. PVC catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
Concrement on the catheter (dry weight) gram. Scale from: ‐1 to 1. PVC catheter vs silicone catheter | no estimate extracted | 1 study · 14 participants | Moderate Downgraded: imprecision |
marked local irritation procedure not specified PVC catheter vs silicone catheter | RR 5 [0.28, 88.53] | 1 study · 14 participants | Moderate Downgraded: imprecision |
Hydrogel coated latex catheter compared to silicone catheter for long‐term bladder drainage in adults
Population: patients with long‐term bladder drainage in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
urinary tract infections procedure not specified Hydrogel coated latex catheter vs silicone catheter | no estimate extracted | 1 study · 69 participants | Low Downgraded: risk of bias, imprecision |
retaining catheter for less than 16 weeks procedure not specified Hydrogel coated latex catheter vs silicone catheter | RR 0.41 [0.22, 0.77] | 1 study · 69 participants | Low Downgraded: risk of bias, imprecision |
participants not satisfied questionnaire Hydrogel coated latex catheter vs silicone catheter | RR 0.68 [0.49, 0.95] | 1 study · 69 participants | Low Downgraded: risk of bias, imprecision |
Time catheter remained in situ days Hydrogel coated latex catheter vs silicone catheter | no estimate extracted | 1 study · 69 participants | Low Downgraded: risk of bias, imprecision |