Cochrane · systematic review · CD011115
Policies for replacing long‐term indwelling urinary catheters in adults
Cooper, FPM, Alexander, CE, Sinha, S, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
18
current version
GRADE rated
3
No studies
15
Included studies
NR
No studies 15 · 83.3%Ungraded 0 · 0%Very low 3 · 16.7%Low 0 · 0%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
Monthly & PRN catheter replacement versus PRN catheter replacement for replacing long‐term indwelling urinary catheters in adults
Population: adults with replacing long‐term indwelling urinary catheters
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Symptomatic CAUTI as defined by trialists Monthly & PRN catheter replacement vs PRN catheter replacement | RR 0.35 [0.13, 0.95] | 1 study · 17 participants | Very low Downgraded: risk of bias |
Participant satisfaction ‐ not reported Monthly & PRN catheter replacement vs PRN catheter replacement | no estimate extracted | NR | No studies |
Condition‐specific quality‐of‐life measures ‐ not reported Monthly & PRN catheter replacement vs PRN catheter replacement | no estimate extracted | NR | No studies |
Adverse effects (Urinary tract trauma) ‐ not reported Monthly & PRN catheter replacement vs PRN catheter replacement | no estimate extracted | NR | No studies |
Adverse effects (Death) ‐ not reported Monthly & PRN catheter replacement vs PRN catheter replacement | no estimate extracted | NR | No studies |
Formal economic analysis ‐ not reported Monthly & PRN catheter replacement vs PRN catheter replacement | no estimate extracted | NR | No studies |
Antibiotics at time of replacement versus no antibiotics at time of replacement for replacing long‐term indwelling urinary catheters in adults
Population: adults with replacing long‐term indwelling urinary catheters
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Symptomatic CAUTI ‐ not reported Antibiotics at time of replacement vs no antibiotics at time of replacement | no estimate extracted | NR | No studies |
Participant satisfaction ‐ not reported Antibiotics at time of replacement vs no antibiotics at time of replacement | no estimate extracted | NR | No studies |
Condition‐specific quality of life measures ‐ not reported Antibiotics at time of replacement vs no antibiotics at time of replacement | no estimate extracted | NR | No studies |
Adverse effects (Urinary tract trauma) ‐ not reported Antibiotics at time of replacement vs no antibiotics at time of replacement | no estimate extracted | NR | No studies |
Adverse effects (Death) Antibiotics at time of replacement vs no antibiotics at time of replacement | RR 2.12 [0.2, 22.2] | 1 study · 70 participants | Very low Downgraded: risk of bias |
Formal economic analysis ‐ not reported Antibiotics at time of replacement vs no antibiotics at time of replacement | no estimate extracted | NR | No studies |
Sterile water versus 0.05% chlorohexidine gluconate for periurethral cleansing during replacement for replacing long‐term indwelling urinary catheters in adults
Population: adults with replacing long‐term indwelling urinary catheters
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Symptomatic CAUTI at 14 days after replacement Sterile water vs 0.05% chlorohexidine gluconate | no estimate extracted | 1 study · 16 participants | Very low Downgraded: risk of bias |
Participant satisfaction ‐ not reported Sterile water vs 0.05% chlorohexidine gluconate | no estimate extracted | NR | No studies |
Condition‐specific quality of life measures ‐ not reported Sterile water vs 0.05% chlorohexidine gluconate | no estimate extracted | NR | No studies |
Adverse effects (Urinary tract trauma) ‐ not reported Sterile water vs 0.05% chlorohexidine gluconate | no estimate extracted | NR | No studies |
Adverse effects (Death) ‐ not reported Sterile water vs 0.05% chlorohexidine gluconate | no estimate extracted | NR | No studies |
Formal economic analysis ‐ not reported Sterile water vs 0.05% chlorohexidine gluconate | no estimate extracted | NR | No studies |