Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial
To compare the performance of SpeediCath hydrophilic-coated catheters versus uncoated polyvinyl chloride (PVC) catheters, in traumatic spinal cord injured patients presenting with functional neurogenic bladder-sphincter disorders. A 1-year, prospective, open, parallel, comparative, randomised, multi...
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| Veröffentlicht in: | European urology 2005-12, Vol.48 (6), p.991-995 |
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| creator | De Ridder, D.J.M.K. Everaert, K. Fernández, L. García Valero, J.V. Forner Durán, A. Borau Abrisqueta, M.L. Jauregui Ventura, M.G. Sotillo, A. Rodriguez |
| description | To compare the performance of SpeediCath hydrophilic-coated catheters versus uncoated polyvinyl chloride (PVC) catheters, in traumatic spinal cord injured patients presenting with functional neurogenic bladder-sphincter disorders.
A 1-year, prospective, open, parallel, comparative, randomised, multi centre study included 123 male patients, ≥16 y and injured within the last 6 months. Primary endpoints were occurrence of symptomatic urinary tract infection (UTI) and hematuria. Secondary endpoints were development of urethral strictures and convenience of use. The main hypothesis was that coated catheters cause fewer complications in terms of symptomatic UTIs and hematuria.
57 out of 123 patients completed the 12-month study. Fewer patients using the SpeediCath hydrophilic-coated catheter (64%) experienced 1 or more UTIs compared to the uncoated PVC catheter group (82%) (p=0.02). Thus, twice as many patients in the SpeediCath group were free of UTI. There was no significant difference in the number of patients experiencing bleeding episodes (38/55 SpeediCath; 32/59 PVC) and no overall difference in the occurrence of hematuria, leukocyturia and bacteriuria.
The results indicate that there is a beneficial effect regarding UTI when using hydrophilic-coated catheters. |
| doi_str_mv | 10.1016/j.eururo.2005.07.018 |
| format | Article |
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A 1-year, prospective, open, parallel, comparative, randomised, multi centre study included 123 male patients, ≥16 y and injured within the last 6 months. Primary endpoints were occurrence of symptomatic urinary tract infection (UTI) and hematuria. Secondary endpoints were development of urethral strictures and convenience of use. The main hypothesis was that coated catheters cause fewer complications in terms of symptomatic UTIs and hematuria.
57 out of 123 patients completed the 12-month study. Fewer patients using the SpeediCath hydrophilic-coated catheter (64%) experienced 1 or more UTIs compared to the uncoated PVC catheter group (82%) (p=0.02). Thus, twice as many patients in the SpeediCath group were free of UTI. There was no significant difference in the number of patients experiencing bleeding episodes (38/55 SpeediCath; 32/59 PVC) and no overall difference in the occurrence of hematuria, leukocyturia and bacteriuria.
The results indicate that there is a beneficial effect regarding UTI when using hydrophilic-coated catheters.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2005.07.018</identifier><identifier>PMID: 16137822</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Catheter-related infection ; Catheterization ; Chi-Square Distribution ; Coated Materials, Biocompatible ; Follow-Up Studies ; Humans ; Incidence ; Injury Severity Score ; Intermittent catheterisation ; Male ; Middle Aged ; Neurogenic bladder ; Petrolatum - pharmacology ; Probability ; Prospective Studies ; Reference Values ; Risk Assessment ; Single-Blind Method ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - diagnosis ; Spinal cord injury ; Statistics, Nonparametric ; Treatment Outcome ; Urinary Bladder, Neurogenic - etiology ; Urinary Bladder, Neurogenic - therapy ; Urinary Catheterization - adverse effects ; Urinary Catheterization - instrumentation ; Urinary Catheterization - methods ; Urinary tract infection ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - prevention & control</subject><ispartof>European urology, 2005-12, Vol.48 (6), p.991-995</ispartof><rights>2005 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-d0cf6382b33cbf11f966b7914ef0a3887208c2a072f0f6a1d7466e5777d2e44c3</citedby><cites>FETCH-LOGICAL-c406t-d0cf6382b33cbf11f966b7914ef0a3887208c2a072f0f6a1d7466e5777d2e44c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0302283805004537$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16137822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Ridder, D.J.M.K.</creatorcontrib><creatorcontrib>Everaert, K.</creatorcontrib><creatorcontrib>Fernández, L. García</creatorcontrib><creatorcontrib>Valero, J.V. Forner</creatorcontrib><creatorcontrib>Durán, A. Borau</creatorcontrib><creatorcontrib>Abrisqueta, M.L. Jauregui</creatorcontrib><creatorcontrib>Ventura, M.G.</creatorcontrib><creatorcontrib>Sotillo, A. Rodriguez</creatorcontrib><title>Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>To compare the performance of SpeediCath hydrophilic-coated catheters versus uncoated polyvinyl chloride (PVC) catheters, in traumatic spinal cord injured patients presenting with functional neurogenic bladder-sphincter disorders.
A 1-year, prospective, open, parallel, comparative, randomised, multi centre study included 123 male patients, ≥16 y and injured within the last 6 months. Primary endpoints were occurrence of symptomatic urinary tract infection (UTI) and hematuria. Secondary endpoints were development of urethral strictures and convenience of use. The main hypothesis was that coated catheters cause fewer complications in terms of symptomatic UTIs and hematuria.
57 out of 123 patients completed the 12-month study. Fewer patients using the SpeediCath hydrophilic-coated catheter (64%) experienced 1 or more UTIs compared to the uncoated PVC catheter group (82%) (p=0.02). Thus, twice as many patients in the SpeediCath group were free of UTI. There was no significant difference in the number of patients experiencing bleeding episodes (38/55 SpeediCath; 32/59 PVC) and no overall difference in the occurrence of hematuria, leukocyturia and bacteriuria.
The results indicate that there is a beneficial effect regarding UTI when using hydrophilic-coated catheters.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Catheter-related infection</subject><subject>Catheterization</subject><subject>Chi-Square Distribution</subject><subject>Coated Materials, Biocompatible</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injury Severity Score</subject><subject>Intermittent catheterisation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurogenic bladder</subject><subject>Petrolatum - pharmacology</subject><subject>Probability</subject><subject>Prospective Studies</subject><subject>Reference Values</subject><subject>Risk Assessment</subject><subject>Single-Blind Method</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - diagnosis</subject><subject>Spinal cord injury</subject><subject>Statistics, Nonparametric</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urinary Bladder, Neurogenic - therapy</subject><subject>Urinary Catheterization - adverse effects</subject><subject>Urinary Catheterization - instrumentation</subject><subject>Urinary Catheterization - methods</subject><subject>Urinary tract infection</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - prevention & control</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctuEzEUhkcIRNPCGyDkFaKLCcfjie2wqFSNgEaqRNWma8uxzygOk_Fge4r6oLwPniSCHStf_u9c_6J4R2FOgfJPuzmOYQx-XgEs5iDmQOWLYkalYKVYcHhZzIBBVVaSybPiPMYdALDFkr0uziinTMiqmhW_V33CsHcpYZ9Io9MW89tFnZzvyS-XtuTm2QY_bF3nTNl4ndD-5SL5-DAgWjd9XJJ7tKPBSLJI7l38QXxLms71zuiOPAbX6_BM1kGbRFZ9i-ZQw_XkYchSRxofbBZ2Y8gl7nIHuaX4mVyTu-DjMOFPOa_urd-7eECC7jqcAvdDvh_0dXC6e1O8anUX8e3pvCgev35ZNzfl7fdvq-b6tjQ18FRaMC1nstowZjYtpe2S841Y0hpb0ExKUYE0lQZRtdByTa2oOceFEMJWWNeGXRQfjnmH4H-OGJPKnRnsOt2jH6PiUgKXXGawPoImjxIDtmoIbp_XoSioyU61U0c71WSnAqGynTns_Sn_uNmj_Rd08i8DV0cA85RPDoOKJq_NZEtCXpiy3v2_wh8wU7ff</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>De Ridder, D.J.M.K.</creator><creator>Everaert, K.</creator><creator>Fernández, L. García</creator><creator>Valero, J.V. Forner</creator><creator>Durán, A. Borau</creator><creator>Abrisqueta, M.L. Jauregui</creator><creator>Ventura, M.G.</creator><creator>Sotillo, A. Rodriguez</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial</title><author>De Ridder, D.J.M.K. ; Everaert, K. ; Fernández, L. García ; Valero, J.V. Forner ; Durán, A. Borau ; Abrisqueta, M.L. Jauregui ; Ventura, M.G. ; Sotillo, A. Rodriguez</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-d0cf6382b33cbf11f966b7914ef0a3887208c2a072f0f6a1d7466e5777d2e44c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Catheter-related infection</topic><topic>Catheterization</topic><topic>Chi-Square Distribution</topic><topic>Coated Materials, Biocompatible</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Injury Severity Score</topic><topic>Intermittent catheterisation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurogenic bladder</topic><topic>Petrolatum - pharmacology</topic><topic>Probability</topic><topic>Prospective Studies</topic><topic>Reference Values</topic><topic>Risk Assessment</topic><topic>Single-Blind Method</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - diagnosis</topic><topic>Spinal cord injury</topic><topic>Statistics, Nonparametric</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder, Neurogenic - etiology</topic><topic>Urinary Bladder, Neurogenic - therapy</topic><topic>Urinary Catheterization - adverse effects</topic><topic>Urinary Catheterization - instrumentation</topic><topic>Urinary Catheterization - methods</topic><topic>Urinary tract infection</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Urinary Tract Infections - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Ridder, D.J.M.K.</creatorcontrib><creatorcontrib>Everaert, K.</creatorcontrib><creatorcontrib>Fernández, L. García</creatorcontrib><creatorcontrib>Valero, J.V. Forner</creatorcontrib><creatorcontrib>Durán, A. Borau</creatorcontrib><creatorcontrib>Abrisqueta, M.L. Jauregui</creatorcontrib><creatorcontrib>Ventura, M.G.</creatorcontrib><creatorcontrib>Sotillo, A. Rodriguez</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Ridder, D.J.M.K.</au><au>Everaert, K.</au><au>Fernández, L. García</au><au>Valero, J.V. Forner</au><au>Durán, A. Borau</au><au>Abrisqueta, M.L. Jauregui</au><au>Ventura, M.G.</au><au>Sotillo, A. Rodriguez</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2005-12</date><risdate>2005</risdate><volume>48</volume><issue>6</issue><spage>991</spage><epage>995</epage><pages>991-995</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><abstract>To compare the performance of SpeediCath hydrophilic-coated catheters versus uncoated polyvinyl chloride (PVC) catheters, in traumatic spinal cord injured patients presenting with functional neurogenic bladder-sphincter disorders.
A 1-year, prospective, open, parallel, comparative, randomised, multi centre study included 123 male patients, ≥16 y and injured within the last 6 months. Primary endpoints were occurrence of symptomatic urinary tract infection (UTI) and hematuria. Secondary endpoints were development of urethral strictures and convenience of use. The main hypothesis was that coated catheters cause fewer complications in terms of symptomatic UTIs and hematuria.
57 out of 123 patients completed the 12-month study. Fewer patients using the SpeediCath hydrophilic-coated catheter (64%) experienced 1 or more UTIs compared to the uncoated PVC catheter group (82%) (p=0.02). Thus, twice as many patients in the SpeediCath group were free of UTI. There was no significant difference in the number of patients experiencing bleeding episodes (38/55 SpeediCath; 32/59 PVC) and no overall difference in the occurrence of hematuria, leukocyturia and bacteriuria.
The results indicate that there is a beneficial effect regarding UTI when using hydrophilic-coated catheters.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>16137822</pmid><doi>10.1016/j.eururo.2005.07.018</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | European urology, 2005-12, Vol.48 (6), p.991-995 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Catheter-related infection Catheterization Chi-Square Distribution Coated Materials, Biocompatible Follow-Up Studies Humans Incidence Injury Severity Score Intermittent catheterisation Male Middle Aged Neurogenic bladder Petrolatum - pharmacology Probability Prospective Studies Reference Values Risk Assessment Single-Blind Method Spinal Cord Injuries - complications Spinal Cord Injuries - diagnosis Spinal cord injury Statistics, Nonparametric Treatment Outcome Urinary Bladder, Neurogenic - etiology Urinary Bladder, Neurogenic - therapy Urinary Catheterization - adverse effects Urinary Catheterization - instrumentation Urinary Catheterization - methods Urinary tract infection Urinary Tract Infections - epidemiology Urinary Tract Infections - prevention & control |
| title | Intermittent Catheterisation with Hydrophilic-Coated Catheters (SpeediCath) Reduces the Risk of Clinical Urinary Tract Infection in Spinal Cord Injured Patients: A Prospective Randomised Parallel Comparative Trial |
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