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Tytuł:
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Maintenance of indwelling urinary catheters with a novel polyhexanide-based solution: user experience.
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Autorzy:
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Andersen L; Continence Advisor, Slagelse Kommune, Denmark.
Bertelsen M; Incontinence Coordinator & Urotherapist, Frederiksberg Kommune, Denmark.
Buitenhuis V; Department Nurse & Urotherapist, Gentofte Hospital, Denmark.
Carstensen A; Continence Advisor, Sønderborg Kommune, Denmark.
Hannibalsen J; Continence Advisor, Rigshospitalet, Denmark.
Larsen BH; Continence Advisor, Viborg Kommune, Denmark.
Hvirvlkær R; Continence Advisor, Aarhus Kommune, Denmark.
Malinowska ZA; Continence Advisor, Rigshospitalet, Denmark.
Pedersen B; Nurse/Urotherapist, MCN - Special Clinical Function (Development), University Hospital of Aalborg, Denmark.
Ulla-Britt Würtz S; Continence Advisor, Viborg Kommune, Denmark.
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Źródło:
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British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2020 Oct 08; Vol. 29 (18), pp. S18-S28.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: London : MA Healthcare
Original Publication: London : Mark Allen Pub., c1992-
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MeSH Terms:
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Catheter-Related Infections*/prevention & control
Urinary Tract Infections*/etiology
Urinary Tract Infections*/prevention & control
Biguanides ; Catheters, Indwelling/adverse effects ; Female ; Humans ; Male ; Quality of Life ; Retrospective Studies ; Urinary Catheterization/adverse effects ; Urinary Catheters/adverse effects
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Contributed Indexing:
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Keywords: Biofilm; Catheter maintenance; Indwelling catheter; Polyhexanide; Urinary tract infection
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Substance Nomenclature:
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0 (Biguanides)
322U039GMF (polihexanide)
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Entry Date(s):
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Date Created: 20201009 Date Completed: 20210726 Latest Revision: 20220417
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Update Code:
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20240105
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DOI:
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10.12968/bjon.2020.29.18.S18
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PMID:
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33035090
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Background: Catheter-associated urinary tract infection (CAUTI) can significantly affect patients' quality of life and increase healthcare costs.
Aims: This study aimed to capture patients' and nurses' experience of catheter maintenance using a polyhexanide-based solution (PS) in everyday practice.
Methods: Retrospective analysis of data was collected for a product evaluation. PS was used twice a week for five weeks.
Findings: The study included 42 patients, 30 (71%) men and 12 women (29%). After five weeks of rinsing catheters with PS, nine patients reported no or decreased frequency of CAUTI, eight a better quality of life, eight reduced blockage, seven a decrease in odour and five fewer catheter changes. Three patients reported no benefit from PS use. Nurses reported that fewer visits were needed and consumption of disposables was lower.
Conclusions: User experiences suggest that, as a novel means of catheter maintenance, PS has the potential to reduce catheter-associated complications such as CAUTI, improve quality of life and reduce healthcare costs.
