Intermittent catheterization with single- or multiple-reuse catheters: clinical study on safety and impact on quality of life.

Newman, DK; New, PW; Heriseanu, R; Petronis, S; Håkansson, J; Håkansson, MÅ; Lee, BB

Intermittent catheterization with single- or multiple-reuse catheters: clinical study on safety and impact on quality of life.

Newman, DK New, PW Heriseanu, R Petronis, S Håkansson, J Håkansson, MÅ Lee, BB

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Publisher:: SPRINGER
Publication Type:: Journal Article
Citation:: International urology and nephrology, 2020, 52, (8), pp. 1443-1451
Issue Date:: 2020-08

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Field	Value	Language
dc.contributor.author	Newman, DK
dc.contributor.author	New, PW
dc.contributor.author	Heriseanu, R
dc.contributor.author	Petronis, S
dc.contributor.author	Håkansson, J
dc.contributor.author	Håkansson, MÅ
dc.contributor.author	Lee, BB
dc.date.accessioned	2021-03-18T19:17:59Z
dc.date.available	2020-02-26
dc.date.available	2021-03-18T19:17:59Z
dc.date.issued	2020-08
dc.identifier.citation	International urology and nephrology, 2020, 52, (8), pp. 1443-1451
dc.identifier.issn	0301-1623
dc.identifier.issn	1573-2584
dc.identifier.uri	http://hdl.handle.net/10453/147348
dc.description.abstract	PURPOSE:Intermittent catheterization (IC) is a proven effective long-term bladder management strategy for individuals who have lower urinary tract dysfunction. This study provides clinical evidence about multiple-reuse versus single-use catheterization techniques and if catheter choice can have an impact on health-related quality of life (HRQoL). METHOD:A prospective, multi-center, clinical trial studied patients who currently practiced catheter reuse, and who agreed to prospectively evaluate single-use hydrophilic-coated (HC) (i.e. LoFric) catheters for 4 weeks. A validated Intermittent Self-Catheterization Questionnaire (ISC-Q) was used to obtain HRQoL. Reused catheters were collected and studied with regard to microbial and debris contamination. RESULTS:The study included 39 patients who had practiced IC for a mean of 10 years, 6 times daily. At inclusion, all patients reused catheters for a mean of 21 days (SD = 48) per catheter. 36 patients completed the prospective test period and the mean ISC-Q score increased from 58.0 (SD = 22.6) to 67.2 (SD = 17.7) when patients switched to the single-use HC catheters (p = 0.0101). At the end of the study, 83% (95% CI [67-94%]) preferred to continue using single-use HC catheters. All collected reused catheters (100%) were contaminated by debris and 74% (95% CI [58-87%]) were contaminated by microorganisms, some with biofilm. CONCLUSION:Single-use HC catheters improved HRQoL and were preferred over catheter reuse among people practicing IC. Catheter multiple-reuse may pose a potential safety concern due to colonization by microorganisms as well as having reduced acceptance compared to single use. TRIAL REGISTRY NUMBER:ClinicalTrials.gov NCT02129738.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SPRINGER
dc.relation.ispartof	International urology and nephrology
dc.relation.isbasedon	10.1007/s11255-020-02435-9
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Urology & Nephrology
dc.title	Intermittent catheterization with single- or multiple-reuse catheters: clinical study on safety and impact on quality of life.
dc.type	Journal Article
utslib.citation.volume	52
utslib.location.activity	Netherlands
utslib.for	1103 Clinical Sciences
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access	*
dc.date.updated	2021-03-18T19:17:52Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	52
utslib.citation.issue	8

Abstract:

PURPOSE:Intermittent catheterization (IC) is a proven effective long-term bladder management strategy for individuals who have lower urinary tract dysfunction. This study provides clinical evidence about multiple-reuse versus single-use catheterization techniques and if catheter choice can have an impact on health-related quality of life (HRQoL). METHOD:A prospective, multi-center, clinical trial studied patients who currently practiced catheter reuse, and who agreed to prospectively evaluate single-use hydrophilic-coated (HC) (i.e. LoFric) catheters for 4 weeks. A validated Intermittent Self-Catheterization Questionnaire (ISC-Q) was used to obtain HRQoL. Reused catheters were collected and studied with regard to microbial and debris contamination. RESULTS:The study included 39 patients who had practiced IC for a mean of 10 years, 6 times daily. At inclusion, all patients reused catheters for a mean of 21 days (SD = 48) per catheter. 36 patients completed the prospective test period and the mean ISC-Q score increased from 58.0 (SD = 22.6) to 67.2 (SD = 17.7) when patients switched to the single-use HC catheters (p = 0.0101). At the end of the study, 83% (95% CI [67-94%]) preferred to continue using single-use HC catheters. All collected reused catheters (100%) were contaminated by debris and 74% (95% CI [58-87%]) were contaminated by microorganisms, some with biofilm. CONCLUSION:Single-use HC catheters improved HRQoL and were preferred over catheter reuse among people practicing IC. Catheter multiple-reuse may pose a potential safety concern due to colonization by microorganisms as well as having reduced acceptance compared to single use. TRIAL REGISTRY NUMBER:ClinicalTrials.gov NCT02129738.

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