Catheters edit
A 2014 systemic review concluded that using silver alloy‐coated catheters showed no significant difference in incidences of symptomatic Catheter-Associated Urinary Tract Infections (CAUTI) versus using standard catheters, although silver-alloy catheters seemed to cause less discomfort to patients.[1] These catheters are associated with greater cost than other catheters.[1] A 2014 Multicenter Cohort Study found that using a silver-alloy hydrogel urinary catheter did reduce symptomatic Catheter-Associated Urinary Tract Infection (CAUTI) occurrences as defined by both NHSN and clinical criteria.[2] A 2011 critical analysis of eight studies found a consistent pattern which supported using silver-alloy urinary catheters over uncoated catheters to reduce infections in adult patients, and concluded that using silver-alloy catheters would significantly improve patient care.[3] A 2007 systemic review concluded that using silver-alloy indwelling catheters for short-term catheterizing will reduce the risk of catheter acquired urinary tract infection, but called for further studies to evaluate the economic benefits of using the expensive silver alloy-catheters.[4] Two systemic reviews in 2004 found that using silver-alloy catheters reduced asymptomatic and symptomatic bacteriuria more than standard catheters, for patients who were catheterised for a short time.[5][6] A 2000 randomized crossover study found that using the more expensive silver-coated catheter may result in cost savings by preventing nosocomial UTI infections,[7] and another 2000 study found that using silver alloy catheters for short-term urinary catheterization reduces the incidence of symptomatic UTI and bacteremia compared with standard catheters, and may thus yield cost savings.[8]
- ^ a b Lam, Thomas BL; Omar, Muhammad Imran; Fisher, Euan; Gillies, Katie; MacLennan, Sara (2014). "Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults". Cochrane Database of Systematic Reviews (9): CD004013. doi:10.1002/14651858.CD004013.pub4. PMID 25248140.
- ^ Lederer, James W.; Jarvis, William R.; Thomas, Lendon; Ritter, Jaime (2014). "Multicenter Cohort Study to Assess the Impact of a Silver-Alloy and Hydrogel-Coated Urinary Catheter on Symptomatic Catheter-Associated Urinary Tract Infections". Journal of Wound, Ostomy and Continence Nursing. 41 (5): 473–480. doi:10.1097/WON.0000000000000056. PMC 4165476. PMID 24922561.
- ^ Can silver alloy catheters reduce infection rates? By M Beattie, Nursing Times. 2011 Jul 26-Aug 1;107(29):19-20, 22. ; PMID:21941730, at https://www.ncbi.nlm.nih.gov/pubmed/21941730
- ^ Schumm, K.; Lam, T.B.L. (2008). "Types of urethral catheters for management of short-term voiding problems in hospitalized adults: A short version cochrane review". Neurourology and Urodynamics. 27 (8): 738–746. doi:10.1002/nau.20645. PMID 18951451.
- ^ Rosier, P. K. (2004). "Review: Silver alloy catheters are more effective than standard catheters for reducing bacteriuria in adults in hospital having short term catheterisation". Evidence-Based Nursing. 7 (3): 85. doi:10.1136/ebn.7.3.85. PMID 15252913.
- ^ Brosnahan J, Jull A, Tracy C. Types of urethral catheters for management of short-term voiding problems in hospitalised adults. Cochrane Database Syst Rev 2004;(1):CD004013 (latest version 26 Nov 2003). https://ebn.bmj.com/content/7/3/85; http://dx.doi.org/10.1136/ebn.7.3.85;
- ^ A randomized crossover study of silver-coated urinary catheters in hospitalized patients. Karchmer TB, Giannetta ET, Muto CA, Strain BA, Farr BM. - Arch Intern Med. 2000 Nov 27;160(21):3294-8. PMID:11088092
- ^ The potential clinical and economic benefits of silver alloy urinary catheters in preventing urinary tract infection. ; Saint S, Veenstra DL, Sullivan SD, Chenoweth C, Fendrick AM. Arch Intern Med. 2000 Sep 25;160(17):2670-5.; PMID:10999983