Kateterrelaterade urinvägsinfektioner ? brist på effektiva preventioner ? En litteratursammanställning
Hälsa och vårdvetenskapHealth and health scienceBacteriuriaCatheter associatedPreventionRoutine careUrinary tract infections
Background: Urinary tract infections caused by indwelling urinary catheters
causes unneccesay suffering among those it affects. These infections are also
financially straining on the health care services. It is therefore of
importance to gain knowledge about which evidence based preventive
interventions that have the possibility to reduce the risk for bacteriuria and
urinary tract infections among patients with indwelling urinary catheters. Aim:
This study aimed to compile available knowledge concerning i) if silver alloy
catheters does reduce bacteriuria in this patient group, ii) if aseptic
catheterization does reduce bacteriuria in this patientgroup, iii) which
routines for changing the urinary drainage bag reduces the risk of bacteriuria,
iv) which routine genital hygenic care reduces the risk of bacteriuria? Method:
Litterature was searched for in the data bases Cinahl, Medline and The Cochrane
Library using the data bases? thesaurius combined with OR/AND. Fourteen
Randomised Controlled Trials (RCT) were included and reviewed using the Consort
Statement checklist for Non Pharmacological RCT?s. Cohen?s Kappa showed a high
concensus between the two reviewers (0, 85 - 0, 89). Meta-analysis was
conducted when ever possible. Result: There are insufficient evidens that
silver alloy catheters reduces the risk for bacteriuria when used ? 6 days.
There is no evidences that aseptic catheterization or that the use of daily
antibacterial cleansing agent reduces rates of bacteriuria. No RCT evaluating
routines changing the urinary drainage bag was found. Conclusion: The results
appear to suggest that the best preventive intervention to reduce the risk for
catheter associated bacteriuria is to clean the meatus daily with soap and
water. There is not enough scientific evidence to give anyother recommendations
in this field. Further research is therefore recommended to find evidence of
which preventive interventions can be recommended to reduce the risk for
catheter associated urinary tract infections.