The Experts below are selected from a list of 225 Experts worldwide ranked by ideXlab platform
U Sillén - One of the best experts on this subject based on the ideXlab platform.
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complications of clean Intermittent Catheterization in young females with myelomeningocele 10 to 19 years of followup
The Journal of Urology, 2007Co-Authors: B Lindehall, K Abrahamsson, U Jodal, I Olsson, U SillénAbstract:Purpose: We evaluated the rate of complications associated with Catheterization and the risk of urethral lesions in girls with myelomeningocele treated with clean Intermittent Catheterization for a minimum of 10 years.Materials and Methods: We examined the medical records of 31 females with myelomeningocele followed from the start of clean Intermittent Catheterization until age 11 to 20 years. Catheterization had been performed for a median of 15 years (range 10 to 19). Altogether, Catheterization was used for a total of 459 patient-years. Noncoated polyvinyl chloride catheters were used in all cases. Anticholinergic treatment was given during 176 of the patient-years.Results: Complications of Catheterization were recorded in 13 patients on 20 occasions. Macroscopic hematuria was seen in 4 individuals. In 2 patients the hematuria was caused by urethral polyps that were cured by resection. Difficulties with Catheterization occurred in 12 patients. The problems were solved by temporary use of lubrication or...
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Complications of clean Intermittent Catheterization in young females with myelomeningocele: 10 to 19 years of followup.
The Journal of urology, 2007Co-Authors: B Lindehall, K Abrahamsson, U Jodal, I Olsson, U SillénAbstract:We evaluated the rate of complications associated with Catheterization and the risk of urethral lesions in girls with myelomeningocele treated with clean Intermittent Catheterization for a minimum of 10 years. We examined the medical records of 31 females with myelomeningocele followed from the start of clean Intermittent Catheterization until age 11 to 20 years. Catheterization had been performed for a median of 15 years (range 10 to 19). Altogether, Catheterization was used for a total of 459 patient-years. Noncoated polyvinyl chloride catheters were used in all cases. Anticholinergic treatment was given during 176 of the patient-years. Complications of Catheterization were recorded in 13 patients on 20 occasions. Macroscopic hematuria was seen in 4 individuals. In 2 patients the hematuria was caused by urethral polyps that were cured by resection. Difficulties with Catheterization occurred in 12 patients. The problems were solved by temporary use of lubrication or by other minor changes in management. There were no difficulties recorded after puberty. The risk of difficulties at Catheterization doubled with the use of a Ch8 to Ch10 catheter compared to a Ch12 or larger catheter, and doubled during assisted clean Intermittent Catheterization compared to clean Intermittent self-Catheterization. There were remarkably few problems associated with clean Intermittent Catheterization in these females with myelomeningocele, despite long treatment periods and use of noncoated polyvinyl chloride catheters. Clean Intermittent self-Catheterization and large size catheters were associated with few complications.
Katherine N. Moore - One of the best experts on this subject based on the ideXlab platform.
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Current evidence on Intermittent Catheterization: sterile single-use catheters or clean reused catheters and the incidence of UTI.
Journal of Wound Ostomy and Continence Nursing, 2007Co-Authors: Kathryn Getliffe, Mandy Fader, Colleen Allen, Kim Pinar, Katherine N. MooreAbstract:Intermittent Catheterization is a commonly prescribed procedure for people with incomplete bladder emptying not managed by other methods. The most frequent complication of Intermittent Catheterization is urinary tract infection (UTI). It is unclear what strategies, including sterile vs clean catheters or coated vs uncoated PVC catheters, affect the incidence of UTIs. This systematic review summarizes current evidence on the relationship between sterile single-use catheters or clean reused catheters and the incidence of UTIs.
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Intermittent Catheterization in the rehabilitation setting: a comparison of clean and sterile technique.
Clinical rehabilitation, 2006Co-Authors: Katherine N. Moore, Jean Burt, Donald C. VoaklanderAbstract:Objective: To compare the onset of symptomatic urinary tract infection in individuals with spinal cord injury in a rehabilitation setting who are randomized to clean or sterile Intermittent Catheterization technique.Design: Randomized controlled design.Setting: Spinal cord rehabilitation units in western Canada.Subjects: Thirty-six patients with cervical spinal cord injuries requiring Intermittent Catheterization by nursing staff were recruited. None had a previous history of voiding dysfunction or urinary tract infections.Interventions: Subjects were randomized to either clean or sterile Intermittent Catheterization technique. Protocols for both clean and sterile techniques were standardized and followed by nursing staff and caregivers.Main measures: Primary outcome measure was symptomatic urinary tract infection as diagnosed by urine culture ≥ 105 colony-forming units/mL, pyuria (≥ 10 leukocytes on high-power field), and accompanying symptoms.Results: A total of 189 urine specimens from 36 subjects were...
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Intermittent Catheterization: sterile or clean?
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses, 1991Co-Authors: Katherine N. MooreAbstract:Bacteriuria--asymptomatic and symptomatic--always has the potential to develop into a serious problem when Intermittent Catheterization is being used. Research on the best method of reducing bacteriuria is inconclusive. Studies have focused on the use of sterile technique, oral or vesical antibiotics, and the frequency of Catheterization. This article presents a summary of current research on bacteriuria in the patient requiring Intermittent Catheterization.
Robert E. Weiss - One of the best experts on this subject based on the ideXlab platform.
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Comparison of Urinary Tract Infection Rates Associated with Transurethral Catheterization, Suprapubic Tube and Clean Intermittent Catheterization in the Postoperative Setting: A Network Meta-Analysis.
The Journal of urology, 2017Co-Authors: Christopher Han, Sinae Kim, Kushan D. Radadia, Philip Zhao, Sammy Elsamra, Ephrem O. Olweny, Robert E. WeissAbstract:Purpose: We performed a network meta-analysis of available randomized, controlled trials to elucidate the risks of urinary tract infection associated with transurethral Catheterization, suprapubic tubes and Intermittent Catheterization in the postoperative setting.Materials and Methods: PubMed®, EMBASE® and Google Scholar™ searches were performed for eligible randomized, controlled trials from January 1980 to July 2015 that included patients who underwent transurethral Catheterization, suprapubic tube placement or Intermittent Catheterization at the time of surgery and Catheterization lasting up to postoperative day 30. The primary outcome of comparison was the urinary tract infection rate via a network meta-analysis with random effects model using the netmeta package in R 3.2 (www.r-project.org/).Results: Included in analysis were 14 randomized, controlled trials in a total of 1,391 patients. Intermittent Catheterization and suprapubic tubes showed no evidence of decreased urinary tract infection rates c...
Donald C. Voaklander - One of the best experts on this subject based on the ideXlab platform.
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Intermittent Catheterization in the rehabilitation setting: a comparison of clean and sterile technique.
Clinical rehabilitation, 2006Co-Authors: Katherine N. Moore, Jean Burt, Donald C. VoaklanderAbstract:Objective: To compare the onset of symptomatic urinary tract infection in individuals with spinal cord injury in a rehabilitation setting who are randomized to clean or sterile Intermittent Catheterization technique.Design: Randomized controlled design.Setting: Spinal cord rehabilitation units in western Canada.Subjects: Thirty-six patients with cervical spinal cord injuries requiring Intermittent Catheterization by nursing staff were recruited. None had a previous history of voiding dysfunction or urinary tract infections.Interventions: Subjects were randomized to either clean or sterile Intermittent Catheterization technique. Protocols for both clean and sterile techniques were standardized and followed by nursing staff and caregivers.Main measures: Primary outcome measure was symptomatic urinary tract infection as diagnosed by urine culture ≥ 105 colony-forming units/mL, pyuria (≥ 10 leukocytes on high-power field), and accompanying symptoms.Results: A total of 189 urine specimens from 36 subjects were...
B Lindehall - One of the best experts on this subject based on the ideXlab platform.
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complications of clean Intermittent Catheterization in young females with myelomeningocele 10 to 19 years of followup
The Journal of Urology, 2007Co-Authors: B Lindehall, K Abrahamsson, U Jodal, I Olsson, U SillénAbstract:Purpose: We evaluated the rate of complications associated with Catheterization and the risk of urethral lesions in girls with myelomeningocele treated with clean Intermittent Catheterization for a minimum of 10 years.Materials and Methods: We examined the medical records of 31 females with myelomeningocele followed from the start of clean Intermittent Catheterization until age 11 to 20 years. Catheterization had been performed for a median of 15 years (range 10 to 19). Altogether, Catheterization was used for a total of 459 patient-years. Noncoated polyvinyl chloride catheters were used in all cases. Anticholinergic treatment was given during 176 of the patient-years.Results: Complications of Catheterization were recorded in 13 patients on 20 occasions. Macroscopic hematuria was seen in 4 individuals. In 2 patients the hematuria was caused by urethral polyps that were cured by resection. Difficulties with Catheterization occurred in 12 patients. The problems were solved by temporary use of lubrication or...
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Complications of clean Intermittent Catheterization in young females with myelomeningocele: 10 to 19 years of followup.
The Journal of urology, 2007Co-Authors: B Lindehall, K Abrahamsson, U Jodal, I Olsson, U SillénAbstract:We evaluated the rate of complications associated with Catheterization and the risk of urethral lesions in girls with myelomeningocele treated with clean Intermittent Catheterization for a minimum of 10 years. We examined the medical records of 31 females with myelomeningocele followed from the start of clean Intermittent Catheterization until age 11 to 20 years. Catheterization had been performed for a median of 15 years (range 10 to 19). Altogether, Catheterization was used for a total of 459 patient-years. Noncoated polyvinyl chloride catheters were used in all cases. Anticholinergic treatment was given during 176 of the patient-years. Complications of Catheterization were recorded in 13 patients on 20 occasions. Macroscopic hematuria was seen in 4 individuals. In 2 patients the hematuria was caused by urethral polyps that were cured by resection. Difficulties with Catheterization occurred in 12 patients. The problems were solved by temporary use of lubrication or by other minor changes in management. There were no difficulties recorded after puberty. The risk of difficulties at Catheterization doubled with the use of a Ch8 to Ch10 catheter compared to a Ch12 or larger catheter, and doubled during assisted clean Intermittent Catheterization compared to clean Intermittent self-Catheterization. There were remarkably few problems associated with clean Intermittent Catheterization in these females with myelomeningocele, despite long treatment periods and use of noncoated polyvinyl chloride catheters. Clean Intermittent self-Catheterization and large size catheters were associated with few complications.