Inability to walk increased UTI risk in both cohorts
An evaluation of demographic, pharmacologic, and other parameters found that being unable to walk was associated with an increased risk of UTI in both the single-use and reusable catheter groups (p<.01). This was true as well for the absence of antimuscarinic therapy (p<.05) and for patients with a history of vesicoureteral reflux grade 2 or higher (p<.01). Other factors, including gender, age, body mass index, self-catheterization, and urodynamic parameters were not associated with any differences in the rate of UTI.
“In conclusion, we found that there were no differences between both types of catheteriziation,” Dr. Madero-Morales said. He added that these results are consistent with a Cochrane review published in 2014, though that review identified substantial heterogeneity between studies.
“Selection of catheterization technique should regard personal preferences, cost, and the ease of use. Further evidence is required to determine a standard among the techniques,” Dr. Madero-Morales said.
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