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Titre : | Impact of Hydrophilic Catheters on Urinary Tract Infections in People With Spinal Cord Injury: Systematic Review and Meta-Analysis of Randomized Controlled Trials (2013) |
Auteurs : | Li Li ; Wenqin Ye ; Baoyan Yang ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/4, 2013) |
Article en page(s) : | pp. 782-787 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Méta-analyse ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Meta-analysis ; Randomized controlled trial ; Essai contrôlé randomisé ; Spinal cord injuries ; Urinary tract infections ; Infections urinaires |
Résumé : |
"Objectives To identify randomized controlled trials comparing the use of hydrophilic and nonhydrophilic catheters for intermittent catheterization (IC) in patients with spinal cord injury (SCI), and to perform a meta-analysis evaluating the occurrence of hematuria and urinary tract infection (UTI). Data Sources We searched the following electronic databases to identify studies: EMBASE (1991 to August 2011), PubMed (1991 to August 2011), Cochrane Library (no date restriction), China National Knowledge Infrastructure (no date restriction), and the Chinese Biomedical Literature Database (no date restriction). Study Selection Randomized controlled trials, parallel-control, crossover-control, and prospective cohort studies that assessed morbidity associated with the use of hydrophilic catheters and nonhydrophilic catheters in patients after SCI were included. Data Extraction Data extraction was performed using standardized forms of the Cochrane Collaboration. Methodologic quality was independently assessed by 2 reviewers using the Downs and Black instrument. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated for dichotomous data. Data Synthesis Five studies involving 508 subjects; 462 subjects completed the study and were included in this meta-analysis. There was a significantly lower incidence (OR=.36; 95% CI, 24%54%; P<.0001 of reported utis in the hydrophilic-treated group compared with nonhydrophilic-treated group. hematuria was also significantly less hydrophilic catheter than nonhydrophilic ci p=".001).<br"> Conclusions This meta-analysis found UTIs and hematuria less frequently associated with the use of hydrophilic-coated catheters for IC in patients with SCI. These findings support the use of hydrophilic catheters in this patient population." |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |