Evidence map›Paper›PMID 33476092›Full record

ArticleNeurourology and urodynamics2021

Bladder irrigation with povidone-iodine prevent recurrent urinary tract infections in neurogenic bladder patients on clean intermittent catheterization.

Mohamad Moussa, Mohamed Abou Chakra, Athanasios G Papatsoris, Athanasios Dellis, Baraa Dabboucy, Youssef Fares

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Article in Neurourology and urodynamics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Refractory XDRLe infezioni in medicina · 2026
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  4. Article
  5. Article
  6. Article
  7. Review
  8. Urinary Tract Infection in Parkinson's Disease.Journal of Parkinson's disease · 2022
    Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Mohamad MoussaDepartment of Urology, Lebanese Univeristy, Beirut, Lebanon.
Mohamed Abou ChakraDepartment of Urology, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.ORCID 0000-0002-4293-3314
Athanasios G PapatsorisSecond Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Athanasios DellisDepartment of Urology and General Surgery, Areteion Hospital, Athens, Greece.
Baraa DabboucyDepartment of Neurosurgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Youssef FaresDepartment of Neurosurgery, Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Lebanese University · LBAretaeio Hospital · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine if daily povidone-iodine (PI) bladder irrigation in neurogenic lower urinary tract dysfunction (NLUTD) patients doing clean intermittent catheterization (CIC) can reduce the rate of symptomatic urinary tract infections (UTIs), emergency department (ED) visit for UTIs, and hospitalization for UTIs.

methodsWe prospectively reviewed the records of patients with NLUTD on CIC who had recurrent symptomatic UTIs and who were placed on daily intravesical instillations of PI. This trial was conducted from January 2014 to January 2020 on 119 patients.

resultsAfter using daily PI bladder irrigation, the rate of symptomatic UTIs was reduced by 99.2% (incidence rate ratio [IRR]: 0.008, 95% confidence interval [CI]: 0.001-0.059; p < .001), the rate of ED visits was reduced by 99.2%% (IRR: 0.008, 95% CI: 0.001-0.059; p < .001), and the rate of inpatient hospitalizations for UTI was reduced by 99.9% (IRR: 0.0008, 95% CI: 0.0002-0.0035; p < .001). There was also a significant decrease in multidrug resistance in UTI organisms with the use of PI bladder instillation.

conclusionsDaily intravesical PI instillation is a well-tolerated approach to prevent UTIs and related ED visits and hospitalizations in NLUTD patients doing CIC.

Indexed as

AdolescentAdultFemaleHumansIncidenceIntermittent Urethral CatheterizationMaleMiddle AgedPovidone-IodineProspective StudiesTherapeutic IrrigationUrinary Bladder, NeurogenicUrinary Tract InfectionsYoung AdultPovidone-Iodineclean intermittent catheterizationintravesical instillationneurogenic bladderpovidone-iodinerecurrenturinary tract infection

Identifiers

PMID33476092
OpenAlexW3123741480

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.