Evidence map›Paper›PMID 37533010›Full record

ArticleBMC infectious diseases2023

Indwelling catheter vs intermittent catheterization: is there a difference in UTI susceptibility?

Vera Neumeier, Fabian P Stangl, Joëlle Borer, Collene E Anderson, Veronika Birkhäuser, Oksana Chemych, Oliver Gross, Miriam Koschorke, Jonas Marschall, Shawna McCallin and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Vera Neumeier *Department of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-8149-3710
Fabian P Stangl *Department of Urology, Inselspital, University Hospital Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-6219-2402
Joëlle BorerDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.
Collene E AndersonDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-4350-6816
Veronika BirkhäuserDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-6646-7266
Oksana ChemychDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.
Oliver GrossDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-3330-5623
Miriam KoschorkeDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0001-5667-0474
Jonas MarschallDivision of Infectious Diseases, Washington University School of Medicine, St. Louis Missouri, USA.ORCID http://orcid.org/0000-0002-0052-3210
Shawna McCallinDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-4277-7753
Ulrich MehnertDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0001-7963-8477
Helen SadriDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.
Lara StächeleDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-9723-0595
Thomas M KesslerDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland.ORCID http://orcid.org/0000-0002-1991-5919
Lorenz LeitnerDepartment of Neuro-Urology, Balgrist University Hospital, University of Zürich, Forchstrasse 340, 8008, Zürich, Switzerland. lorenz.leitner@gmail.com.ORCID http://orcid.org/0000-0001-5764-3494
University of Zurich · CHUniversity Hospital of Bern · CHUniversity of Lucerne · CHWashington University in St. Louis · US

Funding

Hochschulmedizin Zürich Flagship grant: ImmunoPhageSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung Grant number: 189957
6 · The paper itself

Abstract

backgroundPatients with neurogenic lower urinary tract dysfunction (NLUTD) often rely on some type of catheterization for bladder emptying. Intermittent catheterization (IC) is considered the gold standard and is preferred over continuous catheterization, since it is considered to cause fewer urinary tract infections (UTIs) than indwelling catheterization. The main objective of our study was to describe UTI prevalence (at visit) and incidence (within the last 12 months) and urine culture characteristics between patients using an indwelling catheter versus (vs) those performing IC.

methodsIn this cross-sectional study, we prospectively evaluated from 02/2020 to 01/2021 patients with NLUTD undergoing urine cultures for prophylactic reasons or due to UTI symptoms. At visit, all patients underwent a standardized interview on current UTI symptoms as well as UTI history and antibiotic consumption within the past year. Patients using an indwelling catheter (n = 206) or IC (n = 299) were included in the analysis. The main outcome was between-group differences regarding UTI characteristics.

resultsPatients using an indwelling catheter were older (indwelling catheter vs IC: median 66 (Q1-Q3: 55-77) vs 55 (42-67) years of age) and showed a higher Charlson comorbidity index (indwelling catheter vs IC: median 4 (Q1-Q3: 2-6) vs 2 (1-4) (both p < 0·001). A total of 40 patients from both groups were diagnosed with a UTI at visit (indwelling catheters vs IC: 8% (16/206) vs 8% (24/299); p = 0·782), and the number of UTIs within the past 12 months was not significantly different between groups. Overall, Escherichia coli (21%), Enterococcus faecalis (17%), and Klebsiella spp. (12%) were the most frequently detected bacteria.

conclusionsIn this cohort of patients with NLUTD, we did not find relevant differences in UTI frequency between groups. These results suggest that UTI-related concerns should not be given undue emphasis when counseling patients for catheter-related bladder emptying methods.

Indexed as

Catheters, IndwellingUrinary Tract InfectionsCross-Sectional StudiesEscherichia coliHumansUrinary BladderUrinary CatheterizationAsymptomatic bacteriuriaIndwelling catheterIntermittent catheterizationNeurogenic lower urinary tract dysfunctionUrinary tract infection

Identifiers

PMID37533010
PMCPMC10398982
OpenAlexW4385483254

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.