ArticleCureus2025
Effectiveness of Sterile Versus Clean Indwelling Catheter Care in Preventing Catheter-Associated Urinary Tract Infections at a Tertiary Care Center: A Randomized Controlled Trial.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Observational
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Catheter-associated urinary tract infection (CAUTI) is a leading hospital-acquired infection, contributing to increased morbidity and healthcare costs. While sterile catheter care is standard, major guidelines recommend clean maintenance care, though debate continues. Objective The objective of the study is to compare the effectiveness of sterile versus clean indwelling catheter care in preventing CAUTI. Methods A participant-blind, computer-generated, stratified block randomized controlled trial was conducted at a tertiary care center. Patients with sterile baseline urine cultures were randomized to either the sterile or clean catheter care group. Data collection continued until catheter removal, hospital discharge with catheter in situ, Day 14 of catheterization, or onset of CAUTI symptoms, whichever occurred first. CAUTI symptoms including fever > 38°C, rigors, pus discharge, suprapubic pain, agitation, and confusion were monitored. The pre-specified non-inferiority margin was 12%. Analyses were performed per protocol; no intention-to-treat analysis was conducted. Results Among 346 participants, CAUTI occurred in 7.5% of the clean group and 6.9% of the sterile group (p = 0.83). Group assignment was not associated with CAUTI in adjusted analysis, while catheter duration was the strongest independent predictor (adjusted odds ratio (aOR): 1.262, 95% confidence interval (CI): 1.135-1.400). The overall incidence was 20.64 per 1,000 catheter days, with a median catheterization duration of four days in the clean group and three days in the sterile group.
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Registered trials
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