Objective: To explore the data comparing single- vs multi-use catheters for clean intermittent catheterisation (CIC), consider if the widespread use of single-use catheters is warranted given the cost and environmental impact, and put forth ideas for future consideration.
Methods: A primary literature review was performed in PubMed over the past 50 years. Studies that performed comparative analysis of single- and multi-use catheters were included in our review. All studies that reported on primary data were narratively summarised.
Results: A total of 11 studies were identified that reported on primary data comparing single- and multi-use catheters. There was no appreciable evidence suggesting reusable multi-use catheters were inferior to single-use catheters from an infection or usability standpoint. In addition, the environmental and monetary burden of single-use catheters is significant.
Conclusions: The intermittent catheter landscape in the USA has a complex past: defined by policy, shaped by industry, yet characterised by a paucity of data demonstrating superiority of single-use over multi-use catheters. We believe that the aversion to reusable catheters by many patients and healthcare professionals is unwarranted, especially given the cost and environmental impact. Moving forward, better comparative data and more sustainable practices are needed.
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http://dx.doi.org/10.1111/bju.16313 | DOI Listing |
Introduction: Evaluating the safety and acceptability of reusing catheters for intermittent catheterisation (IC) is one of the top 10 continence research priorities identified by the UK James Lind Alliance Priority Setting Partnership in 2008. There are an estimated 50 000 IC users in England and this number is rising. Globally, both single-use catheters (thrown away after use) and multi-use/reusable ones (cleaned between uses) are used.
View Article and Find Full Text PDFBJU Int
June 2024
Department of Urology, Stanford University School of Medicine, Stanford, CA, USA.
Objective: To explore the data comparing single- vs multi-use catheters for clean intermittent catheterisation (CIC), consider if the widespread use of single-use catheters is warranted given the cost and environmental impact, and put forth ideas for future consideration.
Methods: A primary literature review was performed in PubMed over the past 50 years. Studies that performed comparative analysis of single- and multi-use catheters were included in our review.
Cureus
August 2022
Department of Neurological Surgery, Arrowhead Regional Medical Center, Colton, USA.
Neurosurgery is a demanding field with small margins of error within the operative field. Small errors can yield devastating consequences. Simulation has been proposed as a methodology for improving surgical skills within the neurosurgical realm.
View Article and Find Full Text PDFEur Urol Focus
September 2020
International Collaboration on Repair Discoveries, Faculty of Medicine, University of British Columbia, Vancouver, Canada; Division of Physical Medicine and Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, Canada; G.F. Strong Rehabilitation Centre, Vancouver, Canada. Electronic address:
Currently there is neither a regulatory foundation nor evidence-based medicine available to recommend reuse or multiple use of catheters for intermittent catheterization. High-level evidence from studies comparing the effect of reuse/multiple use versus single use on symptomatic urinary tract infection and urethral injury is still missing.
View Article and Find Full Text PDFInt J Nurs Stud
July 2017
University of Southampton, Faculty of Health Sciences, Southampton General Hospital, Clinical Academic Facility,South Academic Block, Southampton, Hampshire, SO16 6YD, UK. Electronic address:
Aims: This two phase study aimed to explore health care professionals' teaching and prescribing practice related to intermittent catheterisation and to identify their perceptions about the possible implementation of a mixed (single and multi-use) package for intermittent catheterization.
Introduction: Single-use intermittent catheters are the norm in the UK although multi-use is common in some other countries. A recent Cochrane review found no difference in complications, including urinary tract infection rates, between those using single or multi-use catheters.
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