Is there evidence for recommending silver-coated urinary catheters in guidelines?
- PMID: 12392898
- DOI: 10.1053/jhin.2002.1273
Is there evidence for recommending silver-coated urinary catheters in guidelines?
Abstract
We evaluated the available literature on effectiveness of silver-coated versus uncoated catheters for the prevention of urinary tract infections in catheterized patients stratified by sex, systemic antibiotic use, renal function and duration of catheterization. Controlled clinical trials, randomized clinical trials and systematic reviews/meta-analysis were identified by a search strategy in Medline (1966-August 2001) and in the Cochrane Controlled Trials Register. Keywords were urinary catheterization, silver and infection. Trials using silver-coated catheters in the treatment group and uncoated catheters in the control group, with bacteriuria as the outcome measure, were selected. The quality of the methods used of all selected publications was assessed by using a quality assessment scale for randomized clinical trials. In addition we looked critically at subject-specific aspects. Data from the original publications were used to calculate the overall relative risk of bacteriuria in patients with silver-coated versus uncoated catheters, as well as the effect in subgroups. Thirteen trials and one meta-analysis were identified. Seven reports satisfied the selection criteria with only one achieving a high-quality score. Confounding variables were not considered in any trial. Additional studies with a high standard of internal quality and careful specification of the clinical question with regard to subject-specific critical points are necessary to decide whether the use of silver-coated catheters can be recommended.
Copyright 2002 The Hospital Infection Society
Similar articles
-
Role of noble metal-coated catheters for short-term urinary catheterization of adults: a meta-analysis.PLoS One. 2020 Jun 10;15(6):e0233215. doi: 10.1371/journal.pone.0233215. eCollection 2020. PLoS One. 2020. PMID: 32520937 Free PMC article.
-
Types of urethral catheters for management of short-term voiding problems in hospitalized adults: a short version Cochrane review.Neurourol Urodyn. 2008;27(8):738-46. doi: 10.1002/nau.20645. Neurourol Urodyn. 2008. PMID: 18951451 Review.
-
Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.Ann Intern Med. 2006 Jan 17;144(2):116-26. doi: 10.7326/0003-4819-144-2-200601170-00009. Ann Intern Med. 2006. PMID: 16418411 Review.
-
Types of urethral catheters for management of short-term voiding problems in hospitalised adults.Cochrane Database Syst Rev. 2004;(1):CD004013. doi: 10.1002/14651858.CD004013.pub2. Cochrane Database Syst Rev. 2004. Update in: Cochrane Database Syst Rev. 2008 Apr 16;(2):CD004013. doi: 10.1002/14651858.CD004013.pub3. PMID: 14974052 Updated. Review.
-
A randomized crossover study of silver-coated urinary catheters in hospitalized patients.Arch Intern Med. 2000 Nov 27;160(21):3294-8. doi: 10.1001/archinte.160.21.3294. Arch Intern Med. 2000. PMID: 11088092 Clinical Trial.
Cited by
-
epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.J Hosp Infect. 2014 Jan;86 Suppl 1:S1-70. doi: 10.1016/S0195-6701(13)60012-2. J Hosp Infect. 2014. PMID: 24330862 Free PMC article.
-
Complicated catheter-associated urinary tract infections due to Escherichia coli and Proteus mirabilis.Clin Microbiol Rev. 2008 Jan;21(1):26-59. doi: 10.1128/CMR.00019-07. Clin Microbiol Rev. 2008. PMID: 18202436 Free PMC article. Review.
-
epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.J Hosp Infect. 2007 Feb;65 Suppl 1:S1-64. doi: 10.1016/S0195-6701(07)60002-4. J Hosp Infect. 2007. PMID: 17307562 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
