The purpose of the study is to compare single use of catheters with reuse of catheters for intermittant self catheterisation.
Patients with voiding dysfunction and chronic urinary retention are taught the technique Clean Intermittent Self Catheterisation (CISC) by specialist Nurse Continence Advisors. For several decades, patients have been taught to catheterise using a "clean" technique where they rinse their catheter under tap water and store the catheter in a sterile solution (e.g. Milton). The catheter is re-used for up to one week. The risk of urinary tract infection (UTI) was known to be minimal (and certainly much less than having a permanent indwelling catheter). Recently, the Therapeutics Goods Administration has issued a guideline that CISC catheters should be "single-use items" but no data to support this guideline appears to have been collected. The aim of this project is to assess the incidence of urinary tract infection (UTI) when comparing single-use catheters with re-use of catheters for CISC, and to determine the cost differences between the two methods.
Study Type
OBSERVATIONAL
Enrollment
23
Over the 16 week period all patient will participate in 8 weeks of single use cathetersation and 8 weeks of re use catheterisation. The study is a randomised control crossover trial
Pelvic Floor Bladder Unit St George Hospital
Sydney, New South Wales, Australia
Rate of Urinary Tract Infection
Urine specimens are sent at 4 weekly intervals over 16 weeks to check for Urinary tract infection
Time frame: 16 weeks
Economic Cost
Difference in econimic cost of single use Catheterisation and re use catheterisation and the impact on the patient
Time frame: 16 weeks
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