Water Versus Antiseptic Periurethral Cleansing Before Catheterization Among Home Care Patients: A Randomized Controlled Trial

Details

• Personal Author:
  Chan M-W ; Cheung K ; Kwok C-W ; Leung P ; To O-K ; Wong Y-C ; Yeung Y-F ; Yip Y-L
• Description:
  Background: There is a lack of research studies on periurethral cleansing before catheterization among home care patients. The purpose of this study was to compare the risk of acquiring symptomatic urinary tract infections through the conventional practice of using 0.05% chlorhexidine gluconate (CHG) versus sterile water for periurethral cleansing before insertion of an indwelling urinary catheter. Methods: A randomized controlled trial was used, and subjects were randomly allocated to either the sterile water group or the 0.05% CHG group. Urine specimens for culture were collected 4 times for each subject within 2 weeks. Results: Seventy-four urine samples were collected in 20 subjects (sterile water group, 8; 0.05% CHG group, 12). There was no significant difference in colonization count between the 2 groups. In addition, none of the subjects in the 2 groups developed symptomatic bacteriuria. Conclusion: Using sterile water to clean the periurethral area before catheterization among home care patients will not increase the risk for urinary tract infections. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Occupational Health Safety Urine
• Keywords:
  Antiseptics Bacterial Cultures Medical Care Urogenital System Disorders
• ISSN:
  0196-6553
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  375-380
• Volume:
  36
• Issue:
  5
• NIOSHTIC Number:
  nn:20053733
• Citation:
  Am J Infect Control 2008 Jun; 36(5):375-380
• Contact Point Address:
  Kin Cheung, PhD, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
• Email:
  hskin@inet.polyu.edu.hk
• Federal Fiscal Year:
  2008
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Infection Control
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e6df937ef74e7a7bd213c59f375e4bb748a5dd4863508119adbaa4209b4d45dd275f9810372fa41fd184017e9e0ae79be9a6ebbd781a99bfb15579fbf1191edd
• Download URL:
  https://stacks.cdc.gov/view/cdc/216444/cdc_216444_DS1.pdf
• File Type:
  [PDF - 212.58 KB ]