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dc.contributor.authorGauhar, Vineet
dc.contributor.authorCastellani, Daniele
dc.contributor.authorTeoh, Jeremy Yuen-Chun
dc.contributor.authorNedbal, Carlotta
dc.contributor.authorChiacchio, Giuseppe
dc.contributor.authorGabrielson, Andrew T.
dc.contributor.authorHeldwein, Flavio Lobo
dc.contributor.authorWroclawski, Marcelo Langer
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authorDonalisio da Silva, Rodrigo
dc.contributor.authorGalosi, Andrea Benedetto
dc.contributor.authorSomani, Bhaskar Kumar
dc.date.accessioned2022-09-01T13:31:53Z
dc.date.available2022-09-01T13:31:53Z
dc.date.issued2022en_US
dc.identifier.citationGauhar, V., Castellani, D., Teoh, JYC., Nedbal, C., Chiacchio, G., Gabrielson, A. ... Somani, B. (2022). Catheter-associated urinary infections and consequences of using coated versus non-coated urethral catheters-outcomes of a systematic review and meta-analysis of randomized trials. Journal of Clınıcal Medicine, 11(15). https://doi.org/10.3390/jcm11154463en_US
dc.identifier.issn2077-0383
dc.identifier.urihttps://doi.org/10.3390/jcm11154463
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9673
dc.description.abstractCoated urethral catheters were introduced in clinical practice to reduce the risk of catheter-acquired urinary tract infection (CAUTI). We aimed to systematically review the incidence of CAUTI and adverse effects in randomized clinical trials of patients requiring indwelling bladder catheterization by comparing coated vs. non-coated catheters. This review was performed according to the 2020 PRISMA framework. The incidence of CAUTI and catheter-related adverse events was evaluated using the Cochran-Mantel-Haenszel method with a random-effects model and reported as the risk ratio (RR), 95% CI, and p-values. Significance was set at p < 0.05 and a 95% CI. Twelve studies including 36,783 patients were included for meta-analysis. There was no significant difference in the CAUTI rate between coated and non-coated catheters (RR 0.87 95% CI 0.75-1.00, p = 0.06). Subgroup analysis demonstrated that the risk of CAUTI was significantly lower in the coated group compared with the non-coated group among patients requiring long-term catheterization (>14 days) (RR 0.82 95% CI 0.68-0.99, p = 0.04). There was no difference between the two groups in the incidence of the need for catheter exchange or the incidence of lower urinary tract symptoms after catheter removal. The benefit of coated catheters in reducing CAUTI risk among patients requiring long-term catheterization should be balanced against the increased direct costs to health care systems when compared to non-coated catheters.en_US
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectCatheter-Related Infectionsen_US
dc.subjectCathetersen_US
dc.subjectIndwellingen_US
dc.subjectUrinary Cathetersen_US
dc.titleCatheter-associated urinary infections and consequences of using coated versus non-coated urethral catheters-outcomes of a systematic review and meta-analysis of randomized trialsen_US
dc.typereviewen_US
dc.relation.ispartofJournal of Clinical Medicineen_US
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalıen_US
dc.authorid0000-0002-6308-1763en_US
dc.identifier.volume11en_US
dc.identifier.issue15en_US
dc.relation.publicationcategoryDiğeren_US
dc.identifier.doi10.3390/jcm11154463en_US
dc.institutionauthorde la Rosette, Jean J. M. C. H.
dc.identifier.wosqualityQ2en_US
dc.identifier.wos000839415200001en_US
dc.identifier.scopus2-s2.0-85136507296en_US
dc.identifier.pmid35956080en_US
dc.identifier.scopusqualityQ1en_US


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