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[A comparison between two catheters for clean intermittent catheterization in continent children with a urostomy]

Maristela Santini Martins1, Vera Lúcia Conceição de Gouveia Santos, Silvia Regina Secoli

  • 1Escola de Enfermagem da Universidade de São Paulo, São Paulo, SP, Brasil. maristelasanti@usp.br

Revista Da Escola De Enfermagem Da U S P
|January 21, 2010
PubMed

Insights

This study compared traditional and pre-lubricated catheters for clean intermittent catheterization in children with urostomies. Pre-lubricated catheters incurred higher direct costs, with no significant differences in handling or complications.

Area of Science:

  • Pediatric Urology
  • Medical Device Technology

Background:

  • Clean intermittent catheterization (CIC) is essential for managing urinary conditions in children.
  • Urostomies require specific catheterization techniques, impacting patient care and costs.
  • Evaluating different catheter types is crucial for optimizing pediatric urological care.

Purpose of the Study:

  • To compare traditional and pre-lubricated catheters for CIC in children with urostomies.
  • To assess handling, complication rates, and direct costs associated with each catheter type.
  • To provide evidence-based recommendations for catheter selection in this patient population.

Main Methods:

  • A crossover study design was employed with 11 continent children with urostomies.
  • Participants used both traditional and pre-lubricated catheters consecutively for one month each.
  • Data collection included weekly follow-ups, home visits, and bi-weekly urine cultures.

Main Results:

  • No statistically significant differences were observed in catheter handling or complication rates between the two types.
  • A statistically significant difference was found in direct costs (p = 0.003).
  • Pre-lubricated catheters were associated with higher direct costs compared to traditional catheters.

Conclusions:

  • While both catheter types are viable for CIC in children with urostomies, cost is a significant differentiating factor.
  • Traditional catheters may offer a more cost-effective option.
  • Further research could explore long-term outcomes and patient-reported satisfaction.

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