技术前景:一次性导管 - - 证据和环境影响
Calvin C Zhao1, Craig V Comiter1, Christopher S Elliott1,2
1Department of Urology, Stanford University School of Medicine, Stanford, CA, USA.
BJU international
|March 4, 2024
概括
可重复使用的多用途导管不低于单次使用的导管,用于干净的间歇性导管 (CIC). 目前的一次性导管实践带来了重大的环境和货币成本,需要重新评估导管的选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械技术 医疗器械技术
- 环境健康 环境健康
背景情况:
- 干净间歇性导管 (CIC) 是膀管理的一种常见程序.
- 在一次性和多次性导管之间做出选择具有重大成本和环境影响.
- 目前的做法大大支持一次性导管,尽管对比数据有限.
研究的目的:
- 为了比较CIC的单次使用与多次使用导管的疗效和安全性.
- 评估不同类型的导管的成本效益和环境影响.
- 为未来关于导管选择和可持续性的实践提供信息.
主要方法:
- 在PubMed进行了一项全面的文献综述,涵盖了过去50年.
- 包括比较CIC单次使用和多次使用导管的研究.
- 来自11项报告初级数据的相关研究的数据被叙述地总结.
主要成果:
- 没有显著的证据表明多用途导管在感染风险或可用性方面低于一次性导管.
- 单次使用的导管对环境和经济造成了巨大的负担.
- 单次使用导管对多次使用导管的优势并未得到现有数据的支持.
结论:
- 在美国,人们普遍偏爱一次性导管可能是不合理的.
- 患者和医疗保健专业人员对可重复使用导管的厌恶缺乏强有力的基于证据的支持.
- 需要改进比较数据和采用更可持续的导管实践.
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