Preventive Measures to Avoid Health Complications from the use of catheters in patients with Spinal Cord Injury
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Abstract
Introduction: Spinal cord injury is one of the most tragic events that can befall a person for the devastating consequences associated with paralysis of 2 or 4 members in the form of paraplegia or quadriplegia, loss of sensitivity, bladder dysfunction, bowel, sexual and consequently transcendental psychologic social, labor and economical consequencies.Objectives: Main objective is determining if certain types of probes and catheterization techniques are the best for preventing long-term complications in urinary incontinence.
Methodology: Search strategies for identifying articles of this review include databases such as Cinahl, Pubmed, Virtual Health Library, CSIC, and Cochrane Library. Searches were conducted using the keyword system: We carried out a search using Mesh descriptors / Mesh and a manual search of articles in Nursing journals from Spain and foreign countries.
Results: There are no definitive studies that reveal that the incidence of UTI improves with some kind of technique, strategy or probe type. The main difficulty for these studies is the long duration; many patients leave the study.
Conclusions: The available data on intermittent catheterization does not provide convincing evidence for the specific technique (sterile or clean), probe type (coated or uncoated), method (single use or multiple use), people (patient or other), or strategy is better than another for all clinical settings. The current evidence is uninformative and well-designed studies are recommended. Evaluating the impact on quality of life involves the use of different methods of evacuation in patients with spinal cord injury using a specific questionnaire validated in Spanish: King's Health Questionnaire
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