Table 47Hydrophilic coated vs. non-coated catheters for long term intermittent self catheterisation - Clinical summary of findings

OutcomeHydrophilicNon-coatedRelative riskAbsolute effectQuality
Mean monthly urinary tract infection - 12 months3131-MD 0.01 lower (0.11 lower to 0.09 higher)MODERATE
Total urinary tract infections - 1 year2223-MD 0.18 higher (0.5 lower to 0.86 higher)MODERATE
Patients with 1 or more urinary tract infection – 1 year51/83 (61.4%)65/85 (76.5%)RR 0.8 (0.65 to 0.99)153 fewer per 1000 (8 fewer to 268 fewer)LOW
Patients/helpers very satisfied with the catheter – 6 months10/55 (18.2%)6/59 (10.2%)RR 1.79 (0.7 to 4.59)80 more per 1000 (31 fewer to 365 more)LOW
Patients/helpers very satisfied with the catheter – 1 year9/55 (16.4%)7/59 (11.9%)RR 1.38 (0.55 to 3.45)45 more per 1000 (53 fewer to 291 more)LOW
Patient satisfaction (visual analogue scale, 10 = least favourable)1716-MD 0.6 lower (2.36 lower to 1.16 higher)LOW
Problems introducing catheter1/32 (3.1%)2/32 (6.3%)RR 0.5 (0.05 to 5.24)31 fewer per 1000 (59 fewer to 265 more)LOW
Burning sensation when introducing the catheter2/32 (6.3%)1/32 (3.1%)RR 2 (0.19 to 20.97)31 more per 1000 (25 fewer to 624 more)LOW
Pain when introducing the catheter3/32 (9.4%)2/32 (6.3%)RR 1.5 (0.27 to 8.38)31 more per 1000 (46 fewer to 461 more)LOW
Burning sensation or pain after removal of the catheter2/32 (6.3%)2/32 (6.3%)RR 1 (0.15 to 6.67)0 fewer per 1000 (53 fewer to 354 more)LOW

From: 10, Long term urinary catheters

Cover of Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care
Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care: Partial Update of NICE Clinical Guideline 2.
NICE Clinical Guidelines, No. 139.
National Clinical Guideline Centre (UK).
Copyright © 2012, National Clinical Guideline Centre.

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