Clinical It is uncertain whether there is any difference between saline, Solution G or Solution R washout (twice a week) for catheter encrustations, catheter blockage and catheter removal or replacement (LOW QUALITY).
It is uncertain whether there is any difference between saline and acetic acid (twice a week) for symptomatic UTI or adverse effects (LOW QUALITY).
It is uncertain whether there is any difference between saline washout and Solution G (once a week) and no washout for symptomatic UTI and mean time to first catheter change (VERY LOW QUALITY).
It is uncertain whether there is any difference between saline washout (daily) and no washout in the number of catheter replacements per 100 days of catheterisation (VERY LOW QUALITY).
No studies were identified that reported bacteraemia, mortality and patient preference or comfort.
EconomicNo evidence of the cost-effectiveness of instillations or washouts was identified.
There is little cost difference between different types of solutions. It is more expensive (in terms of solution cost and nurse time) to use an instillation or washout than to not use an instillation or washout.

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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