Abstract | AIMS AND OBJECTIVES: BACKGROUND: Previous systematic reviews into the effectiveness of silver-coated urinary catheters have offered limited opportunity to transfer their findings into practice. These studies have been on North American products only, of generally poor quality, or several years since their completion (Brosnahan J, Jull A & Tracy C 2004, Cochrane Database Systematic Reviews, Issue 1, Art. No.: CD004013). Design. A systematic review of the literature was deemed the most appropriate research method to apply as there had already been several studies (Saint S, Veenstra DL, Sullivan SD, Chenoweth C & Fendrick AM 2000, Archives of International Medicine, 160, 2670-2675; Lai KK & Fontecchio SA 2002, American Journal of Infection Control, 30, 221-225; Schaeffer AJ 2005, The Journal of Urology, 173, 845-846) relating to the subject in question, although there were some queries regarding their methodological rigour. METHODS: Randomised control trials, systematic reviews and meta-analyses were identified by searching relevant databases. Relevant papers were judged against predefined inclusion and exclusion criteria. Ten per cent of papers were assessed by a second reviewer. Following the application of a numerical filtering tool, six papers were rejected and eleven papers were retained. RESULTS: CONCLUSION: The collective evidence divulged an emerging pattern favouring the efficacy of silver- alloy urinary catheters to reduce catheter-associated urinary tract infection. Owing to the poor quality of some individual studies included in other systematic reviews and the inability to carry out meta-analysis because of significant heterogeneity, definitive conclusions cannot be drawn from the study. RELEVANCE TO CLINICAL PRACTICE:
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Authors | Michelle Beattie, Julie Taylor |
Journal | Journal of clinical nursing
(J Clin Nurs)
Vol. 20
Issue 15-16
Pg. 2098-108
(Aug 2011)
ISSN: 1365-2702 [Electronic] England |
PMID | 21418360
(Publication Type: Journal Article, Review, Systematic Review)
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Copyright | © 2011 Blackwell Publishing Ltd. |
Chemical References |
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Topics |
- Catheters, Indwelling
(adverse effects)
- Humans
- Silver
- Urinary Tract Infections
(etiology)
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