Clean Intermittant Self Catheterisation: A Trial Comparing Single Use vs Reuse of Nelaton Catheters (SURE)

St George Hospital

Status: Completed

Conditions: Urinary Retention

Treatments: Device: clean intermittent self catheterisation single use vs re use

Study type: Observational

Funder types: Other

Identifiers

NCT01404481

09/STG/176

Details and patient eligibility

About

The purpose of the study is to compare single use of catheters with reuse of catheters for intermittant self catheterisation.

Full description

Patients with voiding dysfunction and chronic urinary retention are taught the technique Clean Intermittent Self Catheterisation (CISC) by specialist Nurse Continence Advisors.

For several decades, patients have been taught to catheterise using a "clean" technique where they rinse their catheter under tap water and store the catheter in a sterile solution (e.g. Milton). The catheter is re-used for up to one week. The risk of urinary tract infection (UTI) was known to be minimal (and certainly much less than having a permanent indwelling catheter).

Recently, the Therapeutics Goods Administration has issued a guideline that CISC catheters should be "single-use items" but no data to support this guideline appears to have been collected.

The aim of this project is to assess the incidence of urinary tract infection (UTI) when comparing single-use catheters with re-use of catheters for CISC, and to determine the cost differences between the two methods.

Enrollment: 23 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• over 18 years old
• CISC > 2/day
• No current symptomatic UTI
• Willing to change catheter use method

Exclusion criteria

• Symptomatic Urinary Tract infection despite treatment
• <18 years old

Trial design

23 participants in 2 patient groups

Single use group

Description:

New catheter for each Clean Intermittent Self Catheterisation (CISC), then discard.

Treatment:

Device: clean intermittent self catheterisation single use vs re use

Re use of catheters group

Description:

Use same catheter for 1week- Cleaning with sunlight liquid soap, air dry or dry with lint free towel, store in a snap lock bag. Discard catheter and snap lock bag at end of each week.

Treatment:

Device: clean intermittent self catheterisation single use vs re use