Patients’ and Health Care Professionals’ Expectations, Experience, and Perception of the Outcomes of Various Washout Policies in Preventing Catheter-associated Complications: Qualitative Study of the CATHETER II

Sheela Tripathee; Imran Omar; Mohamed Abdel-Fattah; Sara MacLennan

doi:10.1016/j.euf.2021.02.010

Patients’ and Health Care Professionals’ Expectations, Experience, and Perception of the Outcomes of Various Washout Policies in Preventing Catheter-associated Complications: Qualitative Study of the CATHETER II

Sheela Tripathee^* (Corresponding Author), Imran Omar, Mohamed Abdel-Fattah, Sara MacLennan

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

People with urinary incontinence and/or urinary retention [1] often use urinary catheters (soft tubes inserted into the bladder to drain urine to a collection bag). In the UK, an average of 1 in 1000 individuals use a long-term catheter (LTC). A recent study of 11 European countries showed that 3.8% of those aged ≥65 yr receiving home care in the UK routinely use LTCs [2].

LTC use is associated with several complications, including LTC blockage [3], [4]. Catheter blockages may affect approximately half of all people living with an LTC [5], causing them significant pain, anxiety, incontinence, and reliance on health care resources, such as out-of-hours nursing visits, visits to general practitioners, and/or hospital admissions. These complications also impact patients’ quality of life [6].

Liquid washout (saline or acidic) solutions for catheter flushing are widely used to manage LTC encrustations and blockages [7], [8]. Despite this widespread use, evidence on the benefits and potential harms associated with either specific washout liquids or a no-washout policy to prevent blockages and other LTC-related adverse events has not been established [7], [8], [9].

Original language	English
Pages (from-to)	235-238
Number of pages	4
Journal	European Urology Focus
Volume	8
Issue number	1
Early online date	16 Mar 2021
DOIs	https://doi.org/10.1016/j.euf.2021.02.010
Publication status	Published - Jan 2022

Bibliographical note

Acknowledgments: This study is funded by the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) Programme (project number 17/30/02). Further information available at: https://w3.abdn.ac.uk/hsru/CatheterII/Public/Public/index.cshtml. We gratefully acknowledge B. Braun for donating the supply of washout solutions for use in the CATHETER II study. We would like to thank CATHETER II team especially Seonaidh Cotton, Ruth Thomas, Hanne Bruhn, Lynda Constable, Diana Johnson, Dianne Dejean and Mark Forrest and the programming team for their contribution in the qualitative study. CATHETER II team acknowledges the financial support of NHS Research Scotland (NRS) through the NRS Primary Care Network, and Amanda Cardy for her support in patient recruitment. This report presents independent research commissioned by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, MRC, CCF, NETSCC, the HTA programme or the Department of Health.

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Patients’ and Health Care Professionals’ Expectations, Experience, and Perception of the Outcomes of Various Washout Policies in Preventing Catheter-associated Complications: Qualitative Study of the CATHETER II. / Tripathee, Sheela (Corresponding Author); Omar, Imran ; Abdel-Fattah, Mohamed et al.
In: European Urology Focus, Vol. 8, No. 1, 01.2022, p. 235-238.

Research output: Contribution to journal › Article › peer-review

Tripathee, S , Omar, I , Abdel-Fattah, M & MacLennan, S 2022, 'Patients’ and Health Care Professionals’ Expectations, Experience, and Perception of the Outcomes of Various Washout Policies in Preventing Catheter-associated Complications: Qualitative Study of the CATHETER II', European Urology Focus, vol. 8, no. 1, pp. 235-238. https://doi.org/10.1016/j.euf.2021.02.010

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abstract = "People with urinary incontinence and/or urinary retention [1] often use urinary catheters (soft tubes inserted into the bladder to drain urine to a collection bag). In the UK, an average of 1 in 1000 individuals use a long-term catheter (LTC). A recent study of 11 European countries showed that 3.8% of those aged ≥65 yr receiving home care in the UK routinely use LTCs [2].LTC use is associated with several complications, including LTC blockage [3], [4]. Catheter blockages may affect approximately half of all people living with an LTC [5], causing them significant pain, anxiety, incontinence, and reliance on health care resources, such as out-of-hours nursing visits, visits to general practitioners, and/or hospital admissions. These complications also impact patients{\textquoteright} quality of life [6].Liquid washout (saline or acidic) solutions for catheter flushing are widely used to manage LTC encrustations and blockages [7], [8]. Despite this widespread use, evidence on the benefits and potential harms associated with either specific washout liquids or a no-washout policy to prevent blockages and other LTC-related adverse events has not been established [7], [8], [9].",

author = "Sheela Tripathee and Imran Omar and Mohamed Abdel-Fattah and Sara MacLennan",

note = "Acknowledgments: This study is funded by the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) Programme (project number 17/30/02). Further information available at: https://w3.abdn.ac.uk/hsru/CatheterII/Public/Public/index.cshtml. We gratefully acknowledge B. Braun for donating the supply of washout solutions for use in the CATHETER II study. We would like to thank CATHETER II team especially Seonaidh Cotton, Ruth Thomas, Hanne Bruhn, Lynda Constable, Diana Johnson, Dianne Dejean and Mark Forrest and the programming team for their contribution in the qualitative study. CATHETER II team acknowledges the financial support of NHS Research Scotland (NRS) through the NRS Primary Care Network, and Amanda Cardy for her support in patient recruitment. This report presents independent research commissioned by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, MRC, CCF, NETSCC, the HTA programme or the Department of Health.",

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Patients’ and Health Care Professionals’ Expectations, Experience, and Perception of the Outcomes of Various Washout Policies in Preventing Catheter-associated Complications: Qualitative Study of the CATHETER II

Abstract

Bibliographical note

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