Intermittent self-catheterization training and effects on treatment adherence and infection

European Journal of Physical and Rehabilitation Medicine, 2023 · DOI: 10.23736/S1973-9087.23.08008-5 · Published: December 1, 2023

Urology Rehabilitation

Simple Explanation

This study investigates whether the timing of training for intermittent self-catheterization (CISC) affects patient adherence and urinary tract infection rates in individuals with neurogenic urinary retention. The researchers compared patients trained immediately after diagnosis with those trained one or two days later to see if the timing influenced how well they followed their prescribed catheterization schedule and whether they developed infections. The study found that the timing of CISC education did not significantly impact treatment adherence or complication rates, but adhering to the prescribed catheterization frequency reduced the risk of infection.

Study Duration

January 2017 to December 2019

Participants

100 adults with a CISC prescription for neurogenic urinary retention

Evidence Level

Non-randomized observational study

Key Findings

1
The timing of CISC training (immediate vs. delayed) does not significantly affect adherence to the prescribed catheterization frequency.
2
Adherence to the prescribed CISC frequency is associated with a lower risk of urinary tract infections.
3
Patients with multiple sclerosis (MS) are more prone to urinary tract infections compared to patients with spinal cord injuries (SCI) or other neurological disorders.

Research Summary

This study examined the impact of CISC training timing on treatment adherence and urinary tract infections in patients with neurogenic urinary retention. It compared patients trained immediately after diagnosis to those trained later. The results indicated that the timing of CISC education did not affect treatment adherence or complication rates. However, adherence to the prescribed CISC frequency was found to reduce the risk of infection. The study also found that patients with MS are more susceptible to urinary tract infections, possibly due to a decreased ability to perform CISC correctly over time.

Practical Implications

Flexible Training Schedules

Patient training for CISC can be scheduled based on the organization of the center, as timing does not affect compliance or complications.

Emphasis on Adherence

Reinforce the importance of adhering to the prescribed catheterization frequency to reduce the risk of urinary tract infections.

Tailored Support for MS Patients

Provide additional support and monitoring for MS patients using CISC due to their increased risk of urinary tract infections and potential decline in ability to perform CISC correctly.

Study Limitations

1
Non-randomized observational nature of the study
2
Non-use of validated questionnaires to collect patient adherence and satisfaction with treatment
3
Potential selection bias due to the choice of training time based on clinical practice and outpatient clinic availability

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