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Antisepsis for Urinary Catheter Insertion: A Review of Clinical Effectiveness and Guidelines

Last updated: January 9, 2019
Project Number: RC1051-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the comparative clinical effectiveness of antisepsis procedures or agents to reduce infection in patients undergoing urinary catheter insertion?
  2. What are the evidence-based guidelines informing the use of antisepsis procedures or agents to reduce infection in patients undergoing urinary catheter insertion?

Key Message

Good quality evidence from one network meta-analysis and one systematic review suggested that there was no statistically significant difference between various topical cleansing agents, ranging from soap and water to chlorhexidine, used prior to urinary catheter insertion in the rate of catheter-associated urinary tract infections. No evidence-based guidelines were identified informing the use of antisepsis procedures or agents to reduce infection in patients undergoing urinary catheter insertion.