Purpose: This systematic review was conducted to determine whether a difference exists in the incidence of urinary tract infections be-tween disinfectant, normal saline, and sterile water when periurethral cleaning before the insertion of the indwelling urinary catheter. Methods: Published studies of patients of all ages in medical institutions from January 2000 to December 2023 were searched in PubMed, CINAHL, Cochrane, RISS, KISS, and KoreaMed online databases in January 2024. Guidelines were evaluated as Appraisal of Guidelines for Research and Evaluation II (AGREE II). Randomized studies were assessed using Risk of Bias 2. Scottish Intercollegiate Guidelines Network (SIGN) was used to determine the level of evidence based on the quality evaluation results. Results: Five research works (three studies and two guidelines) were included according to the selection criteria. In three randomized controlled trials, no statis-tically significant difference was found in urinary tract infection rates between disinfectant, normal saline, and sterile water. Two guidelines suggested that disinfectant and normal saline could be washing solutions before catheter insertion. Conclusion: Using normal saline or sterile water for periurethral cleaning is expected to increase patient satisfaction by relieving skin irritation and reducing hospital costs.
Purpose: This systematic review was conducted to determine whether a difference exists in the incidence of urinary tract infections be-tween disinfectant, normal saline, and sterile water when periurethral cleaning before the insertion of the indwelling urinary catheter. Methods: Published studies of patients of all ages in medical institutions from January 2000 to December 2023 were searched in PubMed, CINAHL, Cochrane, RISS, KISS, and KoreaMed online databases in January 2024. Guidelines were evaluated as Appraisal of Guidelines for Research and Evaluation II (AGREE II). Randomized studies were assessed using Risk of Bias 2. Scottish Intercollegiate Guidelines Network (SIGN) was used to determine the level of evidence based on the quality evaluation results. Results: Five research works (three studies and two guidelines) were included according to the selection criteria. In three randomized controlled trials, no statis-tically significant difference was found in urinary tract infection rates between disinfectant, normal saline, and sterile water. Two guidelines suggested that disinfectant and normal saline could be washing solutions before catheter insertion. Conclusion: Using normal saline or sterile water for periurethral cleaning is expected to increase patient satisfaction by relieving skin irritation and reducing hospital costs.
배경 및 목적 임상질문 근거검색 근거의 비평적 평가 권고등급과 권고안 임상실무 적용 평가
