Efficacy of Antibiotic Coated Clean Intermittent Catheterization in Children with Neurogenic Bladder

Authors

  • Aykut Akinci Ankara University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Onur Telli Ankara University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Perviz Hajiyev Ankara University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Ali Cansu Bozacı Hacettepe University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Emin Mamadov Hacettepe University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Mesut Altan Hacettepe University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Hasan Serkan Doğan Hacettepe University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Tarkan Soygür Ankara University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Berk Burgu Ankara University School of Medicine,Department of Pediatric Urology, Ankara, Turkey
  • Serdar Tekgül Hacettepe University School of Medicine,Department of Pediatric Urology, Ankara, Turkey

Keywords:

Clean Intermittant Catheterization, Neurogenic Bladder, Urinary Tract Infection.

Abstract

Aim: The primary goal of urologic management in children with neurogenic bladder is to reduce the risk of urinary tract infection (UTI) and associated renal injury. We aimed to evaluate the use of antibacterial-coated clean intermittent catheterization (CIC) catheters for neurogenic bladder patients in comparison with standard catheters.  Material and Methods: We performed a retrospective study of 144 neurogenic bladder patients aged 6-16 years old, who received CIC at two major centers between January 2007 and June 2016. Group 1 consisted of children used antibacterial coated (chitosan) catheter (n=55), group 2 of children used standard CIC without antibacterial (n=42) and group 3 of children used standard CIC returned into antibiotic coated CIC (n=29). Febrile urinary tract infection and asymptomatic bacteriuria were evaluated among patients with antibacterial coated or standard catheters. We also focused on a subgroup of patients with high risk of urinary tract infection (grade 3> vesicoureteral reflux, previously scar formation in renal scintigraphy).  Results: Totally 126 patients (89 female, 37 male) were involved in this study. The mean age of the study group was 9.6±2.6 years (range 6 to 16) and the mean follow-up 58±14 months (min: 22, max: 69). There was no significant difference between three groups for asymptomatic bacteriuria and febrile UTI frequencies. However, febrile UTI frequencies and de nova scar formation in renal scintigraphy were higher in previously defined subgroup of patients with high risk of urinary tract infection in group 2 than group1 and 3.  Discussion: Both antibiotic coated and standard CIC can be used in children with neurogenic bladder with similar complication rates. Patients with high risk of urinary tract infection (higher than grade 3 vesicoureteral reflux, dilated ureter, previously de nova scar formation in renal scintigraphy) will benefit from antibacterialcoated catheters rather than standard ones.

References

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Published

2017-11-21

How to Cite

Akinci, A., Telli, O., Hajiyev, P., Bozacı, A. C., Mamadov, E., Altan, M., Doğan, H. S., Soygür, T., Burgu, B., & Tekgül, S. (2017). Efficacy of Antibiotic Coated Clean Intermittent Catheterization in Children with Neurogenic Bladder. American Scientific Research Journal for Engineering, Technology, and Sciences, 38(1), 64–67. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/3602

Issue

Vol. 38 No. 1 (2017)

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Articles

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