METHODS: A systematic review of the literature based on Pubmed, Embase, Google scholar was initiated in December 2014 and updated in April 2019. Given the lack of robust data and the numerous unresolved controversial issues, guidelines were established based on the formal consensus of experts from steering, scoring and review panels.
RESULTS: This allowed the formulation of 78 guidelines, extending from guidelines on indications for intermittent catheterisation, modalities for training and implementation, choice of equipment, management of bacteriuria and urinary tract infections, to the implementation of intermittent catheterisation in paediatric, geriatric populations, benign prostatic hyperplasia patients and continent urinary diversion patients with a cutaneous reservoir as well as other complications. These guidelines are pertinent to both intermittent self-catheterisation and third-party intermittent catheterisation.
CONCLUSIONS: These are the first comprehensive guidelines specifically aimed at intermittent catheterisation and extend to all aspects of intermittent catheterisation. They assist in the clinical decision-making process, specifically in relation to indications and modalities of intermittent catheterisation options. These guidelines are intended for urologists, gynaecologists, geriatricians, paediatricians, neurologists, physical and rehabilitation physicians, general practitioners and other health professionals including nurses, carers….
方法:对基于Pubmed,Embase,Google学者于2014年12月发起,并于2019年4月更新。鉴于缺乏可靠的数据和许多未解决的有争议的问题,指导方针是根据指导专家的正式共识制定的,评分和审查小组。
结果:这允许制定78个指南,从间歇性导管插入适应症的指南延伸,培训和实施方式,设备选择,菌尿和尿路感染的管理,儿科间歇性导尿的实施,老年人群,良性前列腺增生患者和大陆尿流改道患者的皮肤储备以及其他并发症。这些指南与间歇性自我导管插入和第三方间歇性导管插入有关。
结论:这是第一个专门针对间歇性导管插入术的综合指南,并扩展到间歇性导管插入术的各个方面。他们协助临床决策过程,特别是关于间歇性导管插入术的适应症和方式。这些指南是为泌尿科医生准备的,妇科医生,老年病学家,儿科医生,神经学家,物理和康复医生,全科医生和其他卫生专业人员,包括护士,看护者...