title: [Effectiveness of cleaning or disinfecting the urinary meatus before urinary catheterization: a systematic review].
abstract: The urinary tract infections associated with catheterization are very common in hospital and home care contexts. Currently there are several recommendations for its prevention, however, when approaching the kind of solute used in the urinary meatus prior to catheterization doubts continue to persist. Thus this study aimed at determining the effectiveness of cleaning the urinary meatus with water or saline comparing to its sterilization through a systematic review and meta-analysis. In order to do so, the principles proposed by the Cochrane Handbook were followed, a critical analysis was conducted by two researchers and the statistical analysis was performed with the use of STATA 11.1. We concluded that the cleaning or disinfection of the urinary canal prior to bladder catheterization is not statistically significant (OR=1.07, CI 95%=0.68-1.68, p=0.779) and that there is some evidence that the use of water/saline reduces rates of UTI (urinary tract infection).
authors.affiliation: Unidade de Investigação e Desenvolvimento, Escola Superior de Saúde de Viseu, Portugal, Centro de Estudos em Educação, Tecnologias e Saúde, Unidade de Investigação e Desenvolvimento , Escola Superior de Saúde de Viseu , Portugal .madac@iol.pt.
authors.forename: Madalena
authors.initials: M
authors.lastname: Cunha
authors.affiliation: Fundação Aurélio Amaro Diniz, Portugal, Viseu, Enfermeiro, Serviço de Medicina, Fundação Aurélio Amaro Diniz , Viseu , Portugal .
authors.forename: Eduardo
authors.initials: E
authors.lastname: Santos
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Ana
authors.initials: A
authors.lastname: Andrade
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Rita
authors.initials: R
authors.lastname: Jesus
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduando de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Carlos
authors.initials: C
authors.lastname: Aguiar
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Filipa
authors.initials: F
authors.lastname: Marques
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Filipa
authors.initials: F
authors.lastname: Enes
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Mafalda
authors.initials: M
authors.lastname: Santos
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Raquel
authors.initials: R
authors.lastname: Fernandes
authors.affiliation: Escola Superior de Saúde de Viseu, Viseu, Portugal, Graduanda de Enfermagem, Escola Superior de Saúde de Viseu , Portugal .
authors.forename: Sara
authors.initials: S
authors.lastname: Soares
mesh_terms: D055499:Catheter-Related Infections / Q000517:prevention & control*; D004203:Disinfection / Q000592:standards*; D006801:Humans; D012965:Sodium Chloride; D014521:Urethra; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000517:prevention & control*; D014867:Water
chemical_list: D014867:Water; D012965:Sodium Chloride