Irrigation of continent catheterizable XXXX : tap water can replace sterile solutions because it is safe, easy, and economical.

@entity1 @entity4628 @entity1219 @entity3542 @entity793 @entity2507 @entity2827 @entity293
BACKGROUND: Continent catheterizable @entity4628 require regular irrigations to reduce the risk of @entity793 and @entity293 ( @entity293 ). OBJECTIVE: Our aim was to compare the UTI rate, @entity1 friendliness, and costs of standard sterile irrigation versus irrigation with tap water. DESIGN, SETTING, AND @entity1 : Twenty-three @entity1 participated in a prospective randomized two-arm crossover single-center trial. Aseptic intermittent self-catheterization (ISC) combined with sterile @entity2827 ( @entity1219 ) 0.9% irrigation was compared with clean ISC and irrigation with tap water ( @entity2507 ) during two study periods of 90 d each. INTERVENTION: @entity1 underwent daily pouch irrigations with @entity1219 0.9% solution or tap water. MEASUREMENTS: Urine @entity3542 dipstick tests were evaluated daily; urine culture (UC) and @entity1 friendliness were evaluated monthly. Costs were documented. RESULTS AND LIMITATIONS: A total of 3916 study days with @entity3542 testing and irrigation were analyzed, 1876 (48%) in the @entity1219 arm and 2040 (52%) in the @entity2507 arm. In the @entity1219 arm, 418 study days (22%) with @entity3542 -positive dipsticks were recorded, 219 d (11%) in the @entity2507 arm, significantly fewer (p=0.01). Of the 149 UCs, 96 (64%) were positive, 48 in each arm, revealing a total of 16 different germs. All @entity1 preferred the @entity2507 method. Monthly costs were up to 20 times lower in the @entity2507 arm. CONCLUSIONS: Pouch irrigation with sterile @entity1219 0.9% solution and tap water had comparable rates of positive UC. Irrigation with tap water significantly lowered the incidence of @entity3542 -positive study days and was substantially less costly and more @entity1 friendly than @entity1219 irrigation. We therefore recommend the use of tap water (or bottled water) instead of sterile @entity1219 0.9% solution for daily irrigation of continent catheterizable @entity4628 . TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, ACTRN12610000618055, http://www.ANZCTR.org.au/ACTRN12610000618055.aspx.
