Efficacy of long-acting antibacterial material in the prevention of secondary urinary infection: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

GAI Qiongyan ^1,2 , LI Yi ³ , ZHOU Xiaoqin ^1,2 , WANG Juan ^1,2 , YANG Xuemei ¹ , WEI Zhihong ¹ , GUO Yan ^1,2 ,  WANG Zhiping ^1,2

1. School of Nursing, Lanzhou University, Lanzhou, 730000, P.R.China;
2. Institute of Urology, the Second Hospital of Lanzhou University; Gansu Key Laboratory of Urological Diseases; Gansu Nephro-Urological Clinical Center, Lanzhou, 730030, P.R.China;
3. The First Clinical Medical College, Lanzhou University, Lanzhou, 730000, P.R.China;

Corresponding author：

WANG Zhiping, Email: erywzp@lzu.edu.cn

Keywords：

Long-acting antibacterial material; Urinary infection; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.201707048

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Objective To systematically review the efficacy of long-acting antibacterial material in the prevention of secondary urinary infection. Methods PubMed, The Cochrane Library, CNKI, CBM, WanFang Data and VIP databases were electronically searched to collect randomized controlled trials (RCTs) on the efficacy of long-acting antibacterial material in the prevention of secondary urinary infection from inception to November, 2016. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies, then, meta-analysis was performed by using RevMan 5.3 software. Results A total of 16 RCTs were included. The results of meta-analysis showed that: the long-acting antibacterial material group was superior to the general intervention group in morbidity of secondary urinary infection (Peto OR=0.17, 95%CI 0.13 to 0.23, P<0.000 01), and bacterial positive rate of secondary urinary infection (Peto OR=0.15, 95%CI 0.08 to 0.27,P<0.000 01). Conclusion Current evidence shows that long-acting antibacterial material can effectively reduce the infection rates of secondary urinary infection. Due to limited quality and quantity of the included studies, more high quality studies are needed to verify the above conclusion.

Citation： GAI Qiongyan, LI Yi, ZHOU Xiaoqin, WANG Juan, YANG Xuemei, WEI Zhihong, GUO Yan, WANG Zhiping. Efficacy of long-acting antibacterial material in the prevention of secondary urinary infection: a systematic review. Chinese Journal of Evidence-Based Medicine, 2017, 17(11): 1312-1317. doi: 10.7507/1672-2531.201707048 Copy

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2.	Haley RW, Culver DH, White JW, et al. The nationwide nosocomial infection rate. A new need for vital statistics. Am J Epidemiol, 1985, 121(2): 159-167.
3.	Raad I, Kassar R, Ghannam D, et al. Management of the catheter in documented catheter-related coagulase-negative staphylococcal bacteremia: remove or retain?. Clin Infect Dis, 2009, 49(8): 1187-1194.
4.	Donlan RM, Costerton JW. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev, 2002, 15(2): 167-193.
5.	Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions (5.0). Available at: http://www. cochranehandbook.org.2008.
6.	江桂林, 穆成云, 朱敏. 长效抑菌材料抗菌剂预防留置尿管逆行感染效果观察. 基层医学论坛, 2010, (15): 430-431.
7.	吴玲, 王良梅, 程蓓, 等. 洁悠神用于留置导尿尿路感染预防的研究. 护理研究, 2005, 19(3): 242.
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11.	周艳琼, 李惠玲. 抗菌材料" 洁悠神”对留置尿管病人预防尿路感染的临床观察. 四川省卫生管理干部学院学报, 2007, 26(4): 289-290.
12.	张瑜, 梅红兵, 郑碧霞. 探讨洁悠神在预防留置尿管性尿路感染的护理效果. 现代预防医学, 2010, 37(18): 3562-3563.
13.	杨小芸, 王宇婷, 胡亚丽. " 洁悠神”用于预防男性经尿道手术后尿路感染的研究. 中华医学创新, 2009, 6(18): 30-31.
14.	刘有莲. 长效抑菌材料" 洁忧神”对重症患者留置导尿管伴尿路感染的预防. 广州医药, 2012, 43(6): 69-71.
15.	邵爱艳. 洁悠神预防卒中患者留置尿管致尿路感染的临床分析. 中华美容医学, 2012, 21(8): 250-251.
16.	张琼. 长效抑菌材料洁悠神预防留置尿管逆行感染的临床观察. 当代护士(中旬刊), 2012, (6): 131-132.
17.	沈蒙文. 洁悠神在预防留置导尿管并发尿路感染中的应用效果. 当代护士(中旬刊), 2013, (1): 129-130.
18.	张彦, 鞠进, 侯海霞. 洁悠神在预防留置尿管逆行感染的临床效果观察. 医学信息, 2015, (z3): 70.
19.	黄润. 洁悠神在预防留置导尿管并发尿路感染中的临床护理体会. 中国继续医学教育, 2016, 8(18): 249-250.
20.	李杰. 洁悠神预防留置尿管性尿路感染的有效性观察. 护士进修杂志, 2016, 31(18): 1712-1713.
21.	南存金, 苏红侠, 何有华, 等. 外用抗菌剂长效抑菌材料联合抗返流引流袋预防留置导尿伴随性尿路感染. 中华全科医学, 2016, 14(4): 569-570.

1. WHO/CDS/CSR/EPH. Prevention of hospital-acquired infections. A practical guide. 2nd edition. 2002, 12. Available at: http://www.who.int/csr/resources/publications/drugresist/WHO_CDS_CSR_EPH_2002_12/en/.
2. Haley RW, Culver DH, White JW, et al. The nationwide nosocomial infection rate. A new need for vital statistics. Am J Epidemiol, 1985, 121(2): 159-167.
3. Raad I, Kassar R, Ghannam D, et al. Management of the catheter in documented catheter-related coagulase-negative staphylococcal bacteremia: remove or retain?. Clin Infect Dis, 2009, 49(8): 1187-1194.
4. Donlan RM, Costerton JW. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev, 2002, 15(2): 167-193.
5. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions (5.0). Available at: http://www. cochranehandbook.org.2008.
6. 江桂林, 穆成云, 朱敏. 长效抑菌材料抗菌剂预防留置尿管逆行感染效果观察. 基层医学论坛, 2010, (15): 430-431.
7. 吴玲, 王良梅, 程蓓, 等. 洁悠神用于留置导尿尿路感染预防的研究. 护理研究, 2005, 19(3): 242.
8. 陈兰英, 陆勤美, 张跃. 洁悠神预防宫颈癌根治术后留置尿管伴随性尿路感染的效果观察. 全科护理, 2010, 8(6): 494-495.
9. 陈丽莉, 李燕, 张少容. 洁悠神在留置尿管病人中应用的疗效观察. 岭南现代临床外科, 2009, 9(5): 395-396.
10. 庞翠华. 长效抑菌材料洁悠神对预防留置导尿患者尿路感染的效果. 中华现代护理杂志, 2011, 17(16): 1949-1950.
11. 周艳琼, 李惠玲. 抗菌材料" 洁悠神”对留置尿管病人预防尿路感染的临床观察. 四川省卫生管理干部学院学报, 2007, 26(4): 289-290.
12. 张瑜, 梅红兵, 郑碧霞. 探讨洁悠神在预防留置尿管性尿路感染的护理效果. 现代预防医学, 2010, 37(18): 3562-3563.
13. 杨小芸, 王宇婷, 胡亚丽. " 洁悠神”用于预防男性经尿道手术后尿路感染的研究. 中华医学创新, 2009, 6(18): 30-31.
14. 刘有莲. 长效抑菌材料" 洁忧神”对重症患者留置导尿管伴尿路感染的预防. 广州医药, 2012, 43(6): 69-71.
15. 邵爱艳. 洁悠神预防卒中患者留置尿管致尿路感染的临床分析. 中华美容医学, 2012, 21(8): 250-251.
16. 张琼. 长效抑菌材料洁悠神预防留置尿管逆行感染的临床观察. 当代护士(中旬刊), 2012, (6): 131-132.
17. 沈蒙文. 洁悠神在预防留置导尿管并发尿路感染中的应用效果. 当代护士(中旬刊), 2013, (1): 129-130.
18. 张彦, 鞠进, 侯海霞. 洁悠神在预防留置尿管逆行感染的临床效果观察. 医学信息, 2015, (z3): 70.
19. 黄润. 洁悠神在预防留置导尿管并发尿路感染中的临床护理体会. 中国继续医学教育, 2016, 8(18): 249-250.
20. 李杰. 洁悠神预防留置尿管性尿路感染的有效性观察. 护士进修杂志, 2016, 31(18): 1712-1713.
21. 南存金, 苏红侠, 何有华, 等. 外用抗菌剂长效抑菌材料联合抗返流引流袋预防留置导尿伴随性尿路感染. 中华全科医学, 2016, 14(4): 569-570.

Chinese Journal of Evidence-Based Medicine

Efficacy of long-acting antibacterial material in the prevention of secondary urinary infection: a systematic review

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