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eLetters to:
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- ELECTRONIC ARTICLE:
Theresa A. Schlager, Maureen Clark, and Susan Anderson
- Effect of a Single-Use Sterile Catheter for Each Void on the Frequency of Bacteriuria in Children With Neurogenic Bladder on Intermittent Catheterization for Bladder Emptying
Pediatrics 2001; 108: e71
[Abstract]
[Full text]
[PDF]
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eLetters published:
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The question is, why do this study?
- Richard W CHIU
(2 October 2001)
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Re: The question is, why do this study?
- Amy A Egan
(22 August 2003)
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Preliminary studies should not be used to change patient care policies
- theresa a schlager
(2 September 2003)
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The question is, why do this study? |
2 October 2001 |
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Richard W CHIU, Paediatric Nephrologist Paediatrics, Queen Mary Hospital, Hong Kong SAR, China
Send letter to journal:
Re: The question is, why do this study?
rwchiu{at}hku.hk Richard W CHIU
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Dear Dr Schlager,
Having read your paper "Bacteriuria in children with neurogenic
bladder treated with intermittent catheterization: Natural history" (J
PEDIATR 1995;126:490-6) when it was published, I am very convinced that
asymptomatic bacteriuria in patients with neuropathic bladder treated with
intermittent clean catheterisation is rather benign and does not need
treatment. Why do you want to do a study to reduce asymptomatic
bacteriuria in this group of patients?
I must acknowledge how much we were indebted to your original paper
in 1995.
Yours sincerely,
Richard W Chiu
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Re: The question is, why do this study? |
22 August 2003 |
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Amy A Egan, RN
Send letter to journal:
Re: Re: The question is, why do this study?
kkaspurr{at}cox.net Amy A Egan
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I work for a Medicaid insurance company and have been noticing excess
when it comes to requesting intermittent/
straight catheters with the paraplegia population. The arguement we had
is in needing a new catheter each time versus cleaning the catheters
between catheterization. I believed in the home environment cleaning
between use was appropriate, but received arguement from case management
in that patient will have higher frequency of UTI. This article will help
back up my arguement. Thank you.
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Preliminary studies should not be used to change patient care policies |
2 September 2003 |
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theresa a schlager, MD Univ Virginia
Send letter to journal:
Re: Preliminary studies should not be used to change patient care policies
tas8n{at}virginia.edu theresa a schlager
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Our study examined the frequency of bacteriuria in the same patient
using sterile single-use catheters for voiding versus reused clean
catheters. Bacteriuria and urinary tract infection were defined. The 10
adolescents enrolled in the study had myelomeningocele, lived outside
hospital and had normal upper urinary tracts. We found that use of a
sterile single-use catheter for each void did not decrease the high
frequency of bacteriuria. Of note, the number of urinary tract infections
was too small to compare between groups. As a result, we were unable to
address whether sterile single-use catheters decreased urinary tract
infection in this population. A study with a larger number of patients
would be required to answer this question. It is unclear whether
Escherichia coli detected in the urine of patients on intermittent
catheterization originates from the periurethra or from chronic
colonization of the bladder mucosa. Further investigation is required to
elucidate the cause of chronic bacteriuria in this population. Any
policies regarding catheter use cannot be derived from this study. To do
so would be unscientific and in hospitalized patients, potentially
dangerous.
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