文献类型：期刊文献

英文题名：The effect of bladder catheterization on the incidence of urinary tract infection in laboring women with epidural analgesia: a meta-analysis of randomized controlled trials

作者：Li, Meixuan[1,2,3,4];Xing, Xin[5];Yao, Liang[6];Wang, Xiaoqin[2,3,4];He, Wenbo[1];Wang, Meng[1];Li, Huijuan[1,2,3,4];Xun, Yangqin[1,2,3,4];Yan, Peijing[7];Hui, Xu[1];Yang, Xinmin[8];Yang, Kehu[1,2,3,4,7]

第一作者：Li, Meixuan

通信作者：Yang, KH[1];Yang, KH[2];Yang, KH[3];Yang, KH[4];Yang, XM[5]

机构：[1]Lanzhou Univ, Sch Publ Hlth, 199 Donggang West Rd, Lanzhou 730000, Peoples R China;[2]Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou 730000, Peoples R China;[3]Lanzhou Univ, Evidence Based Social Sci Res Ctr, Lanzhou 730000, Peoples R China;[4]Key Lab Evidence Based Med & Knowledge Translat G, Lanzhou 730000, Peoples R China;[5]Gansu Univ Tradit Chinese Med, Lanzhou 730000, Peoples R China;[6]Hong Kong Baptist Univ, Chinese Med Fac, Hong Kong 999077, Peoples R China;[7]Gansu Prov Hosp, Inst Clin Res & Evidence Based Med, Lanzhou 730000, Peoples R China;[8]Chinese PLA Hosp, Dept Endoscop Surg, Xian 710054, Shaanxi, Peoples R China

第一机构：Lanzhou Univ, Sch Publ Hlth, 199 Donggang West Rd, Lanzhou 730000, Peoples R China

通信机构：[1]corresponding author), Lanzhou Univ, Sch Publ Hlth, 199 Donggang West Rd, Lanzhou 730000, Peoples R China;[2]corresponding author), Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou 730000, Peoples R China;[3]corresponding author), Key Lab Evidence Based Med & Knowledge Translat G, Lanzhou 730000, Peoples R China;[4]corresponding author), Gansu Prov Hosp, Inst Clin Res & Evidence Based Med, Lanzhou 730000, Peoples R China;[5]corresponding author), Chinese PLA Hosp, Dept Endoscop Surg, Xian 710054, Shaanxi, Peoples R China.

年份：2019

卷号：30

期号：9

起止页码：1419

外文期刊名：INTERNATIONAL UROGYNECOLOGY JOURNAL

收录：;Scopus(收录号：2-s2.0-85062733079);WOS:【SCI-EXPANDED(收录号:WOS:000482489100005)】；

语种：英文

外文关键词：Labor; Epidural analgesia; Urinary catheter; Continuous catheterization; Intermittent catheterization; Bladder drainage

摘要：Introduction and hypothesis There is conflicting evidence on whether intermittent catheterization (IC) is less associated with urinary tract infection (UTI) and more likely to prevent urinary retention than continuous catheterization (CC). We aimed to compare the effect of IC with that of CC on the incidence of postpartum UTI, urinary retention and hemorrhage in laboring women with epidural analgesia. Methods Electronic searches were performed in PubMed, EMBASE and Cochrane Library from their inception to October 2018. We selected RCTs comparing IC with CC in laboring women with epidural analgesia. A meta-analysis was performed using the RevMan software, and a random-effects model was used to pool the effect size. The Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach was used to rate the quality of evidence. Results Six RCTs (N = 850) were included in this review. The meta-analyses indicated that there was no significant difference between the IC and CC group in the incidence of postpartum UTI (RR = 1.25, 95% CI: 0.91 to 1.71, P = 0.16), postpartum urinary retention (RR = 0.76, 95% CI: 0.21 to 2.77, P = 0.68) and postpartum hemorrhage (RR = 1.72, 95% CI: 0.60 to 4.95, P = 0.31). GRADE assessment results showed that the quality of evidence was low. Conclusions Based on the available evidence, there is no measurable difference in rates of UTI between CC and IC, not that neither stragety decreases UTI, since the included trials do not address this.