Methods of managing hygiene for patients with indwelling urinary catheters in Japan: A scoping review

Abstract

Objective: This study aimed to review the trends in the research regarding daily hygiene care for patients with indwelling urinary catheters （IUC） in Japan and to identify future issues.

Methods: We searched for literature related to the routine hygiene management of patients with IUCs in Japan using Ichushi-Web; articles that met the eligibility criteria were included.

Results: 22 articles were included in the review. The number of articles and interventional studies peaked in the 2000s, followed by an increase in observational studies. The most common method of urethral opening care was pubic lavage once a day, but the materials used were not the same; for the catheter-associated urinary tract infection prevention, the effect differed with the materials used, and pubic lavage was performed in all intervention studies that showed an effect.

Conclusions: In the included papers, the methods and materials used for urethral-opening care were examined based on the characteristics of the insertion site and the hygiene-related habits of Japanese people. Moreover, after the publication of the Guideline for Prevention of Catheter Associated Urinary Tract Infections, 2009 ~Centers for Disease Control and Prevention, pubic lavage became the only method used of urethral-opening care, and it was revealed that specific hygiene practices had not been sufficiently verified.