Urinary Management With an External Female Collection Device.
Terrie Beeson, Carmen Davis
PMID 29394218WHAT IT FOUND
Nurses used an external female urine collection device as an alternative to an indwelling catheter.
Patients slept better, stayed drier, and requested it; fecal incontinence still led to a catheter and infection.
Key findings
01After an indwelling catheter was removed to lower infection risk, the device was used and the patient slept at night and later requested it during readmission.
02Nurses used the device to help avoid sleep loss and skin injury while trying to prevent an indwelling catheter.
03Fecal incontinence made the device unusable, a catheter was placed, and the patient developed a catheter-associated infection.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The report describes a small number of patients, with no comparison group or objective outcome measures. Patients were receiving many other hospital treatments, so the device's contribution cannot be separated. A patient still required a catheter and developed a catheter-associated infection. The authors note little existing evidence about managing female urinary incontinence. The paper is a case series, so it cannot compare the device with usual care.
Declared interests
The device is a product of Sage Products, a division of Stryker; the text gives no further funding or author declaration.
The easy way to misread this
Do not read these cases as proof that the device prevents catheter-associated infections or skin injury. There was no comparison group, and a patient still required a catheter and developed a catheter-associated infection.