Randomised study of sterile versus non-sterile urethral catheterisation.

Abstract

Indwelling urethral catheters are the most common cause of urinary tract infections (UTI), yet there is no direct evidence that technique of catheter insertion affects this. In a prospective study, 156 patients underwent preoperative urethral catheterisation, randomly allocated to 'sterile' or 'clean/non-sterile' technique groups. There was no statistical difference between the two groups with respect to the incidence of UTI. There was a considerable cost difference between the two groups, the 'sterile' method being over twice as expensive as the 'clean' method. Strict sterility is not necessary in preoperative short-term urethral catheterisation and is more expensive and time consuming.