Institutional Outcomes of Immediate vs Delayed or No Clean Intermittent Catheterization in Infant Neurogenic Bladder
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The authors aimed to investigate the impact of immediate versus delayed or no clean intermittent catheterization (CIC) on infectious and renal-bladder ultrasound outcomes in infants with neurogenic lower urinary tract dysfunction (NLUTD). They found that while immediate CIC was associated with higher rates of bacteriuria, it did not lead to increased symptomatic urinary tract infections (UTIs) compared to non-immediate management. Conversely, delayed CIC was linked to worse infectious outcomes and imaging findings, suggesting that the timing of CIC initiation should be tailored based on individual risk factors rather than a one-size-fits-all approach.
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