Answers linked to Fasugba O, Koerner J, Mitchell BG, Gardner A. A systematic review and meta-analysis of the effectiveness of antiseptics for meatal cleaning in the prevention of catheter-associated urinary tract infections. J Hosp Infect 2017;95:233–242

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Answers linked to Fasugba O, Koerner J, Mitchell BG, Gardner A. A systematic review and meta-analysis of the effectiveness of antiseptics for meatal cleaning in the prevention of catheter-associated urinary tract infections. J Hosp Infect; DOI: 10.1016/j.jhin.2016.10.025 Available online xxx

1. Indwelling urinary catheters are frequently used in which setting? (a) (b) (c) (d)

Pharmacy. Hospital. Childcare. General practice. Answer: (b).

2. Catheter use and catheter-associated urinary tract infections (CAUTIs) have been associated with which outcome(s)? (a) (b) (c) (d)

Mortality. Length of hospital stay. Antibiotic use. All of the above. Answer: (d). Catheter use and CAUTIs have been associated with increased length of stay, higher hospital costs, greater antibiotic use, and higher morbidity and mortality rates.

3. Which meatal cleaning agent demonstrated a nearsignificant effect on the incidence of CAUTI?

(a) (b) (c) (d)

Povidone-iodine. Chlorhexidine. Antibacterial agent. Green soap and water. Answer: (c). Comparison of an antibacterial agent versus routine care indicated near significance (P ¼ 0.055).

4. Which of these agents may be a possible confounding factor in the efficacy of antiseptics? (a) (b) (c) (d)

Alcohol. Chlorine. Bicarbonate. Water. Answer: (a). Alcohol may be a possible confounding factor in the efficacy of alcohol-containing antiseptics.

5. From the studies identified, routine meatal care typically involved what procedure? (a) (b) (c) (d)

Cleaning the catheter with a wet sponge. Spraying the meatal area with vinegar. Applying moisturizer to the meatal area. Removing debris from the catheter during bathing. Answer: (d).

Summarizing the instructions from the Royal College of Pathologists: (1) One CPD point is allowed for each question and answer set (up to five questions and answers). (2) Answers must be recorded referenced back to the questions and recorded in the CPD portfolio. (3) It is essential that participants include the completed response form showing both questions and answers in their portfolio as these may be subject to audit by RCPath. For further information about the Royal College of Pathologists’ CPD scheme and credit allocation, please contact: Professional Standards Unit, CPD Section, Royal College of Pathologists, 2 Carlton House Terrace, London, SW1Y 5AF, UK. E-mail: [email protected] or visit http://www.rcpath.org

http://dx.doi.org/10.1016/j.jhin.2016.11.010 0195-6701/ª 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved. Please cite this article in press as: Answers linked to Fasugba O, Koerner J, Mitchell BG, Gardner A. A systematic review and meta-analysis of the effectiveness of antiseptics for meatal cleaning in the prevention of catheter-associated urinary tract infections. J Hosp Infect; DOI: 10.1016/ j.jhin.2016.10.025, Journal of Hospital Infection (2016), http://dx.doi.org/10.1016/j.jhin.2016.11.010