Catheter-associated meatal pressure injuries (CAMPI) in patients with long-term urethral catheters—a cross-sectional study of 200 patients

Article


Munien, Kale, Ravichandran, Kapilan, Flynn, Hannah, Shugg, Nathan, Flynn, David, Chamber, Jonathan and Desai, Devang. 2024. "Catheter-associated meatal pressure injuries (CAMPI) in patients with long-term urethral catheters—a cross-sectional study of 200 patients." Translational Andrology and Urology. 13 (1). https://doi.org/10.21037/tau-23-445
Article Title

Catheter-associated meatal pressure injuries (CAMPI) in patients with long-term urethral catheters—a cross-sectional study of 200 patients

ERA Journal ID214368
Article CategoryArticle
AuthorsMunien, Kale, Ravichandran, Kapilan, Flynn, Hannah, Shugg, Nathan, Flynn, David, Chamber, Jonathan and Desai, Devang
Journal TitleTranslational Andrology and Urology
Journal Citation13 (1)
Number of Pages12
Year2024
PublisherAME Publishing Company
Place of PublicationHong Kong
ISSN2223-4683
2223-4691
Digital Object Identifier (DOI)https://doi.org/10.21037/tau-23-445
Web Address (URL)https://tau.amegroups.org/article/view/121103/html
Abstract

Background: Indwelling urethral catheters (IDC) are ubiquitous to healthcare settings, and are associated with many familiar risks like haematuria, infections, bladder spasms and stones. However, a less known complication is catheter-associated meatal pressure injury (CAMPI), especially in those with long-term IDCs. The objective of this study was to explore the prevalence, associated features and management of CAMPI in adults with a long-term IDC.

Methods: A cross-sectional multi-centre study was undertaken of 200 adults with a long-term IDC across regional south-west Queensland, Australia between June 2019 to June 2021. The prevalence of CAMPI was determined by clinical examination, voluntary surveys completed by participants and documentation in medical records. Key IDC statistics included total duration of IDC, location of IDC changes, IDC size, type and fixation.

Results: Out of 200 adults with a long-term IDC, 9% (18/200) had a CAMPI. There was a higher prevalence of male CAMPI (17/169, 10%) compared to female CAMPI (1/31, 3%). The median time to identification of a CAMPI after initial IDC insertion was 12 weeks (2–136 weeks), but occurred as soon as 2 weeks. CAMPI formation was associated with IDC changes in the community, impaired mobility and congestive cardiac failure (CCF). CAMPI were mostly treated by conservative means given the frailty of the population.

Conclusions: Poor mobility, community-managed IDCs, and CCF were all found to have statistically significant associations with the development of CAMPI. CAMPI represents an important and underserved iatrogenic complication within urology practice, and greater awareness is needed to prevent it in vulnerable patients with long-term IDCs.

Keywordscommunity health services; urological surgical procedures; Urology; complications; urinary catheter
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204299. Other health sciences
Byline AffiliationsToowoomba Hospital, Australia
Royal Brisbane and Women’s Hospital, Australia
Ipswich Hospital, Australia
University of Queensland
University of Southern Queensland
Griffith University
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