The importance of hygienic catheter care using a closed
drainage system, hand hygiene, and staff and patient
education is important in preventing UTI [25]. Furthermore,
the duration of catheterization should be minimal [28].
Long-term indwelling catheters should be changed in
intervals adapted to the individual patient, but must be
changed before blockage is likely to occur, however there is
no determination of the exact intervals of changing
catheters [28]. As more bacteria and other types of
pathogens are found in the perineum of patients with
neurogenic bladders, washing and disinfection of the skin
has been suggested prior to catheterization, but several
studies found no advantage in the prevention of UTI [6, 19,
25]. Introduction of a catheter through an introducer has
only be supported in one study