Based on the analysis of the selected studies, we can
state that the initially proposed objectives have been
achieved, being possible to globally correspond to the
research question of this review: What is the effectiveness
of cleaning with water or saline compared to the urinary
meatus antisepsis before the introduction of urinary catheter,
in prevention of urinary tract infections?
After the analysis of the studies no evidence was
found that the use of water/saline solution to clean the
canal increases the rates of UTI. There is however some
evidence of reducing these infections when comparing
with antiseptic disinfection, although not reaching statistical
significance.
Since there is some evidence that the use of water/
saline reduces rates of UTI, we suggest the realization
and implementation of a new guideline, with the primary
objective of greater management resources, making the
technique related to the research question a general subject
to all health professionals.