The effectiveness of the ultrasound bladder scanner in reducing urinary tract infections: A meta-analysis

Journal of Clinical Nursing

Volumn 19, Issue 21-22, 2010, Pages 2970-2979

  Palese, Alvisa ^a   Buchini, Sara ^b   Deroma, Laura ^a   Barbone, Fabio ^a  

^a UNIVERSITY OF UDINE   (Italy)

^b Azienda per i Servizi Sanitari n 4 Medio Friuli   (Italy)

Author keywords

Postoperative nursing care; Ultrasound bladder scanner; Urinary retention; Urinary tract infection

Indexed keywords

BLADDER CATHETERIZATION; COMPARATIVE STUDY; DOPPLER FLOWMETRY; ECHOGRAPHY; FEMALE; FOLLOW UP; HUMAN; MALE; META ANALYSIS; METHODOLOGY; MONITORING; POSTOPERATIVE COMPLICATION; PREVALENCE; PRIMARY PREVENTION; REVIEW; TREATMENT OUTCOME; URINARY TRACT INFECTION; URINE RETENTION;

FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MONITORING, PHYSIOLOGIC; POSTOPERATIVE COMPLICATIONS; PREVALENCE; PRIMARY PREVENTION; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER; URINARY CATHETERIZATION; URINARY RETENTION; URINARY TRACT INFECTIONS;

EID: 78650446713     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2010.03281.x     Document Type: Review

References (86)

1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A & Wein A (2002) The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourology and Urodynamics 21, 167-178.
2. Addison R (2007) Assessing continence with bladder ultrasound. Nursing Times 103, 44-45.
3. Alnaif B & Drutz HP (1999) The accuracy of portable abdominal ultrasound equipment in measuring postvoid residual volume. International Urogynecology Journal and Pelvic Floor Dysfunction 10, 215-218.
4. Altschuler V & Diaz L (2006) Bladder ultrasound. Medsurg Nursing 15, 317-318.
5. American Medical Association - Chicago (2004) Surgical Care. After Surgery: Discomforts and Complications [on line]. Available: (accessed 12 February 2008).
6. Anton HA, Chambers K, Clifton J & Tasaka J (1998) Clinical utility of a portable ultrasound device in intermittent catheterization. Archives of Physical Medicine and Rehabilitation 79, 172-175.
7. Araki K, Ishibashi N, Sasatomi T, Kanazawa M, Ogata Y & Shirouzu K (2003) Effectiveness of the portable ultrasound bladder scanner in the measurement of residual urine volume after total mesorectal extirpation. Minimally Invasive Therapy & Allied Technologies 12, 245-248.
8. Barabas G & Mölstad S (2005) No association between elevated post-void residual volume and bacteriuria in residents of nursing homes. Scandinavian Journal of Primary Health Care 23, 52-56.
9. Barrington JW, Edwards G, Ashcroft M & Adekanmi O (2001) Measurement of bladder volume following cesarean section using bladderscan. International Urogynecology Journal and Pelvic Floor Dysfunction 12, 373-374.
10. Barrington JW, Arunkalaivanan AS & Abdel Fattah M (2003) The accuracy of Bladderscan in intrapartum care. International Urogynecology Journal of Pelvic Floor Dysfunction 14, 214-215.
11. Baumann BM, McCans K, Stahmer SA, Leonard MB, Shults J & Holmes WC (2007) Caregiver and health care provider satisfaction with volumetric bladder ultrasound. Academic Emergency Medicine 14, 903-907.
12. Baumann BM, McCans K, Stahmer SA, Leonard MB, Shults J & Holmes WC (2008) Volumetric bladder ultrasound performed by trained nurses increases catheterization success in pediatric patients. The American Journal of Emergency Medicine 26, 18-23.
13. Bee TS (2006) Review: determining the volume of urine by portable ultrasonography for the neurological patients. Singapore Nursing Journal 33, 7-13.
14. Bent AE, Nahhas DE & McLennan MT (1997) Portable ultrasound determination of urinary residual volume. International Urogynecology Journal and Pelvic Floor Dysfunction 8, 200-202.
15. Borrie MJ, Campbell K, Arcese ZA, Bray J, Hart P, Labate T & Hesch P (2001) Urinary retention in patients in a geriatric rehabilitation unit: prevalence, risk factors, and validity of bladder scan evaluation. Rehabilitation Nursing 26, 187-191.
16. Broomhead L (1986) Incontinence: a personal account. Nursing 3, 10.
17. Byun SS, Kim HH, Lee E, Paick JS, Kamg W & Oh SJ (2003) Accuracy of bladder volume determinations by ultrasonography: are they accurate over entire bladder volume range? Urology 62, 656-660.
18. Chan H (1997) Bladder management in acute care of stroke patients: a quality improvement project. Journal of Neuroscience Nursing 29, 187-190.
19. Chen L, Hsiao AL, Moore CL, Dziura JD & Santucci KA (2005) Utility of bedside bladder ultrasound before urethral catheterization in young children. Pediatrics 115, 108-111.
20. Chiarenza SF, Fabbro MA, D'Agostino S, Fasoli L & Musi L (2003) Non-invasive urodynamic approach to the diagnosis, treatment and follow-up of voiding disorders in pediatric patients. La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics 25, 117-121.
21. Choe JH, Lee JY & Lee KS (2007) Accuracy and precision of a new portable ultrasound scanner, the BME-150A, in residual urine volume measurement: a comparison with the BladderScan BVI 3000. International Urogynecology Journal and Pelvic Floor Dysfunction 18, 641-644.
22. Cochrane S (2007) Car of the indewelling urinary catheter: is it evidence based? Journal of Wound, Ostomy and Incontinence Care 34, 282-288.
23. Coombes GM & Millard RJ (1994) The accuracy of portable ultrasound scanning in the measurement of residual urine volume. The Journal of Urology 152(6 Pt 1), 2083-2085.
24. Cooperberg MR, Chambers SK, Rutherford TJ & Foster HE Jr (2000) Cystic pelvic pathology presenting as falsely elevated post-void residual urine measured by portable ultrasound bladder scanning: report of 3 cases and review of the literature. Urology 55, 590.
25. Demaria F, Amar N, Biau D, Fritel X, Porcher R, Amarenco G, Madelenat P & Benifla JL (2004) Prospective 3D ultrasonographic evaluation of immediate postpartum urine retention volume in 100 women who delivered vaginally. International Urogynecological Journal of Pelvic Floor Dysfunction 15, 281-285.
26. Ding YY, Sahadevan S, Pang WS & Choo PW (1996) Clinical utility of a portable ultrasound scanner in the measurement of residual urine volume. Singapore Medical Journal 37, 365-368.
27. Doughty DB (2006) Urinary and Fecal Incontinence: Current Management Concepts. Mosby, St. Louis.
28. Dudley NJ, Kirkland M, Lovett J & Watson AR (2003) Clinical agreement between automated and calculated ultrasound measurements of bladder volume. The British Journal of Radiology 76, 832-834.
29. Fedorkow DM, Dore S & Cotton A (2005) The use of an ultrasound bladder scanning device in women undergoing urogynaecologic surgery. Journal of Obstetrics and Gynecology Canada 27, 945-948.
30. Frederickson M, Neitzel JJ, Miller EH, Reuter S, Graner T & Heller J (2000) The implementation of bedside bladder ultrasound technology: effects on patient and cost operative outcomes in tertiary care. Orthopedic Nursing 19, 79-87.
31. Fuse H, Yokoyama T, Muraishi Y & Katayama T (1996) Measurement of residual urine volume using a portable ultrasound instrument. International Urology and Nephrology 28, 633-637.
32. Garcia MM, Gulati S, Liepmann D, Stackhouse GB, Greene K & Stoller ML (2007) Traditional Foley drainage systems - do they drain the bladder? Journal of Urology 177, 203-207.
33. Gastmeier P, Sohr D, Rath A, Forster DH, Wischnewski N, Lacour M, Bräuer H, Daschnerand F & Rüden H (2000) Repeated prevalence investigations on nosocomial infections for continuous surveillance. The Journal of Hospital Infection 45, 47-53.
34. Goode PS, Locher JL, Bryant RL, Roth DL & Burgio KL (2000) Measurement of post void residual urine with portable transabdominal bladder ultrasound scanner and urethral catheterization. International Urogynecology Journal and Pelvic Floor Dysfunction 11, 296-300.
35. Granier P, Audry P, Coste B, Fleys E, Trives M & Szczot A (2002) Portable ultrasonographic device and bladder dysfunction management in stroke patients. Annales de Réadaptation et de Médecine Physique 45, 166-172.
36. Han MY, Gibbons MD, Belman AB, Pohl HG, Majd M & Rushton HG (2005) Indications for nonoperative management of ureteroceles. The Journal of Urology 174, 1652-1655.
37. Herthelius M & Oborn H (2006) Bladder dysfunction in children and adolescents after renal transplantation. Pediatric Nephrology 21, 725-728.
38. Herthelius M & Oborn H (2007) Urinary tract infections and bladder dysfunction after renal transplantation in children. The Journal of Urology 177, 1883-1886.
39. Kalsi J, Arya M, Wilson P & Mundy A (2003) Hospital-acquired urinary tract infection. International Journal of Clinical Practice 57, 388-391.
40. Kemp D & Tabaka N (1990) Postoperative urinary retention: Part II - a retrospective study. Journal of Post Anesthesia Nursing 5, 397-400.
41. Kong K & Young S (2000) Incidence and outcome of poststroke urinary retention: a prospective study. Archives of Physical Medicine and Rehabilitation 81, 1464-1467.
42. Krapp K (2006) Encyclopedia of Nursing & Allied Health - eNotes.com Seattle. Bladder ultrasound [online]. Available (accessed 3 February 2008).
43. Kunin CM (2001) Nosocomial urinary tract infections and the indwelling catheter: what is new and what is true? Chest 120, 10-12.
44. Lee YY, Dai YT, Chen C & Hsueh YS (2000) Cost-effectiveness analysis of portable bladder scan for measuring urine volume. Formosan Journal of Medicine 4, 251-260.
45. Lee YY, Tsay WL, Lou MF & Dai YT (2007) The effectiveness of implementing a bladder ultrasound programme in neurosurgical units. Journal of Advanced Nursing 57, 192-200.
46. Lehman CA & Owen SV (2001) Bladder scanner accuracy during everyday use on an acute rehabilitation unit. Spinal Cord Injury Nursing 18, 87-92.
47. Lewis NA (1995) Implementing a bladder ultrasound program. Rehabilitation Nursing 20, 215-217.
48. MacKinnon AE, Roberts JP & Searles J (2000) Day-care ultrasound avoids urodynamics. European Journal of Pediatric Surgery 10, 24-25.
49. Massagli TL, Cardenas DD & Kelly EW (1989) Experience with portable ultrasound equipment and measurement of urine volumes: inter-user reliability and factors of patient position. The Journal of Urology 142, 969-971.
50. Mathew S, Horne AW, Murray LS, Tydeman G & McKinley CA (2007) Are portable bladder scanning and real-time ultrasound accurate measures of bladder volume in postnatal women? Journal of Obstetrics and Gynecology 27, 564-567.
51. Moore DA & Edwards K (1997) Using a portable bladder scan to reduce the incidence of nosocomial urinary tract infections. Medsurg Nursing 6, 39-43.
52. Moselhi M & Morgan M (2001) Use of a portable bladder scanner to reduce the incidence of bladder catheterization prior to laparoscopy. BJOG: An International Journal of Obstetrics and Gynecology 108, 423-424.
53. Munir V, Barnett P & South M (2002) Does the use of volumetric bladder ultrasound improve the success rate of suprapubic aspiration of urine? Pediatric Emergency Care 18, 346-349.
54. O'Farrell B, Vandervoort MK, Bisnaire D, Doyle-Pettypiece P, Koopman W & McEwan L (2001) Evaluation of portable bladder ultrasound: accuracy and effect on nursing practice in an acute care neuroscience unit. Journal of Neuroscience Nursing 33, 301-309.
55. Oh-Oka H & Fujisawa M (2007) Study of low bladder volume measurement using 3-dimensional ultrasound scanning device: improvement in measurement accuracy through training when bladder volume is 150 ml or less. The Journal of Urology 177, 595-599.
56. Ouslander JG, Simmons S, Tuico E, Nigam JG, Fingold S, Bates-Jensen B & Schnelle JF (1994) Use of a portable ultrasound device to measure post-void residual volume among incontinent nursing home residents. Journal of the American Geriatrics 42, 1189-1892.
57. Pallis LM & Wilson M (2003) Ultrasound assessment of bladder volume: is it valid after delivery? Australian and New Zealand Journal of Obstetrics and Gynaecology 43, 453-456.
58. Pellowe CM, Loveday HP, Harper P, Robinson N, Pratt RJ & Pratt R (2001) Preventing infections from short-term indwelling catheters. Nursing Times 97, 34-35.
59. Phillips JK (2000) Integrating bladder ultrasound into a urinary tract infection-reduction project. American Journal of Nursing 1, 3-15.
60. Polliack T, Bluvshtein V, Philo O, Ronen J, Gelernter I, Luttwak ZP, Hatt J & Catz A (2005) Clinical and economic consequences of volume- or time-dependent intermittent catheterization in patients with spinal cord lesions and neuropathic bladder. Spinal Cord 43, 615-619.
61. Resnick B (1995) A bladder scan trial in geriatric rehabilitation. Rehabilitation Nursing 20, 194-196.
62. Revord JP, Opitz JL, Murtaugh P & Harrison J (1993) Determining residual urine volumes using a portable ultrasonographic device. Archives of Physical Medicine and Rehabilitation 74, 457-462.
63. Rosseland LA, Bentsen G, Hopp E, Refsum S & Breivik H (2005) Monitoring urinary bladder volume and detecting post-operative urinary retention in children with an ultrasound scanner. Acta Anaesthesiologica Scandinavica 49, 1456-1459.
64. Roupret M, Chartier-Kastler E, Hopirtean V, Barret E, Haertig A & Richard F (2003) Use in daily urological practice of an ultrasound device for measuring bladder volume. Presse Medicale 32, 776-780.
65. Roy GT, Desai S & Cohen RC (1997) Ureteroceles in children: an ongoing challenge. Pediatric surgery international 12, 44-48.
66. Saint S (2000) Clinical and economic consequences of nosocomial catheter-related bacteriuria. American Journal of Infection Control 28, 68-75.
67. Sawers JS, Todd WA, Kellett HA, Miles RS, Allan PL, Ewing DJ & Clarke BF (1986) Bacteriuria and autonomic nerve function in diabetic women. Diabetes Care 9, 460-464.
68. Schott-Baer FD & Reaume L (2001) Accuracy of ultrasound estimates of urine volume. Urologic Nursing 21, 193-195.
69. Shekelle PG, Morton SC, Clark KA, Pathak M & Vickrey BG (1999) Systematic review of risk factors for urinary tract infection in adults with spinal cord dysfunction. The Journal of Spinal Cord Medicine 22, 258-272.
70. Slappendel R & Weber EWG (1999) Non-invasive measurement of bladder volume as an indication for bladder catheterization after orthopaedic surgery and its effect on urinary tract infections. European Journal of Anaesthesiology 16, 503-506.
71. Sparks A, Boyer D, Gambrel A, Lovett M, Johnson J, Richards T, Johnson J, Grimm E, Daniels C, Tylka S, Mattingly H, Harper H & Palermo D (2004) The clinical benefits of the bladder scanner: a research synthesis. Journal of Nursing Care Quality 19, 188-192.
72. Stevens E (2005) Bladder ultrasound: avoiding unnecessary catheterizations. Medsurg Nursing 14, 249-253.
73. Sulzbach-Hoke LM & Schanne LC (1999) Using a portable ultrasound bladder scanner in the cardiac care unit. Critical Care Nurse 19, 35-39.
74. Tan TL, Lieu PK & Ding YY (2001) Urinary retention in hospitalised older women. Annals of the Academy of Medicine 30, 588-592.
75. Teng CH, Huang YH, Kuo BJ & Bih LI (2005) Application of portable ultrasound scanners in the measurement of post-void residual urine. Journal of Nursing Research 13, 216-224.
76. The National Institute of Diabetes and Digestive and Kidney Diseases (2007) Urinary retention [on line]. Available: (accessed 12 February 2008).
77. Topper AK, Holliday PJ & Fernie GR (1993) Bladder volume estimation in the elderly using a portable ultrasound-based measurement device. Journal of Medical Engineering and Technology 17, 99-103.
78. Tseng LH, Liang CC, Chang YL, Lee SJ, Lloyd LK & Chen CK (2008) Postvoid residual urine in women with stress incontinence. Neurourology and Urodynamics 27, 48-51.
79. Van Os AF & Van der Linden PJ (2006) Reliability of an automatic ultrasound system in the post partum period in measuring urinary retention. Acta Obstetricia et Gynecologica Scandinavica 85, 604-607.
80. Vavra-Hadziahmetovic N & Muftic M (2003) Determination of residual urine volume using a portable ultrasound apparatus in a rehabilitation center for spinal lesions. Medicinski Archive 57, 165-167.
81. Wagner ML & Schmid MM (1997) Exploring the research base and outcome measures for portable bladder ultrasound technology. Medsurg Nursing 6, 304-314.
82. Witt M, Baumann BM & McCans K (2005) Bladder ultrasound increases catheterization success in pediatric patients. Academic Emergency Medicine 12, 371-374.
83. Wren KR & Wren TL (1996) Postsurgical urinary retention. Urologic Nursing 16, 45-47.
84. Wu J & Baguley IJ (2005) Urinary retention in a general rehabilitation unit: prevalence, clinical outcome, and the role of screening. Archives of Physical Medicine and Rehabilitation 86, 1772-1777.
85. Wynd CA, Wallace M & Smith KM (1996) Factors influencing postoperative urinary retention following orthopaedic surgical procedures. Orthopaedic Nursing 15, 43-50.
86. Wyneski HK, Wyneski HK, McMahon DR, Androulakakis V & Nasrallah PF (2005) Automated bladder scan urine volumes are not reliable in complex neonatal cases. Journal of Urology 174, 1661-1662.