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ORIGINAL ARTICLE
Year : 2004  |  Volume : 1  |  Issue : 1  |  Page : 20-23

Clean intermittent catheterization: Overview of results in 194 patients with spina bifida


AIC Bethany Crippled Children's Centre of Kenya, Kenya

Correspondence Address:
Dan Poenaru
PO Box 20, Kijabe 00220
Kenya
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Source of Support: None, Conflict of Interest: None


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Background: Clean intermittent catheterization (CIC) is a life-saving procedure in children with spina bifida, but its effectiveness in Kenya has not been previously documented. Patients and Methods: The current study analyzed the application of CIC in a series of 194 patients with spina bifida who fulfilled set criteria for placement on the CIC programme. Caregivers were taught the technique and were provided with the necessary supplies. Results: Leak point pressure (LPP) and post-voiding residual (PVR) data obtained correlated with development of hydronephrosis. Out of 176 children alive on CIC, 74% were continent (20% spontaneously, 37% with CIC, and 17% with CIC and imipramine). 18 children died of disease-related complications. Conclusion: A CIC program is both feasible and effective in Kenya. Economic barriers must be overcome and further parent education is needed in order to offer all Kenyan children with spina bifida a good standard of care.


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