Skip to main content

Comparison of two indwelling bowel catheters on economic impact by number of bedding and dressing changes per day


Fecal incontinence is prevalent in patients in the acute/ICU setting [1, 2]. The primary objective of this study was to assess and compare the economic impact on fecal containment with use of catheter A or catheter B at 12 sites (A, seven sites; B, five sites) in the acute/ICU setting. Catheter A is Zassi Bowel Management System (Hollister Inc.) and catheter B is Flexi-Seal Fecal Management System (ConvaTec, Inc.).


An analysis of 146 patients (A, 76 patients; B, 70 patients) on the number of bedding and dressing change visits per patient-day (frequency of nursing visits per day spent changing bedding/dressings due to fecal contamination) can be used as an indirect economic measure of catheter leakage and containment. Routine daily bedding/dressing changes were not included, only catheter-related bedding/dressing changes were recorded.


A nearly 30% reduction (1.20 vs. 1.71) in the rate of bedding/dressing changes per patient-day were observed for catheter A compared with catheter B (P = 0.0035). For catheter A sites, 735 bedding/dressing change visits occurred over 612 patient-days; and for catheter B sites, 705 bedding/dressing change visits occurred over 413 patient-days. Although non-significant, lower observed rates of leakage (A, 1.1; B, 1.4), repositions due to leakage (A, 0.25; B, 0.39), and devices expelled (A, 0.02; B, 0.07) may have contributed to the significant reduction in bedding/dressing changes associated with the use of catheter A compared with catheter B.


The use of indwelling bowel management systems to divert, collect, and contain liquid stools may provide an economic advantage in an acute/ICU setting for patients with fecal incontinence. These results suggest that catheter A may have a greater economic value compared with catheter B by decreasing the number of nursing visits per patient-day.


  1. Junkin J, Selekof J: Prevelance of incontinence and associated skin injury in the acute care patient. J Wound Ostomy Continence Nurs 2007, 34: 260-269.

    Article  Google Scholar 

  2. Bliss DZ, Johnson S, Savik , Clabots CR, Gerding DN: Fecal incontinence in hospitalized patients who are acutely ill. Nurs Res 2000, 49: 101-108. 10.1097/00006199-200003000-00007

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations



Rights and permissions

Reprints and Permissions

About this article

Cite this article

Bowel Management Research Group., Konz, E. Comparison of two indwelling bowel catheters on economic impact by number of bedding and dressing changes per day. Crit Care 13 (Suppl 1), P146 (2009).

Download citation

  • Published:

  • DOI:


  • Public Health
  • Catheter
  • Emergency Medicine
  • Primary Objective
  • Economic Impact